Parkinson’s disease (PD) therapeutic landscape lacks neuroprotective and disease-modifying therapies (DMTs). Current treatments focus on motor symptoms, but the pipeline in seven major markets emphasizes DMTs and non-motor symptom therapies. 66% of Phase I-III PD products are neuroprotective agents or DMTs targeting mechanisms like alpha-synuclein aggregation. Key opinion leaders (KOLs) support DMT research, highlighting the need for therapies addressing falls and non-motor symptoms. 18% of the pipeline focuses on symptom management beyond motor symptoms, and 3% targets PD-dementia and PD-psychosis, aiming to address the full spectrum of PD challenges.