Once-weekly petrelintide versus placebo for obesity or overweight with comorbidities

2024-512549-18-00 Protocol ZP8396-23094 Therapeutic exploratory (Phase II) Ended

Start 19 Dec 2024 · End 8 Mar 2026 · Status Ended · 2 EU/EEA countries · 13 sites · Protocol ZP8396-23094

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 493
Countries 2
Sites 13

Weight management

To compare the dose-response of increasing doses of petrelintide versus placebo on body weight, when added as an adjunct to a reduced-calorie diet and increased physical activity after 28 weeks of exposure

Key facts

Sponsor
Zealand Pharma A/S
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18]
Trial duration
19 Dec 2024 → 8 Mar 2026
Decision date (initial)
2024-12-16
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Zealand Pharma A/S

External identifiers

EU CT number
2024-512549-18-00
WHO UTN
U1111-1305-2238

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Others, Safety

To compare the dose-response of increasing doses of petrelintide versus placebo on body weight, when added as an adjunct to a reduced-calorie diet and increased physical activity after 28 weeks of exposure

Secondary objectives 1

  1. To compare the efficacy of petrelintide versus placebo, when added as an adjunct to a reduced-calorie diet and increased physical activity, on body weight/other efficacy parameters, safety, and tolerability

Conditions and MedDRA coding

Weight management

VersionLevelCodeTermSystem organ class
21.1 PT 10050300 Weight control 100000004865

Regulatory references

Scientific advice from competent authorities
Federal Institute For Drugs And Medical Devices
Plan to share IPD
No
IPD plan description
Not applicable

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Obtained signed informed consent prior to any trial-related procedures.
  2. Age above or equal to 18 years of age or above at the time of signing informed consent.
  3. Body mass index (BMI) ≥30.0 kg/m2 or BMI ≥27.0 kg/m2 with the presence of at least one of the following comorbidities: hypertension or dyslipidemia (treated or untreated, to be assessed at the Investigator’s discretion).
  4. Male or female A female participant is eligible to participate if she is: A woman of nonchildbearing potential (see definitions in Appendix 4). OR A woman of childbearing potential (WOCBP) who is not pregnant, does not intend to be pregnant, not lactating and is willing to use highly effective contraceptive methods (as required by local regulation or practice, see Appendix 4) throughout the trial and for 10 weeks after the last injection of the IMP.
  5. Ability to comply with the protocol requirements including self-administration of IMP with vial and syringe.

Exclusion criteria 5

  1. Glycated hemoglobin (HbA1c) ≥48 mmol/mol (6.5%), as measured by the central laboratory at screening.
  2. History of type 1 or type 2 diabetes mellitus.
  3. Treatment with glucose-lowering agent(s) within 90 days prior to screening.
  4. A self-reported change in body weight >5% within 90 days prior to screening, irrespective of medical records.
  5. Treatment with any medication (prescribed or over the counter) or alternative remedies (herbal or nutritional supplements) intended to promote weight loss within 6 months prior to screening.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change in body weight (%) from baseline to week 28

Secondary endpoints 2

  1. Body weight loss of ≥5% from baseline to week 28 (Y/N)
  2. Body weight loss of ≥10% from baseline to week 28 (Y/N)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Petrelintide

PRD11441062 · Product

Active substance
Petrelintide
Substance synonyms
HOOC-(CH2)18-CO-gamma-Glu-Arg-Asp(cyclo)-Gly-Thr-Ala-Thr-Lys(cyclo)-Ala-Thr-Glu-Arg-Leu-Ala-Aad-Phe-Leu-Gln-Arg-Ser-Ser-Phe-Sar-Ala-MeIle-Leu-Ser-Ser-Thr-Glu-Val-Gly-Ser-Asn-Thr-Hyp-NH2, ZP8396
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0.0 mg milligram(s)
Max total dose
0.0 mg milligram(s)
Max treatment duration
54 Week(s)
Authorisation status
Not Authorised
MA holder
ZEALAND PHARMA
Paediatric formulation
No
Orphan designation
No

Petrelintide

PRD11441063 · Product

Active substance
Petrelintide
Substance synonyms
HOOC-(CH2)18-CO-gamma-Glu-Arg-Asp(cyclo)-Gly-Thr-Ala-Thr-Lys(cyclo)-Ala-Thr-Glu-Arg-Leu-Ala-Aad-Phe-Leu-Gln-Arg-Ser-Ser-Phe-Sar-Ala-MeIle-Leu-Ser-Ser-Thr-Glu-Val-Gly-Ser-Asn-Thr-Hyp-NH2, ZP8396
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0.0 mg milligram(s)
Max total dose
0.0 mg milligram(s)
Max treatment duration
54 Week(s)
Authorisation status
Not Authorised
MA holder
ZEALAND PHARMA
Paediatric formulation
No
Orphan designation
No

