ClinicalTrials.gg
TerminatedNCT05446168BUTTERUpdated Jan 23, 2025Results posted

Brain Small Chain Fatty Acid Metabolism in Parkinson Disease: Tributyrin Supplementation

A Phase 1 interventional study of tributyrin in Parkinson Disease, sponsored by Nicolaas Bohnen, MD, PhD. Terminated at 1 site in United States. Open to participants aged 45 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-01-23.

Sponsored by Nicolaas Bohnen, MD, PhD · Phase 1, Interventional, and Treatment

Why this study was terminated
Withdrawal of funding

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Phase
Phase 1
Study type
Interventional
Enrollment
18
Allocation
Non-randomized
Ages
45 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 1,649 studies in Parkinson Disease with a site in United States — 304 open to participants now, 387 under way, 7 of them phase 3. Parkinson Disease · United States.

Enrollment
918th of 1,256
18 · median 36
Started
2022
with 104 others
Phase 1
175 of 1,649
32 open now
Registered
1,272nd of 1,649
by date

Among the 1,649 studies in Parkinson Disease with a site in United States, this one is the 918th largest by enrollment of the 1,256 interventional ones that give a count, is one of 105 that started in 2022, is one of 175 in phase 1, and was the 1,272nd registered.

Parkinson Disease

4,576 studies on the registry are indexed under Parkinson Disease; 1,087 are open to participants now.

Browse Parkinson Disease studies →

Open to participants now

304 of the 1,649 studies in Parkinson Disease with a site in United States are open now. Recruiting first, the newest first:

299 more — sign in →

All 304 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 750 Parkinson Disease studies recruiting now, 312 (42%) set no upper age limit and 127 (17%) stop at 75 or younger; 64 take children under 18; 190 take healthy volunteers.

This study: 45 Years and older · all sexes · healthy volunteers too.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 1,649 studies in Parkinson Disease with a site in United States, or all of them as a file.
02

Study summary

Small exploratory open-label pilot study to assess the short-chain fatty acid (SCFA) prodrug tributyrin as a potential therapy for persons with Parkinson disease

Read the detailed description

The overarching goal of this small exploratory open-label pilot study is to explore metabolic (glucose metabolism, butyrate) and cognition (MoCa) before and after open-label treatment with the short-chain fatty acid (SCFA) prodrug tributyrin in a small pilot study in PD and normal control older adults. Positive findings in this small exploratory pilot trial may support target engagement study of SCFA supplementation in normal adults and PD.

03

Conditions studied

  • Parkinson Disease

Browse trials for

Keywords

  • short chain fatty acid
  • butyrate
  • tributyrin
  • functional neuroimaging
04

Who can participate

Ages eligible
45 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy control volunteers over 45 years of age
  • People with Parkinson Disease over 45 years of age

Exclusion criteria

Exclusion Criteria:

  • Subjects with to MR imaging, including pacemakers or claustrophobia;
  • Evidence of large vessel stroke or mass lesion on MRI
  • Regular use of anti-cholinergic, benzodiazepines or neuroleptic drugs
  • History of significant GI disease
  • Significant metabolic or uncontrolled medical comorbidity
  • Poorly controlled diabetes
  • Pregnancy or breast feeding
  • Dementia requiring informed assent
  • Suicidal ideation
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    Parkinson's Disease Tributyrin Intervention

    Participants will take 500mg TID tributyrin supplement for 30 days +/- 7 days.

    Drug: tributyrin

  • Experimental
    Healthy Control Tributyrin Intervention

    Participants will take 500mg TID tributyrin supplement for 30 days +/- 7 days.

    Drug: tributyrin

Interventions

  • Post-biotic short chain fatty acid dietary supplement. Participants will take 500mg TID tributyrin supplement for 30 days +/- 7 days.

06

What researchers measure

Primary outcomes

  1. Whole Brain Butyrate PET Radiotracer Binding

    Whole-brain butyrate distribution volume ratios (DVRs) were computed relative to a cerebral white matter reference region pre and post approximately 30 days of open-label treatment with tributyrin. Lower radiotracer binding is interpreted to reflect higher levels of (non-tracer) butyrate in the brain, whereas higher radiotracer binding reflects higher butyrate receptor binding site availability, indicating lower levels of non-tracer butyrate in the brain.

    Time frame: Pre and Post approximately 30 days of intervention

  2. Glucose Metabolism

    Continuous glucose meter 7-10-day average glucose readings before/after open-label treatment with the SCFA prodrug tributyrin in patients with PD and normal controls. Healthy fasting blood glucose ranges from 70 to 99 milligrams per deciliter (mg/dL), with a healthy maximum of 180 mg/dL withing 2 hours of eating meals.

    Time frame: Pre and Post approximately 30 days of intervention

07

Results

Posted Jan 23, 2025

Participant flow

Participant flow — Overall Study
MilestoneParkinson's Disease Tributyrin InterventionHealthy Control Tributyrin Intervention
Started143
Completed142
Not completed01
Withdrew: Physician decision01

Outcome measures

PrimaryWhole Brain Butyrate PET Radiotracer Binding

Whole-brain butyrate distribution volume ratios (DVRs) were computed relative to a cerebral white matter reference region pre and post approximately 30 days of open-label treatment with tributyrin. Lower radiotracer binding is interpreted to reflect higher levels of (non-tracer) butyrate in the brain, whereas higher radiotracer binding reflects higher butyrate receptor binding site availability, indicating lower levels of non-tracer butyrate in the brain.

