Status:
ACTIVE_NOT_RECRUITING
Observational Small Intestine and Blood Fingerprint (SmIle) Study in Parkinson's Disease
Lead Sponsor:
Nimble Science Ltd.
Collaborating Sponsors:
MRM Health NV
Conditions:
Parkinson Disease
Eligibility:
All Genders
50-85 years
Brief Summary
Observational cross-sectional study in PD patients and healthy controls (HC) using an investigational medical device consisting of a passive small intestine microbiome aspiration (SIMBA) system (capsu...
Detailed Description
Participants will be swallowing two SIMBA capsules which allows for minimally-invasive sampling of the microbiome and metabolome deep in the small intestine. Researchers will use the capsule samples t...
Eligibility Criteria
Inclusion
- Inclusion Criteria
- Subjects are eligible to be included in the study only if all of the following criteria apply:
- Males and females aged 50-85 years old at time of on-site visit
- Signed Informed consent
- Willing \& able to comply with study procedures (including SIMBA capsule ingestion) and have study assessments performed
- Able to swallow a size-00 capsule (23mm length) in OFF state Additional inclusion criteria for PD patients only
- Diagnosis of idiopathic PD (Clinically Probable PD), including documented levodopa responsiveness
- Treatment with an immediate release levodopa formulation during the day at a stable dose for at least 2 months prior to enrollment
- Exclusion Criteria
- Subjects are excluded from the study if any of the following criteria apply:
- Any risk of capsule non-excretion, including, e.g., prior gastrointestinal disease, surgery, or radiation treatment which, in the Investigator's opinion, would lead to intestinal structuring or obstruction, achalasia, eosinophilic esophagitis, any inflammatory bowel disease (IBD), cancer diagnosis or treatment within the past year, or previous esophageal, gastric, small intestinal, or colonic surgery; appendectomy or cholecystectomy more than 3 months prior to on-site study visit are acceptable,
- Use of any medications in the week prior to the on-site study visit, unless part of regular treatment, that could substantially alter gastrointestinal motor function (e.g., opioids, prokinetics, anticholinergics); laxative use is allowed provided that it is kept unchanged in the week prior to the study visit. PPIs are allowed provided a wash-out period of 48 hours is respected before swallowing the SIMBA capsules and PPI treatment is resumed only 4 hours thereafter,
- Any contraindication for using domperidone, including a long QT interval, concomitant use of QT prolonging drugs, any risk of significant electrolyte abnormality, known hypersensitivity, known liver impairment or significant (e.g. unstable) cardiac disease (see label) putting the subject at significant risk according to the investigator's clinical judgement
- History of oropharyngeal dysphagia, or other swallowing disorder with a risk of capsule aspiration, e.g. SDQ score \> 4,
- Any concomitant PD treatment, including any dopamine agonist and MAO-B inhibitor, except (for PD patients only) an immediate release levodopa formulation during the day (required per inclusion criterion), the concomitant use of a decarboxylase inhibitor and the use of a controlled release levodopa formulation at bedtime,
- Major genital and/or rectum prolapse,
- Any concomitant or previous treatment (\<2 months from on-site study visit) with significant anti-inflammatory or immune suppressant medication, e.g. DMARDs, biologicals or systemic corticosteroids, except non-chronic PRN use of an NSAID and/or 5-ASA (mesalazine) treatment,
- Active cancer, including any prolactinoma, within 5 years (allowed: uncomplicated basal cell carcinoma and successfully removed carcinoma in situ),
- Clinically significant immune deficiency (according to Investigator's judgement),
- Documented HIV infection, or any clinically significant systemic infection,
- Antibiotic use (except for local use), use of prebiotics, or probiotics ≤12 weeks prior to on-site study visit, or Fecal Microbiota Transplantation anytime in medical history
- Dementia in medical history or identified by a MMSE \<24,
- Insulin-dependent diabetes mellitus,
- Current Psychosis episode by clinical judgement based on anamnesis
- Active significant impulse control disorder (by clinical judgement and based on interview and medical records)
- Pregnancy
- Alcohol or drug abuse
- Deep brain stimulation or Duodopa/Lecigon treatment.
- Subject, according to investigator assessment, not expected to be able to comply with study procedures including SIMBA capsule recovery and SIBO breath test execution with - or without help (when home).
Exclusion
Key Trial Info
Start Date :
February 19 2024
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
February 1 2025
Estimated Enrollment :
100 Patients enrolled
Trial Details
Trial ID
NCT06003608
Start Date
February 19 2024
End Date
February 1 2025
Last Update
January 31 2025
Active Locations (1)
Enter a location and click search to find clinical trials sorted by distance.
1
University of Calgary
Calgary, Alberta, Canada, T2N 1N4