Placebo 1

Placebo for petrelintide

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Zealand Pharma A/S

Sponsor organisation
Zealand Pharma A/S
Address
Sydmarken 11
City
Soeborg
Postcode
2860
Country
Denmark

Scientific contact point

Organisation
Zealand Pharma A/S
Contact name
Clinical Trial Information Desk

Public contact point

Organisation
Zealand Pharma A/S
Contact name
Clinical Trial Information Desk

Third parties 12

OrganisationCity, countryDuties
KLIFO A/S
ORG-100016474
Broendby, Denmark Code 14
BioAgilytix Europe GmbH
ORG-100016335
Hamburg, Germany Laboratory analysis
Klifo A/S
ORG-100016474
Glostrup, Denmark Code 14
York Bioanalytical Solutions Limited
ORG-100037279
York, United Kingdom Laboratory analysis
PPD International Holdings LLC
ORG-100007655
Zaventem, Belgium Other, Laboratory analysis
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland Code 12, Code 13, Code 2, Code 5, Data management, Code 8
CluePoints
ORG-100050007
Ottignies-Louvain-La-Neuve, Belgium Other
4g Clinical LLC
ORG-100042775
Wellesley, United States Interactive response technologies (IRT)
Medidata Solutions Inc.
ORG-100016256
New York, United States E-data capture
AMRA Medical AB
ORL-000006598
Linköping, Sweden Other
Mlm Medical Labs GmbH
ORG-100043721
Mönchengladbach, Germany Other
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States Other

Locations

2 EU/EEA countries · 13 investigational sites

By country

CountryMS statusPlanned subjectsSites
Poland Ended 132 7
Romania Ended 88 6
Rest of world
United States
273

Investigational sites

Poland

7 sites · Ended
Lukmed 2 Sp. z o.o.
205-ETG Siedlce, Ul. Mlynarska 16 B, 08-110, Siedlce
Panstwowy Instytut Medyczny Ministerstwa Spraw Wewnetrznych I Administracji
201-Centrum Diabetologiczne Kliniki Chorob Wewnetrznych, Endokrynologii i Diabetologii, Ul. Woloska 137, 02-507, Warsaw
Futuremeds Sp. z o.o.
207-FutureMeds Targówek, Ul. Sw. Wincentego 93/7, 03-291, Warsaw
Futuremeds Sp. z o.o.
206-FutureMeds Warszawa Centrum, Ul. Sapiezynska 3, 00-215, Warsaw
Etg Warszawa Sp. z o.o.
202-ETG Warszawa, Ul. Wynalazek 4, 02-677, Warsaw
Futuremeds Sp. z o.o.
204: FutureMeds Olsztyn, Ul. Mikolaja Kopernika 32, 31-501, Cracow
Futuremeds Sp. z o.o.
203: FutureMeds Olsztyn, Ul. Bohaterow Monte Cassino 4, 10-165, Olsztyn

Romania

6 sites · Ended
National Institute Of Endocrinology C.I. Parhon
#304: Endocrinology IV, Bulevardul Aviatorilor 34-38, 011863, Bucharest
Institutul De Pneumoftiziologie Marius Nasta
#301: Diabetes, Soseaua Viilor Nr 90, 050159, Bucharest
Fundatia Dr. Victor Babes
#303: Endocrinology, Soseaua Mihai Bravu 281, 030303, Bucharest
Spitalul Clinic Judetean De Urgenta Sfantul Apostol Andrei Constanta
#306: Diabetes, Bulevardul Tomis Nr 145, 900591, Constanta
Institutul Clinic Fundeni
#302: Internal Medicine 2, Soseaua Fundeni 258, 022328, Bucharest
Top Diabet S.R.L.
#305: Diabetes, Block D2 Staircase 3 Apartment 2, Strada Calea Bucuresti No 58, Craiova

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Poland 2024-12-19 2026-03-07 2024-12-19 2025-02-25
Romania 2025-01-06 2026-03-06 2025-01-06 2025-02-25

