Overview
Sponsor-declared trial summary
Short Bowel Syndrome
To evaluate the safety and tolerability of glepaglutide 10 mg TW in patients with SBS
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] - Digestive System Diseases [C06]
- Trial duration
- 23 Dec 2025 → ongoing
- Decision date (initial)
- 2025-12-15
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- Yes
- Funding sources
- Zealand Pharma A/S
External identifiers
- EU CT number
- 2025-520775-81-00
- WHO UTN
- U1111-1317-8307
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Safety
To evaluate the safety and tolerability of glepaglutide 10 mg TW in patients with SBS
Secondary objectives 1
- To evaluate the efficacy of glepaglutide treatement in patients with SBS
Conditions and MedDRA coding
Short Bowel Syndrome
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.1 | PT | 10049416 | Short-bowel syndrome | 100000004856 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Phase III A 104-week, multicenter, open-label, single-arm, phase 3 extension trial investigating the long-term safety and efficacy of Glepaglutide in adult patients with short bowel syndrome (SBS) rolling over from the EASE SBS 2 or 3 trials
|
Not Applicable | None |
Regulatory references
- Plan to share IPD
- No
- IPD plan description
- N/A
| EU CT number | Title | Sponsor |
|---|---|---|
| 2024-513373-43-00 | A 104-WEEK, MULTICENTER, SINGLE-ARM, LONG-TERM, PHASE 3 EXTENSION TRIAL INVESTIGATING THE SAFETY AND EFFICACY OF GLEPAGLUTIDE IN ADULT PATIENTS WITH SHORT BOWEL SYNDROME (SBS) COMPLETING THE EASE SBS 2 TRIAL | Zealand Pharma A/S |
| 2024-513374-22-00 | A DOUBLE-BLIND PHASE 3 EXTENSION TRIAL ASSESSING THE LONG TERM SAFETY AND EFFICACY OF GLEPAGLUTIDE IN PATIENTS WITH SHORT BOWEL SYNDROME (SBS) | Zealand Pharma A/S |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 2
- 1. Has provided signed informed consent and agrees to comply with protocol requirements.
- 2. Is being a. Actively treated and has completed at least 6 months of glepaglutide treatment in the EASE SBS 2 trial, or b. Actively treated in the EASE SBS 3 trial.
Exclusion criteria 8
- 1. Has a condition, disease, or circumstance that, in the opinion of the investigator, would put the patient at any undue risk, prevent completion of the trial, or confound the planned assessments of the trial.
- 2. Use of GLP-1, GLP-2 (e.g., teduglutide), HGH, DPP-4 inhibitors, somatostatin, or analogs thereof. Note: Prior use of glepaglutide is allowed.
- 3. Had major protocol deviation(s) (as determined by the sponsor) in the EASE SBS 2 or EASE SBS 3 trial that would affect the conduct of the present trial.
- 4. Has permanently discontinued the trial treatment because of an AE, assessed as related to the trial drug in the EASE SBS 2 or EASE SBS 3 trial. (Note: AEs are treatment-emergent unless otherwise specified.)
- 5. If female, is of childbearing potential, pregnant, breastfeeding, intends to become pregnant, or is not using contraceptive methods. Refer to Section 10.2.2 for the definition of contraception.
- 6. Has a known or suspected hypersensitivity to glepaglutide or related products.
- 7. Has committed to an institution by virtue of an order issued by the judicial or administrative authorities.
