MedPath

Evaluation of Long Term Safety and Efficacy of Glepaglutide in Treatment of SBS

Phase 3
Recruiting
Conditions
Short Bowel Syndrome
Interventions
Registration Number
NCT03905707
Lead Sponsor
Zealand Pharma
Brief Summary

The primary objective of the trial is to evaluate the long-term safety of glepaglutide treatment in patients with short bowel syndrome (SBS).

Glepaglutide is the International Nonproprietary Name and USAN for ZP1848.

Detailed Description

A Double-Blind Phase 3 Extension Trial Assessing the Long Term Safety and Efficacy of Glepaglutide in Patients with Short Bowel Syndrome (SBS)

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
145
Inclusion Criteria
  • Informed consent obtained before any trial-related activity
  • Completed the lead-in trial (ZP1848-17111) or completed the Phase 2 trial (ZP1848-15073)
Exclusion Criteria
  • Withdrawal of consent from the lead-in trial
  • Any condition or disease or circumstance that in the Investigator's opinion would put the patient at any undue risk, prevent completion of the trial, or interfere with the analysis of the trial results
  • Use of GLP-1, GLP-2, human growth hormone, somatostatin, or analogs thereof, within 3 months prior to Screening
  • Females of childbearing potential, who are pregnant, breast-feeding, intend to become pregnant or are not using highly effective contraceptive methods

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Glepaglutide SC injections twice weeklyglepaglutideGlucagon-Like Peptide-2 (GLP-2) analog, 10 mg subcutaneous injection twice weekly. In this long term safety study, there is no placebo arm.
Glepaglutide SC injections once weekly and placebo once weeklyglepaglutideGlucagon-Like Peptide-2 (GLP-2) analog, 10 mg subcutaneous injection once weekly and placebo once weekly. In this long term safety study, there is no placebo arm.
Primary Outcome Measures
NameTimeMethod
Safety - Adverse Events2 years

Incidence and type of Adverse Events

Secondary Outcome Measures
NameTimeMethod
Safety - Changes in blood pressure from baseline2 years

Changes in systolic and diastolic blood pressure will be reported

Number of patients with clinically significant changes in 12-Lead electrocardiogram (ECG)2 years

Number of patients with clinically significant changes in ECG will be reported

Energy content (amino acids)2 years

Change in amino acids content (in kcal/L or kjoule/L) of PS from baseline

Safety - Serious Adverse Events2 years

Incidence and type of Serious Adverse Events

Immunogenicity - Occurrence of anti-drug antibodies2 years

Occurrence of antibodies against glepaglutide

Number of patients with 40 percent change in PS volume per week2 years

Achieving 40 percent in PS volume from baseline

Change in weekly Parenteral Support (PS) volume2 years

Change in weekly PS volume from baseline

Days off PS2 years

Achieving 1 or more days per week off PS

Weaned off PS2 years

Reduction in weekly PS volume of 100 percent (weaned off)

Energy content (lipids)2 years

Change in lipids content (in kcal/L or kjoule/L) of PS from baseline

Days on PS2 years

Change in number of days on PS per week from baseline

Safety - Adverse Events of Special Interest2 years

Incidence and type of Adverse Events of Special Interest

Number of patients with 20 percent reduction in PS volume2 years

Achieving at least 20 percent reduction in weekly PS volume from baseline

Energy content (glucose)2 years

Change in glucose content (in kcal/L or kjoule/L) of PS from baseline

Changes in fluid composite effect2 years

Reduction in PS plus reduction in oral fluid intake plus increase in urine volume from baseline

Trial Locations

Locations (27)

University of Chicago Children's Hospital

🇺🇸

Chicago, Illinois, United States

St Mark's Hospital

🇬🇧

Harrow, United Kingdom

Georgetown University Medical Center

🇺🇸

Washington, District of Columbia, United States

Mayo Clinic College of Medicine

🇺🇸

Rochester, Minnesota, United States

University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

Mount Sinai Hospital

🇺🇸

New York, New York, United States

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

Vanderbilt University Medical Center, Nashville

🇺🇸

Nashville, Tennessee, United States

UZ Leuven

🇧🇪

Leuven, Belgium

The Royal Alexandra Hospital

🇨🇦

Edmonton, Canada

Scroll for more (17 remaining)
University of Chicago Children's Hospital
🇺🇸Chicago, Illinois, United States

MedPath

Empowering clinical research with data-driven insights and AI-powered tools.

© 2025 MedPath, Inc. All rights reserved.