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Parkinson DiseasePhase 1/2BUTTER2NCT07863180

Tributyrin for Progressive Supranuclear Palsy (PSP): Virtual Trial

A Phase 1/2 study testing Tributyrin in people with Parkinson Disease and Multiple System Atrophy, run by Prabesh Kanel at 1 site in United States.

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Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

This research is studying a supplement called tributyrin in people with Progressive Supranuclear Palsy (PSP) to learn about its safety and tolerability as a potential treatment. The goal of this research study is to see if a similar supplementation regimen and virtual testing is feasible for people with PSP. Read more about this study

Who is it for?
Ages 45 years and older
What is being tested?
Tributyrin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
15 participants
Where
1 siteUnited States
Study dates
Sep 2026to May 2027
Phase
Phase 1/2

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 45 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or Female, age 45 years and over.
  • Diagnosis of PSP-Richardson syndrome (RS) based on Movement Disorder Society (MDS) Criteria, including
  • Vertical supranuclear gaze palsy.
  • Repeated unprovoked falls OR tendency to fall on the pull test within 3 years.
  • Access to the internet and webcam for virtual visits.
  • Presence of a caregiver.

Who cannot join

  • Recent history of significant, uncontrolled GI disease such as Gastroesophageal reflux disease, colorectal cancer.
  • Significant metabolic or uncontrolled medical comorbidity.
  • Regular use of typical anti-cholinergic drugs.
  • Women of child-bearing potential, or who are pregnant and/or nursing.
  • Suicidal ideation, as indicated by a response of 2 or 3 on question 9 of the Beck Depression Inventory.
  • Any other condition or criterion that, in the opinion of the investigators, would preclude safe and meaningful participation in the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Nathan Alexander contact

734-998-8422

natealex@med.umich.edu

Robert Vangel, BSc contact

734-936-1168

rvangel@med.umich.edu

United States1 site, 1 recruiting
  • Domino's Farms

    Ann Arbor, Michigan, 48105

    Nathan Alexander, 734-998-8422, natealex@med.umich.edu

    Robert Vangel, BSc, 734-936-1168, rvangel@med.umich.edu

    Recruiting

Other trials in United States

About this study

Official title: Tributyrin for PSP: Phase 1b Virtual Trial - Feasibility Study

This research is studying a supplement called tributyrin in people with Progressive Supranuclear Palsy (PSP) to learn about its safety and tolerability as a potential treatment. The goal of this research study is to see if a similar supplementation regimen and virtual testing is feasible for people with PSP.

Read the detailed description

This is a sub-study of NCT07154511.

Being tested
Tributyrin, Placebo
Keywords
short chain fatty acid, fecal microbiota transplantation, Butyric acid, Tributyrin
Medical subject headings
Parkinson Disease, Multiple System Atrophy, Supranuclear Palsy, Progressive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TributyrinDrug

    Post-biotic short chain fatty acid dietary supplement. Participants will take 500mg TID tributyrin supplement for 90 days +/- 7 days.

  • PlaceboDrug

    Participants will take 500mg TID placebo for 90 days +/- 7 days.

Study groups in NCT07863180
Study groupRoleWhat they receive
TributyrinExperimentalParticipants will take 500mg three times a day (TID) tributyrin supplement for 90 days +/- 7 days.
Receives: Drug: Tributyrin
PlaceboPlacebo comparatorParticipants will take 500mg placebo for 90 days +/- 7 days.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Tolerability of tributyrin

    Tolerability will be defined as the percent of patients that dropped out of the study. (# enrolled at baseline-# enrolled on visit 7)/# enrolled at baseline

    Measured: Visit 7 (approximately day 90)

  2. Safety of tributyrin

    Safety will be defined as the percent of patients who experienced serious adverse events.

    Measured: Up to visit 7 (approximately day 90)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Oct 2026
  2. Study startSep 2026 (estimated)
  3. Primary completionMay 2027 (estimated)
  4. Study completionMay 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
15 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07863180
Sponsor's protocol ID
HUM00270219a
Acronym
BUTTER2
Status last verified
Oct 2026
First submitted
1 Oct 2026
Last updated
7 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

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