ClinicalTrials.gg
Not yet recruitingNCT07923513BI-POTATOSUpdated Nov 6, 2026

Compulsive Eating and Brain's Reward System in Different Pathologies

An interventional study of MRI/ MRS (Magnetic Resonance Imaging /Magnetic Resonance Spectroscopy) in PARKINSON DISEASE (Disorder), Bipolar 1 Disorder and Obesity (BMI>30), sponsored by University Hospital, Clermont-Ferrand. Not yet recruiting at 1 site in France. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by University Hospital, Clermont-Ferrand · Not applicable, Interventional, and Basic science

Updated Nov 6, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Compulsive eating behaviors represent a significant issue across various disorders such as Parkinson's disease, bipolar disorders, and obesity.

Despite their apparent differences, these conditions share common underlying disturbances involving the brain's reward system, particularly within dopaminergic networks.6,7 Previous neuroimaging studies have consistently reported reward system connectivity impairment associated with compulsive eating, in each of these disorders. However, few studies have simultaneously explored the neurobiological similarities and specificities of this common symptom, eating behavior, when occurring in different populations and disorders.

The Bi-POTATOS project proposes an original and innovative approach by adopting a transdiagnostic perspective, employing brain imaging and comprehensive psycho-behavioral assessments to investigate common behavioral characteristics and neural circuit alterations associated with compulsive eating across these three conditions. For the first time, this study will allow a direct comparison of the cerebral signatures linked to compulsive eating behavior, clearly distinguishing between transdiagnostic vulnerabilities and features unique to each clinical condition.

The central hypothesis is that similar dysfunctions in brain regions involved in motivation and impulsive decision-making underpin compulsive eating behaviors, irrespective of the initial diagnosis. However, the underlying pathology may modulate these mechanisms, introducing certain specificities.

By clarifying these common mechanisms, the Bi-POTATOS project will not only enhance our understanding of the neurobiological etiology of these disorders but also pave the way for innovative, targeted therapeutic interventions. This project will precisely identify whether specific neural alterations constitute a universally relevant therapeutic target, or conversely, determine which alterations necessitate tailored therapeutic strategies based on the underlying pathology.

02

Conditions studied

  • PARKINSON DISEASE (Disorder)
  • Bipolar 1 Disorder
  • Obesity (BMI>30)

Keywords

  • reward system
  • compulsive eating
  • brain functional signatures
03

In context

Parkinson Disease

4,573 studies on the registry are indexed under Parkinson Disease; 1,086 are open to participants now.

This study's planned enrollment of 150 is above the median of 40 across 3,353 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

University Hospital, Clermont-Ferrand is the lead sponsor of 859 studies on the registry; 179 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • 1-Common Criteria (Parkinson disease, Obesity, Bipolar patients)
  • Men or women, right-handed, 18 to 80 years old
  • With or without compulsive eating according to the QEWP-R
  • No changes to long-term treatments in the previous month
  • Cooperation and understanding to strictly comply with the conditions set out in the protocol
  • Acceptance of the protocol and signing of a written
  • Affiliation to the social security system

    2-Specific criteria Parkinsonian patients (n=25 with CE, n=25 without CE)

  • Diagnosis of Parkinson's disease according to the Movement Disorders Society criteria
  • \<30

Obese patients (n=25 with CE, n=25 without CE)

  • Obese patients according to HAS 2022 classification
  • BMI≥30

Bipolar patients (n=25 with CE, n=25 without CE)

  • Diagnosis of bipolar disorder according to DSM 5 criteria
  • BMI\<30

Exclusion criteria

Exclusion Criteria:

  • 1-Common Criteria
  • Dementia ( \<22)
  • Severe depression (Beck Depression Inventory>30)
  • to MRI (implanted stimulator, insulin pump, intraocular metallic foreign bodies or close to the nervous and vascular systems, claustrophobia, non-removable dental appliance, tattoo on the face or neck, …)
  • Refusal to be informed in case of incidental finding on MRI
  • History of stroke or brain trauma that may impact MRI findings
  • Patients under guardianship, deprived of freedoms or protection of justice.
  • Pregnant women, breastfeeding women

    2- Specific criteria

Parkinsonian patients:

  • People suffering from neurological pathologies other than PD
  • Patient suffering from psychiatric disorder
  • Treated with deep brain stimulation
  • Patients with severe tremor (> 3 for a tremor sub-item of the MDS-UPDRS III) or excessively severe dyskinesia contraindicating MRI