Time frame:
Pre and Post approximately 30 days of intervention
Reported as:
Mean · Parametric DVR
Whole Brain Butyrate PET Radiotracer Binding
Parametric DVRParkinson's Disease Tributyrin InterventionHealthy Control Tributyrin Intervention
Pre-intervention1.81 ± 0.101.79 ± 0.02
Post-intervention1.73 ± 0.101.74 ± 0.01
Statistical analysis
  • Parkinson's Disease Tributyrin Intervention · t-test, 2 sided · p = 0.005 (A priori threshold for statistical significance is p \< 0.05.) · Mean difference (net): -0.08 · 95% CI -0.12 to -0.03t = -4.05, df = 7
PrimaryGlucose Metabolism

Continuous glucose meter 7-10-day average glucose readings before/after open-label treatment with the SCFA prodrug tributyrin in patients with PD and normal controls. Healthy fasting blood glucose ranges from 70 to 99 milligrams per deciliter (mg/dL), with a healthy maximum of 180 mg/dL withing 2 hours of eating meals.

Time frame:
Pre and Post approximately 30 days of intervention
Reported as:
Mean · milligrams per deciliter (mg/dL)
Glucose Metabolism
milligrams per deciliter (mg/dL)Parkinson's Disease Tributyrin InterventionHealthy Control Tributyrin Intervention
Pre-Intervention135.00 ± 49.39104.50 ± 3.54
Post-Intervention139.33 ± 53.31125.00 ± 4.24
Statistical analysis
  • Parkinson's Disease Tributyrin Intervention · t-test, 2 sided · p = 0.27 (A priori threshold for statistical significance is p \< 0.05.) · Mean difference (net): 4.33 · 95% CI -3.81 to 12.47t = 1.17, df = 11

Adverse events

Collected over For all subjects, data was collected during the 30 +/- 7 days of tributyrin intervention.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Parkinson's Disease Tributyrin Intervention0/14 (0%)0/14 (0%)13/14 (92.9%)
Healthy Control Tributyrin Intervention0/3 (0%)0/3 (0%)2/3 (66.7%)
Most frequent other events
Showing 10 of 13
Most frequent other events
EventParkinson's Disease Tributyrin InterventionHealthy Control Tributyrin Intervention
GI DiscomfortGastrointestinal disorders7/140/3
Behavioral DisturbancePsychiatric disorders0/141/3
HeadacheNervous system disorders0/141/3
Respiratory InfectionInfections and infestations4/140/3
Sleep DisruptionNervous system disorders3/140/3
Shakiness/DyskinesiaNervous system disorders2/140/3
Urinary Tract InfectionInfections and infestations2/140/3
Toe InjuryInjury, poisoning and procedural complications1/140/3
ClaustrophobiaPsychiatric disorders1/140/3
Gait DisturbancesNervous system disorders1/140/3

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Parkinson's Disease Tributyrin InterventionHealthy Control Tributyrin InterventionTotal
<=18 years000
Between 18 and 65 years516
>=65 years9211
Age, Continuous
Age, Continuous(years)Parkinson's Disease Tributyrin InterventionHealthy Control Tributyrin InterventionTotal
Mean66.4 ± 5.767.3 ± 10.666.5 ± 6.4
Sex: Female, Male
Sex: Female, Male(Participants)Parkinson's Disease Tributyrin InterventionHealthy Control Tributyrin InterventionTotal
Female527
Male9110
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Parkinson's Disease Tributyrin InterventionHealthy Control Tributyrin InterventionTotal
Hispanic or Latino000
Not Hispanic or Latino14317
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Parkinson's Disease Tributyrin InterventionHealthy Control Tributyrin InterventionTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White14317
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Parkinson's Disease Tributyrin InterventionHealthy Control Tributyrin InterventionTotal
United States14316
Education
Education(years)Parkinson's Disease Tributyrin InterventionHealthy Control Tributyrin InterventionTotal
Mean17.9 ± 2.819.3 ± 3.518.1 ± 2.9
Movement Disorder Society Unified Parkinson's Disease Rating Scale Part III
Movement Disorder Society Unified Parkinson's Disease Rating Scale Part III(units on a scale)Parkinson's Disease Tributyrin InterventionHealthy Control Tributyrin InterventionTotal
Mean46.9 ± 12.728.0 ± 20.543.6 ± 15.5

2 further baseline measures are reported on the registry.

08

Study locations

1 site
  • University of Michigan Health System Functional Neuroimaging, Cognitive and Mobility Laboratory
    Ann Arbor, Michigan 48106, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2022 to primary completion in Sep 2023, 14 months.

Results were first posted in Jan 2025, 1 year 3 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 1, 2022
First posted
Jul 6, 2022
StartActual
Jul 1, 2022
Primary completionActual
Sep 26, 2023
CompletionActual
Sep 26, 2023
Results first posted
Jan 23, 2025
Last update
Jan 23, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05446168
Lead sponsor
Nicolaas Bohnen, MD, PhD
Responsible party
Nicolaas Bohnen, MD, PhD (Professor of Radiology, University of Michigan) — Sponsor-investigator
First posted
Jul 6, 2022
Start date
Jul 1, 2022
Primary completion
Sep 26, 2023
Completion
Sep 26, 2023
Results posted
Jan 23, 2025
Last update
Jan 23, 2025

Study contacts

Nicolaas I Bohnen, MD, PhD
principal investigator · University of Michigan

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Dec 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Tributyrin

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