Could a simple bowel rinse ease Parkinson's constipation and movement problems?
NCT ID NCT07716553
First seen Jul 21, 2026 · Last updated Jul 31, 2026 · Updated 3 times
Summary
This study compares transanal irrigation (using a device to rinse the bowel) against standard care (diet, fluids, laxatives) for treating severe constipation in people with Parkinson's disease. Researchers will also check if the treatment affects gut bacteria and motor symptoms. Two hundred participants will be randomly assigned to one of the two approaches and followed for up to 24 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a transanal irrigation system (Qufora Flow device) for bowel management
- What this could lead to
- If effective, transanal irrigation could offer a non-drug option to manage severe constipation in Parkinson's disease, potentially improving quality of life and easing motor symptoms.
- What could go wrong
- This is a relatively small trial (200 people) and the device requires regular self-use, which may not suit everyone. Benefits for motor symptoms or microbiome changes are exploratory and uncertain.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * For inclusion in the study, subjects must fulfil all of the following criteria: 1. Provision of informed consent. 2. Female or male aged 18 years or above. 3. Established diagnosis of PD according to MDS criteria 4. Patients with bowel symptoms post-dating and related to a diagnosis of PD. 5. PD patients suffering from constipation defined by Cleveland Clinic (Wexner) constipation score ≥10 confirmed at Baseline. 6. Only TAI treatment naïve patient (not having previously used any particular TAI system). 7. Judged eligible for TAI as per standardized treatment pathway . 8. Able to read, write and understand information given to them regarding the study. Exclusion Criteria Any of the following is regarded as a criterion for exclusion from the study: * Any confirmed or suspected diagnosis of anal or colorectal stenosis, active inflammatory bowel disease, acute diverticulitis, severe diverticulosis, colorectal cancer, ischemic colitis, history of life-threatening autonomic dysreflexia, bleeding disorders, unspecified peri-anal conditions. * Other significant neurological diseases (defined as all neurological diseases except for minor functional neurological syndromes or non-PD related neuro complications). * Opioid consumption ≤24 hours prior enrolment. * Taking probiotics in the past 30 days. * Antibiotic therapy in the past 3 weeks. * Performed endoscopic polypectomy within 4 weeks prior enrolment. * Ongoing, confirmed pregnancy or lactation. * Any neuromodulation that can affect the pelvic organ function. * Current treatment of prokinetics. * Any other condition, as judged by the investigator, might make follow-up or investigations inappropriate. Exclusion Criteria: \-
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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University Hospital Ferrara
Ferrara, Ferrara, 44100, Italy
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