Obese patients:

  • Suffering from progressive neurological pathology and psychiatric disorder
  • Weight >220kg contraindicating MRI
  • Body (Shoulder) diameter > 220 cm contraindicating MRI
  • History of bariatric surgery
  • GLP1 treatment

Bipolar patients:

  • Suffering from neurological pathology and psychiatric disorder other than bipolar disorder
  • Current acute depressive or hypomanic episode according to DSM 5
  • Treated with deep brain stimulation or vagus nerve stimulation
  • Electroconvulsivotherapy \< 6 months
Terms in these criteria, in plain language(4)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

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
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Study Group

    Visit 1 : selection visit * Inform consent and participation agreement * Assessment of the disease and eating behavior disorder severity, medication taken, as well as a standard medical examination (measurement of weight, height and blood pressure) Cognitive function, impulsive trait of personality, depression, anxiety, restless legs syndrome, REM sleep behavior disorder and pain will be assessed. Visit 2 : investigational visit * MRI scan * neuropsychological assessments

    Other: MRI/ MRS (Magnetic Resonance Imaging /Magnetic Resonance Spectroscopy)

Interventions

  • OtherMRI/ MRS (Magnetic Resonance Imaging /Magnetic Resonance Spectroscopy)

    Neuropsychological assessment : motor impulsivity, motor inhibition, cognitive impulsivity (Stroop); decision making in an ambiguous context (Iowa Gambling Task), time perception (delay discounting reward task) and risk taking (Balloon analog Risk task). MRI : The subjects will be scanned using a 3-Tesla MAGNETOM Vida scanner (Siemens, Erlangen, Germany) with a 64 channel head coil Dietician : 3 days food record

    Also known as: Neuropsychological assessments, Dietitian

06

What researchers measure

Primary outcomes

  1. Assessment of resting state seed-based functional connectivity from the limbic striatum (seed: ventral striatum) by MRI.

    MRI is a 3-Tesla MAGNETOM Vida scanner (Siemens, Erlangen, Germany) with a 64 channel head coil. The subjects were asked to hold still, with their eyes open and not to think of anything particular. Foam padding was employed to reduce head movement and earplugs were used to reduce scanner noise. The high resolution anatomical images were obtained through a T1-weighted magnetization-prepared rapid gradient echo (MPRAGE) sequence with the following parameters: repetition time (TR): 2300 ms, echo time (TE): 3.08 ms, inversion time (IT): 900 ms, flip angle (FA): 9°, matrix: 288 x 288, 176 slices, slice thickness: 1mm. Resting-state functional MRI images were obtained using an EPI sequence with the following parameters: TR: 3000ms, TE: 30ms, FA: 81°, field of view (FOV): 192 mm, 55 slices, slice thickness: 3.3 mm, gap between slices: 3.3 mm, pixel bandwidth: 2441 Hz/Pixel, number of time points: 180, acquisition duration: 9 minutes).

    Time frame: At visit 2, between 1 and 12 weeks after patient enrollment

Secondary outcomes

  1. Demographical data

    sex

    Time frame: at visit 1, selection visit - Day 0

  2. Demographical data

    Age (year)

    Time frame: at visit 1, selection visit - Day 0

  3. Demographical data

    weight (kg)

    Time frame: at visit 1, selection visit - Day 0

  4. Demographical data

    size (m)

    Time frame: at visit 1, selection visit - Day 0

  5. Parkinson Disease severity

    Assessment of parkinson desease with the MDS-UPDRS (Movement Disorders Society - Unified Parkinson's Disease Rating Scale ) scale, completed by the investigator.

    Time frame: at visit 1, selection visit - Day 0

  6. Bipolar Disease severity

    Assessment of bipolar desease with MADRS (Montgomery-Asberg Depression Rating Scale) and YMRS (Young Mania Rating Scale) scale, completed by the investigator.

    Time frame: at visit 1, selection visit - Day 0

  7. Obesity disease severity

    Obesity classification according to Health French Agency (Haute Autorité de Santé) 2022, completed by the investigator.