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 33 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol Main English ZP8396-23094 Public 5.0
Protocol (for publication) D4_ ENG Transparency Placeholder Subject Questionnaire Impact of Weight QoL English ZP8396-23094 1
Protocol (for publication) D4_ POL Transparency Placeholder Subject Questionnaire Impact of Weight QoL English ZP8396-23094 1
Protocol (for publication) D4_ ROU Transparency Placeholder Subject Questionnaire Impact of Weight QoL English ZP8396-23094 1
Protocol (for publication) D4_ENG Transparency Placeholder SQ CSSRS Baseline Screening_eCOA English ZP8396-23094 1
Protocol (for publication) D4_ENG Transparency Placeholder SQ CSSRS Since Last Visit eCOA English ZP8396-23094 1
Protocol (for publication) D4_ENG Transparency Placeholder SQ Patient Health Questionnaire-9 English ZP8396-23094 1
Protocol (for publication) D4_ENG Transparency Placeholder Subject Questionnaire CoEQ English ZP8396-23094 1
Protocol (for publication) D4_ENG Transparency Placeholder Subject Questionnaire PGI-S English ZP8396-23094 1
Protocol (for publication) D4_POL Subject Diary Polish ZP8396-23094 1
Protocol (for publication) D4_POL Transparency Placeholder SQ CSSRS Baseline Screening_eCOA English ZP8396-23094 1
Protocol (for publication) D4_POL Transparency Placeholder SQ CSSRS Since Last Visit eCOA English ZP8396-23094 1
Protocol (for publication) D4_POL Transparency Placeholder SQ Patient Health Questionnaire-9 English ZP8396-23094 1
Protocol (for publication) D4_POL Transparency Placeholder Subject Questionnaire CoEQ English ZP8396-23094 1
Protocol (for publication) D4_POL Transparency Placeholder Subject Questionnaire PGI-S English ZP8396-23094 1
Protocol (for publication) D4_ROU Subject Diary Romanian ZP8396-23094 1
Protocol (for publication) D4_ROU Transparency Placeholder SQ CSSRS Baseline Screening_eCOA English ZP8396-23094 1
Protocol (for publication) D4_ROU Transparency Placeholder SQ CSSRS Since Last Visit eCOA English ZP8396-23094 1
Protocol (for publication) D4_ROU Transparency Placeholder SQ Patient Health Questionnaire-9 English ZP8396-23094 1
Protocol (for publication) D4_ROU Transparency Placeholder Subject Questionnaire CoEQ English ZP8396-23094 1
Protocol (for publication) D4_ROU Transparency Placeholder Subject Questionnaire PGI-S English ZP8396-23094 1
Protocol (for publication) D4_Subject Diary English ZP8396-23094 1
Recruitment arrangements (for publication) K1_POL Recruitment Procedure Description ZP8396-23094 Public 2.0
Recruitment arrangements (for publication) K1_ROU Country ICF Procedure English ZP8396-23094 1.0
Subject information and informed consent form (for publication) L1_POL Country ICF Main Polish ZP8396-23094 Public 3.0
Subject information and informed consent form (for publication) L1_POL Country ICF Other Pregnant participant Polish ZP8396-23094 Public 3.0
Subject information and informed consent form (for publication) L1_POL Subject Participation Card Polish ZP8396-23094 1.0
Subject information and informed consent form (for publication) L1_ROU Country ICF Main Romanian ZP8396-23094 Public 4.1
Subject information and informed consent form (for publication) L1_ROU Country ICF Pregnant Participant Romanian ZP8396-23094 Public 2.0
Subject information and informed consent form (for publication) L1_ROU Subject Participation Card Romanian ZP8396-23094 1.0
Synopsis of the protocol (for publication) D1_Lay Protocol Synopsis Main English ZP8396-23094 Public 3.0
Synopsis of the protocol (for publication) D1_POL Lay Protocol Synopsis Main Polish ZP8396-23094 Public 3.0
Synopsis of the protocol (for publication) D1_ROU Lay Protocol Synopsis Main Romanian ZP8396-23094 Public 3.0

Application history

5 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-22 Poland Acceptable
2024-12-09
2024-12-16
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-03-24 Poland Acceptable
2024-12-09
2025-03-24
3 NON SUBSTANTIAL MODIFICATION NSM-2 2025-07-03 Poland Acceptable
2024-12-09
2025-07-03
4 SUBSTANTIAL MODIFICATION SM-1 2025-09-26 Poland Acceptable
2025-11-21
2025-11-24
5 NON SUBSTANTIAL MODIFICATION NSM-3 2026-01-16 Poland Acceptable
2025-11-21
2026-01-16