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Sep 5, 2026

Faecal Microbiota Transplantation Reduces Lesion Severity and Medication Use in Canine Atopic Dermatitis: A Randomised, Placebo-Controlled, Double-Blinded Clinical Trial

Adjunctive oral and rectal FMT reduced skin lesion severity scores and symptomatic medication use in dogs with atopic dermatitis over 90 days.

Evidence levelBRandomized clinical trial
Study typerct
Sample40
Effect directionFavorable
CertaintyModerate
Clinical applicabilityModerate
Overinterpretation risk1/5 · Low
PICO
Population
Intervention
Comparator
Outcome

What the study showed

CADESI-04 scores were significantly lower in the FMT group at months 2 and 3 compared to placebo. Sustained responders (≥50% CADESI-04 improvement at M2 and M3) were more frequent with FMT (35% vs. 5%). Medication scores were also lower in the FMT group at the same time points.

How it was done

Prospective, randomised, double-blinded, placebo-controlled clinical trial enrolling 46 dogs (40 completed); animals received daily oral lyophilised FMT capsules for 90 days plus three monthly rectal administrations, or matched placebo.

Risk of bias

The sample is small (n=40 completers) and drawn from a referral hospital, limiting generalisability. The abstract does not report complete PVAS or OGATE outcomes, nor detailed safety data.

Interpretation limit

What this study does NOT prove

This study does not prove that FMT is effective as monotherapy for canine atopic dermatitis or that benefits persist beyond 90 days.

In clinical practice

Results support FMT as a potentially useful adjunctive approach, but the small sample and incomplete data in the abstract warrant caution before broad clinical adoption.

Limitations

The sample is small (n=40 completers) and drawn from a referral hospital, limiting generalisability. The abstract does not report complete PVAS or OGATE outcomes, nor detailed safety data.

Technical appendix

Version history

  • 1.0 · 2026-09-05 — Auto-generated under Evidence Standard v1.0
Source: DOI 10.1111/vde.70092 · 2026

Paid access: structured summary from public metadata; consult the original study at the source.

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