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NCT Number: NCT07197944

Efficacy And Safety Evaluation of Glepaglutide in Treatment of SBS

The purpose of the present Phase 3 trial is to confirm the efficacy and safety of glepaglutide 10 mg twice weekly in a patient population with SBS-IF and generate additional long-term safety data.

Glepaglutide is the International Nonproprietary Name and United States Adopted Name (USAN) for ZP1848.

Recruiting

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Key information

Age range

18 year–90 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Universitätsklinikum AKH Wien, Vienna, State of Vienna, Austria

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About this study

The trial is a phase 3, double-blind, randomized, parallel-group, placebo-controlled, multicenter trial to confirm the efficacy and safety of glepaglutide 10 mg twice weekly, followed by a long-term, open-label safety evaluation in patients with short bowel syndrome-intestinal failure (SBS-IF).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Signed informed consent;
  • Age of 18 to 90 years;
  • A diagnosis of SBS, defined as having a small bowel with an estimated length of less than 200 cm (equal to 79 inches) in continuity (latest intestinal resection ≥6 months before screening);
  • Stable PS need of ≥3 days per week;
  • No restorative surgery planned during the trial period;
  • Having a stoma or colon in continuity.

Key Exclusion Criteria:

  • More than 2 SBS- or PS-related hospitalizations within 6 months before screening;
  • Poorly controlled Inflammatory Bowel Disease (IBD) that is moderately or severely active or a fistula that can interfere with the measurements or examinations required in the trial;
  • History of colorectal cancer or any other type of cancer (except for margin-free resected cutaneous basal, squamous cell carcinoma or adequately treated in situ cervical cancer) unless the patient has been disease-free for at least 5 years; ongoing bowel obstruction;
  • BMI <18.5 kg/m^2.

Treatment and study plan

Glepaglutide

Drug

Subcutaneous (SC) injections twice weekly

Other names: ZP1848

Placebo

Other

SC injections twice weekly

Primary outcomes

  1. Change in weekly Parenteral Support (PS) volume

    Time frame: Baseline to Week 24

Secondary outcomes

  1. Proportion of participants achieving clinical response

    Time frame: Baseline to Week 52

    Defined as achieving a reduction of at least 20% in weekly PS volume

  2. Proportion of participants achieving clinical response

    Time frame: Baseline to Week 20 and Week 24

    Defined as achieving a reduction of at least 20% in weekly PS volume

  3. Proportion of participants with a reduction in days on PS ≥1 day/week

    Time frame: Baseline to Week 52

  4. Proportion of participants with a reduction in days on PS ≥1 day/week

    Time frame: Baseline to Week 24

  5. Proportion of participants with a reduction of 100% weekly PS volume (weaned-off)

    Time frame: Baseline to Week 52

  6. Proportion of participants with a reduction of 100% weekly PS volume (weaned-off)

    Time frame: Baseline to Week 24

  7. Proportion of participants achieving 'much better' Patient Global Impression of Change (PGIC) status

    Time frame: Week 24

    PGIC scoring categories are: 'Much better', 'A little better', 'No change', 'A little worse', and 'Much worse'

  8. Change in weekly PS volume

    Time frame: Baseline to Week 12

  9. Change in weekly PS volume

    Time frame: Baseline to Week 8

  10. Incidence of Treatment Emergent Adverse Events (TEAEs)

    Time frame: Baseline to Week 52

Sponsors and collaborators

Lead sponsor

Zealand Pharma

Industry

Registry information

Official study title

A Phase 3, Double-blind, Randomized, Parallel Group, Placebo-controlled, Multicenter Trial to Confirm the Efficacy and Safety of Glepaglutide 10 mg Twice Weekly, Followed by a Long-term, Open-label Safety Evaluation in Patients With Short Bowel Syndrome-intestinal Failure (SBS-IF)

Acronym: EASE SBS 5

Important dates

Study start
2026
Primary completion
2028
Study completion
2032
First posted
Sep 30, 2025
Registry last updated
Apr 20, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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