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CompletedNCT05787756GUT-PDUpdated Aug 31, 2026

Constipation and Changes in the Gut Flora in Parkinson's Disease

An observational study in Parkinson Disease, sponsored by University of Aberdeen. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 110 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-31.

Sponsored by University of Aberdeen · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
30
Ages
18 Years to 110 Years
Sex
All
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Study summary

The aim of this study is to investigate the link between gut health and Parkinson's disease

Read the detailed description

Parkinson's disease (PD) is a common, age-related neurological condition, affecting approximately 145,000 people in the United Kingdom. Diagnostic symptoms include stiffness, tremor, unsteadiness and slow movements. Interestingly, while PD is usually considered to be a neurological condition, pathological changes occur in the gut years before diagnosis, often causing constipation. As such, the gut has attracted attention as a possible therapeutic target.

Previous studies have shown different profiles of gut bacteria and the short chain fatty acids (SCFAs) they produce in people with PD. There is evidence these changes might be significant to the disease course, as faecal transplants from people with PD worsened symptoms in a mouse model of PD. The mechanism for this is unclear, but changes in SCFAs and gut wall inflammation, have both been suggested. Studies so far have compared gut bacteria in people with and without PD, however, as the healthy controls often don't have constipation, it is unclear if the differences seen are due to PD itself or the associated constipation.

This pilot study aims to determine differences in the frequency of gut micro-organisms (bacteria, fungi and archaea) and gut function, other than those caused by constipation. 40 participants with a new diagnosis of PD will be recruited from Movement Disorder clinics within National Health Service (NHS) Grampian. 40 healthy (non-PD) controls will be recruited from the PD participants households (whenever feasible). All 80 participants will be clinically assessed and asked to provide two stool samples. The samples will be analysed for the frequency of gut micro-organisms, changes in gut function (short chain fatty acid concentrations) and gut inflammation (calprotectin concentrations).

The aim of this pilot study is to determine the key differences in gut micro-organisms in PD compared to controls, which may have a role in disease progression. It is likely that the results of this proof of concept study would need to be confirmed in a larger study before the investigators are able to plan an intervention trial, such as testing a prebiotic product, with the aim of normalising gut micro-organisms, and potentially modifying the disease course.

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Conditions studied

  • Parkinson Disease

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In context

Parkinson Disease

4,487 studies on the registry are indexed under Parkinson Disease; 1,082 are open to participants now.

This study's enrollment of 30 is below the median of 96 across 1,057 observational studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

University of Aberdeen is the lead sponsor of 170 studies on the registry; 23 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 110 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Parkinson disease group: potential participants will be invited into the study if they have recently been diagnosed with Parkinson's disease and have not yet started medication for the condition

Control group: spouses or other household contacts will be invited to the study

Inclusion criteria

Participants with Parkinson's disease 2. Community-dwelling patients with newly diagnosed PD who have not yet started medication for Parkinson's disease.

Control Participants

1. Healthy (non-Parkinsonian) members of the participants household will be invited to act as controls.

Exclusion criteria

Exclusion Criteria:

  1. Use of oral or intravenous antibiotics in the last 8 weeks.
  2. Active gastrointestinal disease, not including constipation or irritable bowel syndrome without other symptoms.
  3. Current use of medications which cause/worsen constipation e.g., opioids, tramadol, gabapentin, pregabalin.
  4. Potential controls will be excluded if they report prodromal symptoms of PD, such as anosmia or rapid eye movement (REM) sleep disorder or display parkinsonian signs on examination.
  5. Inability to give informed consent at any stage of the study e.g., because of dementia.
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
30 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Parkinson disease

    Participants with newly diagnosed Parkinson's disease

  • Control Subjects

    Control subjects - will be selected from household/spousal contacts of the participants with Parkinson's disease

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What researchers measure

Primary outcomes

  1. Micro-organism prevalence in stool sample

    Stool samples will be posted to the Rowett Institute, and processed and analysed in the laboratory at The Rowett Institute, University of Aberdeen. The samples will be analysed for water content and microbial RNA/DNA will be extracted for genome analysis. When the analysis is complete, the faecal samples will be destroyed.