    Time frame: at visit 1, selection visit - Day 0

  8. Impulsive trait of Personality according the Barratt impulsiveness scale (BIS-11)

    This self questionnaire is completed by the patient during the selection visit

    Time frame: at visit 1, selection visit - Day 0

  9. Eating behavior disorder severity

    Self reported eating behavior disorder using 3 questionnaires (QEWP5 (Questionnaire on Eating and Weight Patterns5), DEBQ (Dutch Eating Behaviour Questionnaire) and food craving questionnaire))

    Time frame: at visit 1, selection visit - Day 0

  10. Presence of Anxiety and/or depression according the Beck depression and anxiety scale

    These self questionnaires is completed by the patient during the selection visit

    Time frame: at visit 1, selection visit - Day 0

  11. Presence of restless legs syndrome according the International Restless Legs Syndrome (Rating Scale)

    This questionnaire is completed by the investigator during the selection visit

    Time frame: at visit 1, selection visit - Day 0

  12. Intensity and Pain caracteristics

    Patients will evaluate their pain using 2 self questionnaires (3-PDQ, BPI (Brief Pain Inventory))

    Time frame: at visit 1, selection visit - Day 0

  13. Impulsive compulsive behaviors rating scale for PD (QUIP-RS)

    The QUIP-RS is a brief 28-item patient-reported or clinician-rated scale developped for measure of severity of ICDs. Each item is rated on a 5-point Likert scale assessing frequency of symptoms with a range of scores from 0 (never) to 4 (very often).

    Time frame: at visit 2, between 1 and 12 weeks after selection visit

  14. Spontaneous food intake

    Patients will report thier spontaneous food intake for 3 days using a dietary data collected. Patient nutritional intakes will be analysed using Nutrilog software

    Time frame: at visit 2, between 1 and 12 weeks after selection visit

  15. Motor impulsivity (Go/No Go task)

    Motor impulsivity will be assessed with the Go/No-go task. It is a simple experimental paradigm that requires participants to respond as quickly as possible (Go) to a particular class of stimuli, for example by pressing a key on a keyboard, and not to respond to other classes of stimuli (No Go). The key behaviour measured with this experiment is the participants' ability to withhold a response on No-go trials.

    Time frame: at visit 2, between 1 and 12 weeks after selection visit

  16. Motor inhibition (Stop Signal Task (SST))

    The Stop Signal Task (SST) is a test that measures motor inhibition. The participant must respond quickly to Go stimuli but interrupt their response when a stop signal appears. The key index, the Stop Signal Reaction Time (SSRT), reflects the time required to stop an ongoing action. This test will be performed by neuropsychologist.

    Time frame: at visit 2, between 1 and 12 weeks after selection visit

  17. Iowa Gambling Task (IGT)

    IGT assesses risk-based learning by relying on a system of rewards and punishments within a simulated context of uncertainty, representing a real-life decision-making situation. Participants choose cards from four decks, each associated with varying amounts of monetary gains and losses. Over time, advantageous decks yield higher net rewards, while disadvantageous decks lead to net losses. Performance on the task reflects an individual's capacity to balance immediate rewards against long-term outcomes, thereby providing insight into adaptive decision-making and risk evaluation processes. This test will be performed by neuropsychologist.

    Time frame: at visit 2, between 1 and 12 weeks after selection visit.

  18. Cognitive impulsivity (Stroop)

    The Stroop Test is a cognitive task designed to evaluate attentional control and the ability to inhibit automatic responses when faced with conflicting information. Participants are asked to name the color of the ink in which words are printed, even when the word itself refers to a different color (e.g., GREEN printed in red ink). This requires suppressing the automatic tendency to read the word and instead focusing on the ink color. The difference in performance between congruent and incongruent conditions, known as the Stroop interference effect, is a key indicator of cognitive inhibition and executive control. This test will be performed by neuropsychologist.

    Time frame: at visit 2, between 1 and 12 weeks after selection visit

  19. Time perception (delay discounting reward task)

    Participants make choices between two alternatives: a larger reward available after a delay (across seven delay intervals) and a smaller reward available immediately. The value of the immediate reward is systematically adjusted, either increasing or decreasing, in separate blocks. The task assesses preferences for immediate versus delayed gratification using two reward types: money and food. This test will be performed by neuropsychologist.

    Time frame: at visit 2, between 1 and 12 weeks after selection visit

  20. Balloon analog Risk task

    Participants are given 30 balloons (by default). For each balloon, they can choose either to inflate it further or to collect their earnings. With each successful inflation, they can earn money. However, if a balloon bursts before the participant collects the potential earnings, they lose all potential gains associated with that balloon. The average number of pumps on balloons that do not burst is the primary dependent variable in this paradigm. A higher number of pumps reflects increased risk-taking behavior. This test will be performed by neuropsychologist.

