A Phase 2 Trial Testing ZP1848 in Patients With SBS

NCT ID: NCT02690025

Last Updated: 2017-06-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2017-05-31

Brief Summary

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A proof-of-concept, dose finding, controlled, single-center, randomized, double-blind, fixed dose phase 2 trial with ZP1848 in patients with Short Bowel Syndrome.

Detailed Description

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Conditions

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Short Bowel Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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ZP1848 High dose

s.c. administration of high dose

Group Type EXPERIMENTAL

ZP1848

Intervention Type DRUG

ZP1848 Medium dose

s.c. administration of medium dose

Group Type EXPERIMENTAL

ZP1848

Intervention Type DRUG

ZP1848 Low dose

s.c. administration of low dose

Group Type EXPERIMENTAL

ZP1848

Intervention Type DRUG

Interventions

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ZP1848

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Following receipt of verbal and written information about the trial, the patient must provide signed informed consent before any trial related activity is carried out.
* Age ≥ 18 years and ≤ 90 years
* Stable SBS patients with intestinal insufficiency or failure, where the last surgical resection of gut tissue was performed at least 1 year ago
* A stable PS volume ( \< 25% change in volume or energy content) for four weeks prior to randomization for patients requiring PS
* Wet weight of fecal excretion ≥ 1500 g/day demonstrated during a hospital stay prior to screening or during at least one day of the first baseline balance study.
* Stable body weight (\<5% weight deviance in the three months prior to screening)

Exclusion Criteria

* Patients with known or suspected intestinal strictures of clinical relevance as judged by the Investigator
* Active inflammatory bowel disease (IBD) or fistula during the screening period as judged by conventional means of the Investigator.
* Crohn's disease patients not being in clinical remission for the last 12 weeks prior to randomization
* Cardiac disease defined as: Decompensated heart failure (NYHA class III-IV) and/or diagnosis of unstable angina pectoris and/or myocardial infarction within the last 6 months prior to screening
* History of cancer (except resected cutaneous basal or squamous cell carcinoma and except in situ cervical cancer) unless it can be documented that the patient has been in a disease-free state for at least 5 years (except colon cancer: patients with a history of colon cancer generally have to be excluded)
* eGFR (by the MDRD formula) \<30 mL/min/1.73 m2
* Clinically meaningful renal disease as judged by the Investigator
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Larix A/S

INDUSTRY

Sponsor Role collaborator

Zealand Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gertrud Koefoed Rasmussen, MSc

Role: STUDY_DIRECTOR

Zealand Pharma A/S

Locations

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Rigshospitalet

Copenhagen, , Denmark

Site Status

Countries

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Denmark

References

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Hvistendahl MK, Naimi RM, Hansen SH, Rehfeld JF, Kissow H, Pedersen J, Dragsted LO, Sonne DP, Knop FK, Jeppesen PB. Bile acid-farnesoid X receptor-fibroblast growth factor 19 axis in patients with short bowel syndrome: The randomized, glepaglutide phase 2 trial. JPEN J Parenter Enteral Nutr. 2022 May;46(4):923-935. doi: 10.1002/jpen.2224. Epub 2021 Sep 1.

Reference Type DERIVED
PMID: 34287979 (View on PubMed)

Naimi RM, Hvistendahl M, Nerup N, Ambrus R, Achiam MP, Svendsen LB, Gronbaek H, Moller HJ, Vilstrup H, Steensberg A, Jeppesen PB. Effects of glepaglutide, a novel long-acting glucagon-like peptide-2 analogue, on markers of liver status in patients with short bowel syndrome: findings from a randomised phase 2 trial. EBioMedicine. 2019 Aug;46:444-451. doi: 10.1016/j.ebiom.2019.07.016. Epub 2019 Jul 17.

Reference Type DERIVED
PMID: 31326433 (View on PubMed)

Naimi RM, Hvistendahl M, Enevoldsen LH, Madsen JL, Fuglsang S, Poulsen SS, Kissow H, Pedersen J, Nerup N, Ambrus R, Achiam MP, Svendsen LB, Holst JJ, Hartmann B, Hansen SH, Dragsted LO, Steensberg A, Mouritzen U, Hansen MB, Jeppesen PB. Glepaglutide, a novel long-acting glucagon-like peptide-2 analogue, for patients with short bowel syndrome: a randomised phase 2 trial. Lancet Gastroenterol Hepatol. 2019 May;4(5):354-363. doi: 10.1016/S2468-1253(19)30077-9. Epub 2019 Mar 15.

Reference Type DERIVED
PMID: 30880176 (View on PubMed)

Other Identifiers

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ZP1848-15073

Identifier Type: -

Identifier Source: org_study_id

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