    Time frame: Baseline

  2. Micro-organism prevalence in stool sample

    Stool samples will be posted to the Rowett Institute, and processed and analysed in the laboratory at The Rowett Institute, University of Aberdeen. The samples will be analysed for water content and microbial RNA/DNA will be extracted for genome analysis. When the analysis is complete, the faecal samples will be destroyed.

    Time frame: Within two months of baseline

Secondary outcomes

  1. Analysis of stool samples for concentration of short chain fatty acids

    Stool samples will be posted to the Rowett Institute via Royal Mail. Samples will be processed and analysed in the laboratory at The Rowett Institute, University of Aberdeen. The samples will be analysed for short chain fatty acid concentration (µmol/g).

    Time frame: Baseline

  2. Analysis of stool samples for concentration of calprotectin

    Stool samples will be posted to the Rowett Institute via Royal Mail. Samples will be processed and analysed in the laboratory at The Rowett Institute, University of Aberdeen. The samples will be analysed for short calprotectin concentration (µg/g).

    Time frame: Baseline

  3. Analysis of stool samples for markers of gut function (short chain fatty acids and calprotectin)

    Stool samples will be posted to the Rowett Institute via Royal Mail. Samples will be processed and analysed in the laboratory at The Rowett Institute, University of Aberdeen. The samples will be analysed for short chain fatty acid (SCFA) profile and calprotectin concentration. When the analysis is complete, the faecal samples will be destroyed.

    Time frame: Within two months of the baseline sample

  4. To assess the extent of swallowing problems (dysphagia) by a questionnaire

    Participants will be asked to completed a standardized swallowing questionnaire (Swallowing Disturbance Questionnaire), which has been validated in people with Parkinson's disease. The score ranges from 0-43, with a higher score increasing the likelihood for a swallowing problem, which would require further investigation

    Time frame: Baseline

  5. To assess the extent of swallowing problems using a standardized swallowing test

    Participants will be asked to drink 150 millilitres of cold water from a clear cup. The rater will sit at their side and record them on video for later analysis. The speed in ml/second and volume per average swallow will be recorded by determining if any residual volume is left, the number of seconds to complete the task and the number of swallows. The test will be terminated if there is any indication of aspiration of liquid.

    Time frame: Baseline

  6. To assess the extent of swallowing problems using a standardized swallowing test

    Participants will be asked to drink 150 millilitres of cold water from a clear cup. The rater will sit at their side and record them on video for later analysis. The speed in ml/second and volume per average swallow will be recorded by determining if any residual volume is left, the number of seconds to complete the task and the number of swallows. The test will be terminated if there is any indication of aspiration of liquid.

    Time frame: Four weeks after the baseline assessment

  7. To assess taste sensation using a simple test

    Participants taste recognition will be assessed using standardized taste strips from Burghart (sweet, salty, sour and bitter)

    Time frame: Baseline

  8. To assess dietary intake over a 24 hour period using a structured interview

    Following the initial visit, the participant will receive a phone call from a trained member of the team to perform a 24-hour dietary recall interview. This is a structured interview where participants are asked to recall all food and beverage consumption over a 24-hour period and further questions are asked to determine further details, including portion size and ingredients and cooking methods used. The whole interview usually takes 20 to 60 minutes.

    Time frame: Baseline

  9. To assess the reliability of bio-impedence analysis in determining fat mass in older adults with and without PD

    Fat mass in kilograms will be measured using a seca mBCA 525 bio-impedence machine.

    Time frame: Baseline

  10. To assess the reliability of bio-impedence analysis in determining fat mass in older adults

    Fat mass in kilograms will be measured using a seca mBCA 525 bio-impedence machine.

    Time frame: Four weeks after baseline assessment

  11. To assess the reliability of bio-impedence analysis in determining fat mass in older adults

    Fat free mass in kilograms will be measured using a seca mBCA 525 bio-impedence machine.

    Time frame: Baseline

  12. To assess the reliability of bio-impedence analysis in determining fat mass in older adults

    Fat free mass in kilograms will be measured using a seca mBCA 525 bio-impedence machine.

