Efficacy And Safety Evaluation of Glepaglutide in Treatment of Short Bowel Syndrome (SBS)

NCT ID: NCT03690206

Last Updated: 2025-07-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

106 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-04

Study Completion Date

2022-07-26

Brief Summary

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The primary objective of the trial is to confirm the efficacy of glepaglutide in reducing parenteral support volume in patients with short bowel syndrome.

Glepaglutide is the International Nonproprietary Name and USAN for ZP1848.

Detailed Description

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A Phase 3, international, multicenter, randomized, double-blind, placebo-controlled trial to evaluate the efficacy and safety of glepaglutide subcutaneous (SC) injections in patients with short bowel syndrome (SBS).

Conditions

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Short Bowel Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Glepaglutide SC injections twice weekly

Intervention: Glepaglutide

Group Type EXPERIMENTAL

glepaglutide

Intervention Type DRUG

Glucagon-Like Peptide-2 (GLP-2) analog

Glepaglutide SC injections once weekly and placebo once weekly

Intervention: Glepaglutide

Group Type EXPERIMENTAL

glepaglutide

Intervention Type DRUG

Glucagon-Like Peptide-2 (GLP-2) analog

Placebo

Intervention Type DRUG

Placebo for glepaglutide

Placebo SC injections twice weekly

Intervention: Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo for glepaglutide

Interventions

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glepaglutide

Glucagon-Like Peptide-2 (GLP-2) analog

Intervention Type DRUG

Placebo

Placebo for glepaglutide

Intervention Type DRUG

Other Intervention Names

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ZP1848

Eligibility Criteria

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Inclusion Criteria

* Informed consent obtained before any trial-related activity.
* Diagnosis of SBS defined as remaining small bowel in continuity of estimated less than 200 cm and considered stable with regard to PS need. No restorative surgery planned in the trial period.
* Requiring PS at least 3 days per week and maintains a stable PS volume for at least 2 weeks.
* In case of remnant colon: documented colonoscopy which does not give rise to any safety concerns.

Exclusion Criteria

* More than 2 SBS-related or PS-related hospitalizations within 6 months prior to Screening. No SBS-related hospitalizations within 30 days prior to randomization.
* Poorly controlled inflammatory bowel disease that is moderately or severely active or fistula interfering with measurements or examinations required in the trial.
* Bowel obstruction.
* Known radiation enteritis or significant villous atrophy.
* Cardiac disease defined as: decompensated heart failure (New York Heart Association \[NYHA\] Class III-IV), unstable angina pectoris, and/or myocardial infarction within the last 6 months prior to Screening.
* Clinically significant abnormal ECG.
* Repeated systolic blood pressure measurements \> 180 mm Hg.
* Human immunodeficiency virus positive, acute liver disease, or unstable chronic liver disease.
* Any history of colon cancer. History of any other cancers unless disease-free state for at least 5 years.
* Estimated creatinine clearance \< 30 mL/min.
* Severe hepatic impairment.
* Use of GLP-1, GLP-2, human growth hormone, somatostatin, or analogs thereof, within 3 months prior to Screening.
* Use of dipeptidyl peptidase (DPP)-4 inhibitors within 3 months prior to Screening.
* Unstable systemic immunosuppressive therapy within 3 months prior to Screening.
* Unstable biological therapy within 6 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.
* Previous exposure to glepaglutide.
* Current, or within 30 days prior to Screening, participation in another interventional clinical trial that includes administration of an active compound.
* 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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zealand Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Zealand Pharma

Locations

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Georgetown University Medical Center

Washington D.C., District of Columbia, United States

Site Status

University of Chicago Children's Hospital

Chicago, Illinois, United States

Site Status

Mayo Clinic College of Medicine

Rochester, Minnesota, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

Mount Sinai Hospital

New York, New York, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Vanderbilt University Medical Center, Nashville

Nashville, Tennessee, United States

Site Status

UZ Leuven

Leuven, , Belgium

Site Status

The Royal Alexandra Hospital

Edmonton, , Canada

Site Status

Western University

London, , Canada

Site Status

University Health Network - Toronto General Hospital

Toronto, , Canada

Site Status

Aalborg University Hospital

Aalborg, , Denmark

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

Hôpital Beaujon

Clichy, , France

Site Status

Centre Hospitalier Lyon-Sud

Pierre-Bénite, , France

Site Status

Charité - Universitätsmedizin Berlin

Berlin, , Germany

Site Status

Universitätsklinikum Bonn

Bonn, , Germany

Site Status

Universitätsklinikum Frankfurt - Med. Klinik I

Frankfurt, , Germany

Site Status

Asklepios Kliniken Hamburg GmbH

Hamburg, , Germany

Site Status

Universitätsmedizin Rostock

Rostock, , Germany

Site Status

UMC Radboud Nijmegen

Nijmegen, , Netherlands

Site Status

Wojewodzki Specjalistyczny Szpital im. M. Pirogowa w Lodzi

Lodz, , Poland

Site Status

Solumed

Poznan, , Poland

Site Status

Szpital Skawina sp. z o.o. im. Stanley Dudricka

Skawina, , Poland

Site Status

St Mark's Hospital

Harrow, , United Kingdom

Site Status

UCLH Foundation NHS Trust

London, , United Kingdom

Site Status

Salford Royal NHS Foundation Trust

Manchester, , United Kingdom

Site Status

University of East Anglia

Norwich, , United Kingdom

Site Status

University Hospital Southampton NHS Foundation Trust

Southampton, , United Kingdom

Site Status

Countries

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United States Belgium Canada Denmark France Germany Netherlands Poland United Kingdom

References

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Jeppesen PB, Vanuytsel T, Subramanian S, Joly F, Wanten G, Lamprecht G, Kunecki M, Rahman F, Nielsen TSS, Berner-Hansen M, Pape UF, Mercer DF. Glepaglutide, a Long-Acting Glucagon-like Peptide-2 Analogue, Reduces Parenteral Support in Patients With Short Bowel Syndrome: A Phase 3 Randomized Controlled Trial. Gastroenterology. 2025 Apr;168(4):701-713.e6. doi: 10.1053/j.gastro.2024.11.023. Epub 2024 Dec 19.

Reference Type DERIVED
PMID: 39708985 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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ZP1848-17111

Identifier Type: -

Identifier Source: org_study_id

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