Stomach function in Parkinson’s disease: a feasibility study

ISRCTN ISRCTN87623941
DOI https://doi.org/10.1186/ISRCTN87623941
IRAS number 2024 EXP 20400
Secondary identifying numbers 2024 EXP 20400
Submission date
09/01/2025
Registration date
13/01/2025
Last edited
11/07/2025
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Parkinson’s disease (PD) is the second most common neurodegenerative disease and affects 1% of people over the age of 60 years in industrialised countries​. In Aotearoa New Zealand, the number has increased from about 7,000 in 2006 to about 11,000 in 2020.
There is significant diversity in symptoms in people with PD which encompass the conventional movement symptoms including tremor and rigidity. Over the past decade, there has been increasing recognition that non-movement symptoms have a more profound and negative impact on quality of life and wellbeing than movement problems in PD​​. Many of these affect the digestive system including the stomach, and these symptoms can impair dietary intake and negatively impact nutritional health.
This study aims to explore how feasible it is to conduct a study investigating the use of a device (body surface gastric mapping) to explore gastric (stomach) symptoms in people with PD.

Who can participate?
Patients aged 18 years and over with PD

What does the study involve?
Each participant is invited to one visit only. Participants will be asked to fast overnight for 6-8 hours and to arrive at the University of Auckland in the morning time at a pre-arranged time. They are asked to take all of their usual medications at home before their visit and to bring any medications to take during the visit. They are welcome to bring a member of their family, a caregiver, whānau or friend to the visit and they can stay with the participant during the visit.
Height, weight and blood pressure will be measured and participants will be asked some questions and also to complete a number of questionnaires about their PD. Some measurements will be taken to record their movement.
They will be asked to recline on a comfortable chair and a device will be placed on the stomach that measures electrical responses. This is called a body surface gastric mapping device. The sensors are non-invasive, and participants are unlikely to feel much when measurements are being taken. The sensors are positioned and worn like an item of clothing. Participants are given a meal of a muesli bar and a milky drink and measurements will be taken for the next 4 hours. When the study is over, participants and caregivers will be offered lunch before going home.

What are the possible risks and benefits of participating?
The results will help to inform the development of further studies and trials. There are no significant benefits and no significant risks.

Where is the study run from?
The study is being run from the Liggins Institute at the University of Auckland (New Zealand)

When is the study starting and how long is it expected to run for?
May 2023 to August 2025

Who is funding the study?
1. Health Research Council of New Zealand
2. University of Auckland (New Zealand)

Who is the main contact?
Dr Fiona Lithander, fiona.lithander@auckland.ac.nz

Contact information

Dr Fiona Lithander
Principal Investigator

Liggins Institute
University of Auckland
85 Park Road
Grafton
Auckland
1123
New Zealand

Phone +64 (0)99236691
Email fiona.lithander@auckland.ac.nz

Study information

Study designObservational feasibility study
Primary study designObservational
Secondary study designFeasibility
Study setting(s)University/medical school/dental school
Study typeOther
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleGastric function in Parkinson’s disease: a feasibility study
Study acronymGastricPD
Study objectivesTo test the feasibility of the use of a medical technology (body surface gastric mapping and symptom tracking) to measure gastric symptoms and electrophysiology in Parkinson's disease.
Ethics approval(s)

Approved 23/05/2023, Southern Health and Disability Ethics Committee (133 Molesworth Street, Wellington, 6011, New Zealand; +64 (0)4 496 2000; hdec@health.govt.nz), ref: 2024 EXP 20400

Health condition(s) or problem(s) studiedParkinson's disease
InterventionEach participant is invited to one visit only. Participants will be asked to fast overnight for 6-8 hours and to arrive at the University of Auckland in the morning time at a pre-arranged time. They are asked to take all of their usual medications at home before their visit and to bring any medications to take during the visit. They are welcome to bring a member of their family, a caregiver, whānau or friend to the visit and they can stay with the participant during the visit.

Height, weight and blood pressure will be measured and participants will be asked some questions and also to complete a number of questionnaires about their PD. Some measurements will be taken to record their movement.

They will be asked to recline on a comfortable chair and a device will be placed on the stomach that measures electrical responses. This is called a body surface gastric mapping device. The sensors are non-invasive, and participants are unlikely to feel much when measurements are being taken. The sensors are positioned and worn like an item of clothing. Participants are given a meal of a muesli bar and a milky drink and measurements will be taken for the next 4 hours. When the study is over, participants and caregivers will be offered lunch before going home.
Intervention typeOther
Primary outcome measure1. Recruitment rate, number of eligible participants, and length of time taken to recruit 10 participants measured using standard questions by 6 months.
2. Feasibility and acceptability of the measurement of gastric symptoms using the body surface gastric mapping device in 10 participants using existing questions by 6 months
Secondary outcome measures1. Participant acceptability of completion of questionnaires listed here, assessed using standard questions at baseline
2. Quality of life measured using Parkinson’s Disease Questionnaire 8 at baseline
3. Motor and non-motor symptoms measured using the Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS UPDRS) at baseline
4. Non-motor symptoms measured using the Movement Disorder Society Non-Motor Symptom Rating Scale (MDS NMS) at baseline
5. Gastrointestinal symptoms measured using the Gastrointestinal Symptom Rating Scale at baseline
6. Gastrointestinal symptoms measured using the MDS Gastrointestinal Dysfunction Scale for Parkinson’s Disease at baseline
7. Dietary intake measured using intake24 at baseline
8. Gastric electrophysiological and symptom response to a standard test meal in Parkinson’s up to 4 hours post consumption of the test meal compared with a matched control group
Overall study start date23/05/2023
Completion date30/08/2025

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants10
Total final enrolment10
Key inclusion criteria1. Aged ≥18 years
2. A diagnosis of idiopathic PD, diagnosed by a neurologist
3. Available to attend the Liggins Institute at the Grafton campus of the University of Auckland
4. The mental capacity to consent to participate in this research
Key exclusion criteria1. People with medical, cognitive, or psychosocial issues that would preclude compliance with the protocol, confirmed by a principal investigator or neurologist
2. Co-enrolment in another study or trial that, in the opinion of the principal investigators, would interfere with adherence to study requirements
Date of first enrolment04/02/2025
Date of final enrolment12/05/2025

Locations

Countries of recruitment

  • New Zealand

Study participating centre

Liggins Institute, University of Auckland
85 Park Road
Grafton
Auckland
1123
New Zealand

Sponsor information

University of Auckland
University/education

Private Bag 92019
Auckland
1142
New Zealand

Phone +64 (0)99236691
Email dana.wensley@auckland.ac.nz
Website https://www.auckland.ac.nz/
ROR logo "ROR" https://ror.org/03b94tp07

Funders

Funder type

Research council

Health Research Council of New Zealand
Government organisation / National government
Alternative name(s)
HRCNewZealand, HRC New Zealand, HRC
Location
New Zealand
University of Auckland
Government organisation / Universities (academic only)
Alternative name(s)
University of Auckland, New Zealand, UoA
Location
New Zealand

Results and Publications

Intention to publish date30/08/2026
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from the principal investigator Dr Fiona Lithander (fiona.lithander@auckland.ac.nz)

Editorial Notes

11/07/2025: The date of final enrolment was changed from 30/06/2025 to 12/05/2025. Total final enrolment added.
31/01/2025: The recruitment start date was changed from 27/01/2025 to 04/02/2025.
10/01/2025: Study's existence confirmed by Southern Health and Disability Ethics Committee.