    Time frame: Four weeks after the baseline assessment

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Study locations

1 site
  • Human Nutrition Unit, Rowett Institute, University of Aberdeen
    Aberdeen, Aberdeen City AB25 2ZD, United Kingdom
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References and documents

Publications

  • Gage H, Kaye J, Kimber A, Storey L, Egan M, Qiao Y, Trend P. Correlates of constipation in people with Parkinson's. Parkinsonism Relat Disord. 2011 Feb;17(2):106-11. doi: 10.1016/j.parkreldis.2010.11.003. Epub 2010 Dec 3. PubMed 21130017 ↗
  • De Pablo-Fernandez E, Gebeyehu GG, Flain L, Slater R, Frau A, Ijaz UZ, Warner T, Probert C. The faecal metabolome and mycobiome in Parkinson's disease. Parkinsonism Relat Disord. 2022 Feb;95:65-69. doi: 10.1016/j.parkreldis.2022.01.005. Epub 2022 Jan 13. PubMed 35045378 ↗
  • Hilton D, Stephens M, Kirk L, Edwards P, Potter R, Zajicek J, Broughton E, Hagan H, Carroll C. Accumulation of alpha-synuclein in the bowel of patients in the pre-clinical phase of Parkinson's disease. Acta Neuropathol. 2014 Feb;127(2):235-41. doi: 10.1007/s00401-013-1214-6. Epub 2013 Nov 17. PubMed 24240814 ↗
  • Jaffrin MY, Morel H. Body fluid volumes measurements by impedance: A review of bioimpedance spectroscopy (BIS) and bioimpedance analysis (BIA) methods. Med Eng Phys. 2008 Dec;30(10):1257-69. doi: 10.1016/j.medengphy.2008.06.009. Epub 2008 Aug 3. PubMed 18676172 ↗
  • Manor Y, Giladi N, Cohen A, Fliss DM, Cohen JT. Validation of a swallowing disturbance questionnaire for detecting dysphagia in patients with Parkinson's disease. Mov Disord. 2007 Oct 15;22(13):1917-21. doi: 10.1002/mds.21625. PubMed 17588237 ↗
  • Mueller C, Kallert S, Renner B, Stiassny K, Temmel AF, Hummel T, Kobal G. Quantitative assessment of gustatory function in a clinical context using impregnated "taste strips". Rhinology. 2003 Mar;41(1):2-6. PubMed 12677732 ↗
  • Sampson TR, Debelius JW, Thron T, Janssen S, Shastri GG, Ilhan ZE, Challis C, Schretter CE, Rocha S, Gradinaru V, Chesselet MF, Keshavarzian A, Shannon KM, Krajmalnik-Brown R, Wittung-Stafshede P, Knight R, Mazmanian SK. Gut Microbiota Regulate Motor Deficits and Neuroinflammation in a Model of Parkinson's Disease. Cell. 2016 Dec 1;167(6):1469-1480.e12. doi: 10.1016/j.cell.2016.11.018. PubMed 27912057 ↗
  • Schwiertz A, Spiegel J, Dillmann U, Grundmann D, Burmann J, Fassbender K, Schafer KH, Unger MM. Fecal markers of intestinal inflammation and intestinal permeability are elevated in Parkinson's disease. Parkinsonism Relat Disord. 2018 May;50:104-107. doi: 10.1016/j.parkreldis.2018.02.022. Epub 2018 Feb 12. PubMed 29454662 ↗
  • Unger MM, Spiegel J, Dillmann KU, Grundmann D, Philippeit H, Burmann J, Fassbender K, Schwiertz A, Schafer KH. Short chain fatty acids and gut microbiota differ between patients with Parkinson's disease and age-matched controls. Parkinsonism Relat Disord. 2016 Nov;32:66-72. doi: 10.1016/j.parkreldis.2016.08.019. Epub 2016 Aug 26. PubMed 27591074 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 31, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05787756
Lead sponsor
University of Aberdeen
Collaborators
Biomathematics & Statistics Scotland (BioSS), NHS Grampian
Responsible party
Sponsor
First posted
Mar 28, 2023
Start date
Jan 1, 2023
Primary completion
Mar 17, 2024
Completion
Mar 17, 2024
Last update
Aug 31, 2026

Study contacts

Isobel JM Sleeman, BMBCh, PhD
principal investigator · University of Aberdeen

Oversight

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

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This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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