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Parkinson's DiseaseDecember 2022Summary reviewed June 2026

What the KARMET Trial Found — ENT-01 for Parkinson's Constipation

Researchers tested a pill called ENT-01 in 150 people with Parkinson's disease who had constipation. People taking ENT-01 had about 3 bowel movements per week compared to 1 per week with a fake pill. The treatment also helped with stool consistency and reduced laxative use.

What the trial was testing

The KARMET enrolled 151 patients with parkinson's disease. The study was sponsored by Enterin Inc. and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was initial testing (phase 2). Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

People on ENT-01 went from less than 1 bowel movement per week to more than 3 per week.

Annals of internal medicine · 2022 · NCT03781791

These findings — that up from less than 1 per week before treatment — were published in the Annals of internal medicine and represent the headline result of the study.

Researchers tracked outcomes across 151 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with parkinson's disease, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

This was an early-stage study and ENT-01 is not yet FDA-approved. The treatment was well-tolerated with mainly nausea and diarrhea as side effects. If you have Parkinson's and struggle with constipation, ask your doctor about open trials testing ENT-01 or other options to manage this symptom.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.

Open parkinson's disease trials

RecruitingInterventional study

Speech Learning and Speech Production in Parkinson's Disease

Parkinson's disease, a common movement disorder that results from a breakdown in the brain, often leads to challenges with talking, but less is known about the relationship between difficulties with talking and difficulties with learning to understand speech. By linking these two abilities in individuals with Parkinson's disease using a precision medicine approach, this project seeks to build a basis for new therapies that help people with Parkinson's disease both understand better and speak more clearly.

Buffalo, New York, United States
RecruitingInterventional study

Individualized Transcranial Magnetic Stimulation in Parkinsonian Disorders

This clinical trial aims to evaluate whether individualized targeted repetitive transcranial magnetic stimulation (rTMS) can improve motor and non-motor symptoms in patients with parkinsonian disorders. The main question it aims to answer is: * Does individualized targeted rTMS alleviate symptoms of parkinsonian disorders? * Which clinical manifestations of parkinsonian syndromes are responsive to individualized targeted rTMS, and to what degree? Procedures: * Preparation (Screening) Participants will undergo clinical assessments, MRI, and EEG before the treatment. * Treatment (2 Weeks) Participants will receive a 10-day TMS treatment (once daily, Monday-Friday). Each treatment day takes approximately 3-4 hours. Participants need to keep stable medications and rehabilitation routines during this time. * Follow-up (10 Weeks) Participants will undergo follow-up assessments at the end of treatment and 10 weeks after treatment. Assessments include clinical scales, MRI, and EEG.

Beijing, Beijing Municipality, China