    Time frame: at visit 2, between 1 and 12 weeks after selection visit

  21. Surface based (Freesurfer) and Voxel based (SPM) morphometry performed by MRI

    MRI is a 3-Tesla MAGNETOM Vida scanner (Siemens, Erlangen, Germany) with a 64 channel head coil. The subjects were asked to hold still, with their eyes open and not to think of anything particular. Foam padding was employed to reduce head movement and earplugs were used to reduce scanner noise. The high resolution anatomical images were obtained through a T1-weighted magnetization-prepared rapid gradient echo (MPRAGE) sequence with the following parameters: repetition time (TR): 2300 ms, echo time (TE): 3.08 ms, inversion time (IT): 900 ms, flip angle (FA): 9°, matrix: 288 x 288, 176 slices, slice thickness: 1mm. Resting-state functional MRI images were obtained using an EPI sequence with the following parameters: TR: 3000ms, TE: 30ms, FA: 81°, field of view (FOV): 192 mm, 55 slices, slice thickness: 3.3 mm, gap between slices: 3.3 mm, pixel bandwidth: 2441 Hz/Pixel, number of time points: 180, acquisition duration: 9 minutes).

    Time frame: at visit 2, between 1 and 12 weeks after selection visit

  22. Structural connectivity (MRtrix and TRACTseg) performed by MRI

    MRI is a 3-Tesla MAGNETOM Vida scanner (Siemens, Erlangen, Germany) with a 64 channel head coil. The subjects were asked to hold still, with their eyes open and not to think of anything particular. Foam padding was employed to reduce head movement and earplugs were used to reduce scanner noise. The high resolution anatomical images were obtained through a T1-weighted magnetization-prepared rapid gradient echo (MPRAGE) sequence with the following parameters: repetition time (TR): 2300 ms, echo time (TE): 3.08 ms, inversion time (IT): 900 ms, flip angle (FA): 9°, matrix: 288 x 288, 176 slices, slice thickness: 1mm. Resting-state functional MRI images were obtained using an EPI sequence with the following parameters: TR: 3000ms, TE: 30ms, FA: 81°, field of view (FOV): 192 mm, 55 slices, slice thickness: 3.3 mm, gap between slices: 3.3 mm, pixel bandwidth: 2441 Hz/Pixel, number of time points: 180, acquisition duration: 9 minutes).

    Time frame: at visit 2, between 1 and 12 weeks after selection visit

  23. Resting state seed-based functional connectivity from the limbic striatum performed by MRI

    MRI is a 3-Tesla MAGNETOM Vida scanner (Siemens, Erlangen, Germany) with a 64 channel head coil. The subjects were asked to hold still, with their eyes open and not to think of anything particular. Foam padding was employed to reduce head movement and earplugs were used to reduce scanner noise. The high resolution anatomical images were obtained through a T1-weighted magnetization-prepared rapid gradient echo (MPRAGE) sequence with the following parameters: repetition time (TR): 2300 ms, echo time (TE): 3.08 ms, inversion time (IT): 900 ms, flip angle (FA): 9°, matrix: 288 x 288, 176 slices, slice thickness: 1mm. Resting-state functional MRI images were obtained using an EPI sequence with the following parameters: TR: 3000ms, TE: 30ms, FA: 81°, field of view (FOV): 192 mm, 55 slices, slice thickness: 3.3 mm, gap between slices: 3.3 mm, pixel bandwidth: 2441 Hz/Pixel, number of time points: 180, acquisition duration: 9 minutes).

    Time frame: at visit 2, between 1 and 12 weeks after selection visit

07

Study locations

1 site
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Dec 2026; primary completion for Jul 2029, 31 months later.

Of 1,291 non-industry interventional studies with no phase under Parkinson Disease, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 44. This study's planned 31 months is above that.

Counting every sponsor, half of 1,367 studies reached it within 25 months; a quarter within 11 and three quarters within 44.

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

Registered
Jul 27, 2026
First posted
Nov 6, 2026
StartEst.
Dec 2026
Primary completionEst.
Jul 2029
CompletionEst.
Oct 2029
Last update
Nov 6, 2026
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.
Registered
First appeared on the registry. No changes since
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07923513
Responsible party
Sponsor
First posted
Nov 6, 2026
Start date
Dec 2026 (estimated)
Primary completion
Jul 2029 (estimated)
Completion
Oct 2029 (estimated)
Last update
Nov 6, 2026

Study contacts

Lise Laclautre
Contact
promo_interne_drci@chu-clermontferrand.fr
+33473754963

Oversight

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

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