Overview
Sponsor-declared trial summary
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
- 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
| Version | Level | Code | Term | System 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
- Obtained signed informed consent prior to any trial-related procedures.
- Age above or equal to 18 years of age or above at the time of signing informed consent.
- 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).
- 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.
- Ability to comply with the protocol requirements including self-administration of IMP with vial and syringe.
Exclusion criteria 5
- Glycated hemoglobin (HbA1c) ≥48 mmol/mol (6.5%), as measured by the central laboratory at screening.
- History of type 1 or type 2 diabetes mellitus.
- Treatment with glucose-lowering agent(s) within 90 days prior to screening.
- A self-reported change in body weight >5% within 90 days prior to screening, irrespective of medical records.
- 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
- Change in body weight (%) from baseline to week 28
Secondary endpoints 2
- Body weight loss of ≥5% from baseline to week 28 (Y/N)
- Body weight loss of ≥10% from baseline to week 28 (Y/N)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
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
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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Poland | Ended | 132 | 7 |
| Romania | Ended | 88 | 6 |
| Rest of world
United States
|
— | 273 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |