Pre-biotics and Probiotics for Constipation in Parkinson's Disease

NCT ID: NCT02459717

Last Updated: 2025-05-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2015-10-31

Brief Summary

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Constipation is the most frequent (prevalence, about 60%) dysautonomic non motor symptom affecting Parkinson's disease (PD) patients. Unfortunately, limited treatment options have been investigated and are now available for the management of constipation in PD. Preliminary data have suggested that probiotics could be help improving bowel habits but high-quality randomized trials are required in this area. Therefore, the investigators designed a randomized trial to evaluate whether the use of a fermented milk containing multiple probiotics strains and prebiotic fiber have a beneficial effect on constipation in PD compared to placebo.

Detailed Description

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Conditions

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Constipation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Probiotics and prebiotic

fermented milk (125 grams), containing multiple probiotics strains and prebiotic fiber

Group Type EXPERIMENTAL

Probiotics and prebiotic

Intervention Type OTHER

Patients will receive daily (at breakfast) a fermented milk (125 grams), containing multiple probiotics strains and prebiotic fiber

Placebo

pasteurized fermented milk (125 grams) without prebiotics

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Patients will receive daily (at breakfast) a placebo (pasteurized fermented milk without prebiotics)

Interventions

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Probiotics and prebiotic

Patients will receive daily (at breakfast) a fermented milk (125 grams), containing multiple probiotics strains and prebiotic fiber

Intervention Type OTHER

Placebo

Patients will receive daily (at breakfast) a placebo (pasteurized fermented milk without prebiotics)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* diagnosis of constipation according to Roma III criteria
* complete bowel movements per week \<3
* total bowel movements per week \<6
* written informed consent

Exclusion Criteria

* report of loose (mushy) or watery stool in the absence of laxative use
* ongoing artificial nutrition
* lactose intolerance
* chronic inflammatory bowel disease
* previous abdominal surgery
* use of anti-cholinergics
* use of antibiotics in the 6 weeks before baseline visit
* Radio- chemotherapy
* Cognitive decline (Mini Mental State Examination \<27)
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Mondino

OTHER

Sponsor Role collaborator

Istituti Clinici di Perfezionamento di Milano

OTHER

Sponsor Role collaborator

Emanuele Cereda

OTHER

Sponsor Role lead

Responsible Party

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Emanuele Cereda

Co-project Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Claudio Pacchetti, MD

Role: PRINCIPAL_INVESTIGATOR

IRCCS Istituto Neurologico Mondino

Locations

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IRCCS Istituto Neurologico Mondino

Pavia, , Italy

Site Status

Countries

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Italy

References

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Todd CL, Johnson EE, Stewart F, Wallace SA, Bryant A, Woodward S, Norton C. Conservative, physical and surgical interventions for managing faecal incontinence and constipation in adults with central neurological diseases. Cochrane Database Syst Rev. 2024 Oct 29;10(10):CD002115. doi: 10.1002/14651858.CD002115.pub6.

Reference Type DERIVED
PMID: 39470206 (View on PubMed)

Barichella M, Pacchetti C, Bolliri C, Cassani E, Iorio L, Pusani C, Pinelli G, Privitera G, Cesari I, Faierman SA, Caccialanza R, Pezzoli G, Cereda E. Probiotics and prebiotic fiber for constipation associated with Parkinson disease: An RCT. Neurology. 2016 Sep 20;87(12):1274-80. doi: 10.1212/WNL.0000000000003127. Epub 2016 Aug 19.

Reference Type DERIVED
PMID: 27543643 (View on PubMed)

Other Identifiers

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66/INT/2015

Identifier Type: -

Identifier Source: org_study_id

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