- 8. Is an employee of the sponsor or investigator or otherwise dependent on them.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- TEAEs from baseline (Visit 1) to the safety follow-up visit
Secondary endpoints 1
- Change in prescribed weekly PS volume from baseline to Month 24/EOT
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD3617928 · Product
- Active substance
- Glepaglutide
- Substance synonyms
- ZP1848, ZP-1848
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- SUBCUTANEOUS USE
- Max daily dose
- 10 mg milligram(s)
- Max total dose
- 10 mg milligram(s)
- Max treatment duration
- 104 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- ZEALAND PHARMA A/S
- Paediatric formulation
- No
- Orphan designation
- 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 11
| Organisation | City, country | Duties |
|---|---|---|
| Catalent Germany Schorndorf GmbH ORG-100011845
|
Schorndorf, Germany | Other |
| Greenphire LLC ORG-100041621
|
King Of Prussia, United States | Other |
| PPD Global Central Labs ORG-100046496
|
Zaventem, Belgium | Laboratory analysis |
| SYRINX Bioanalytics Oy ORG-100021026
|
Turku, Finland | Laboratory analysis |
| 4G Clinical B.V. ORG-100044721
|
Amsterdam, Netherlands | Interactive response technologies (IRT) |
| The Doctors Laboratory Limited ORG-100012670
|
London, United Kingdom | Laboratory analysis |
| Mlm Medical Labs GmbH ORG-100043721
|
Moenchengladbach, Germany | Laboratory analysis |
| LABOR AUGSBURG MVZ GMBH ORL-000015673
|
Augsburg, Germany | Laboratory analysis |
| Medidata Solutions Inc. ORG-100016256
|
New York, United States | E-data capture |
| Charles River Laboratories Edinburgh Limited ORG-100012600
|
Tranent, United Kingdom | Laboratory analysis |
| PPD Development LP ORG-100011560
|
Wilmington, United States | On site monitoring, Code 10, Code 11, Code 12, Code 13, Code 2, Code 5, Data management, Code 9 |
Locations
4 EU/EEA countries · 10 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Ongoing, recruitment ended | 1 | 1 |
| France | Ongoing, recruitment ended | 1 | 1 |
| Germany | Ongoing, recruitment ended | 9 | 5 |
| Poland | Ongoing, recruitment ended | 8 | 3 |
| Rest of world
Canada, United States, United Kingdom
|
— | 13 | — |
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 |
|---|---|---|---|---|---|
| Belgium | 2026-01-15 | 2026-01-27 | 2026-01-27 | ||
| France | 2026-01-23 | 2026-02-13 | 2026-02-13 | ||
| Germany | 2025-12-23 | 2026-01-06 | 2026-03-02 | ||
| Poland | 2026-01-27 | 2026-02-10 | 2026-03-24 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 34 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Zealand_ZP1848-25009_Protocol_2025-520775-81_Public | 2.0, Amd01 |
| Protocol (for publication) | D2_Zealand_ZP1848-25009_EASE2 and EASE3 Transition Rationale to EASE6_Public | 1.0 |
| Recruitment arrangements (for publication) | K1_Zealand_ZP1848-25009_Informed_Consent_Patient_Recruitment_Procedure_FRA_French_Public | 2.0 |
| Recruitment arrangements (for publication) | K1_ZP1848-25009_Addendum-Recruitment-Arrangements_DE_Public | 2.0 |
| Recruitment arrangements (for publication) | K1_ZP1848-25009_Informed Consent and Patient Recruitment Procedure_BE_Public | 2.0 |
| Recruitment arrangements (for publication) | K1_ZP1848-25009_Informed-Consent-and-Patient-Recruitment-Procedure_PL_Polish | 2.0 |
| Recruitment arrangements (for publication) | K1_ZP1848-25009_Recruitment-Arrangements_DE_Public | 2.0 |
| Subject information and informed consent form (for publication) | L1_Zealand_ZP1848-25009_ICF_Long_Term_Storage_FRA_French_Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_Zealand_ZP1848-25009_ICF_Main_FRA_French_Public | 1.2 |
| Subject information and informed consent form (for publication) | L1_Zealand_ZP1848-25009_ICF_Pregnant_Partner_FRA_French_Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_Zealand_ZP1848-25009_ICF_Pregnant_Patient_FRA_French_Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Long-Term-Blood-Sample-Storage-ICF_PL_Polish_Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Long-Term-Storage-ICF_DE_German_Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Main ICF_BE_EN_Public | 1.2 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Main ICF_BE_FR_Public | 1.2 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Main ICF_BE_NL_Public | 1.2 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Main-ICF_DE_German_Public | 1.2 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Main-ICF_PL_Polish_Public | 1.2 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Pregnancy-ICF_DE_German_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Pregnancy-ICF_PL_Polish_Public | 1.1 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Pregnant Partner and Participant ICF_BE_EN_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Pregnant Partner and Participant ICF_BE_FR_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Pregnant Partner and Participant ICF_BE_NL_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Sponsor Statement_Main ICF_BE_Public | 1.2 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Travel-Reimbursement-ICF_DE_German_Public | 1.0 |
| Subject information and informed consent form (for publication) | L1_ZP1848-25009_Travel-Reimbursement-ICF_PL_Polish_Public | 1.0 |
| Subject information and informed consent form (for publication) | L2_ZP1848-25009_IFU_DEU_deu_Public | 1.0 |
| Subject information and informed consent form (for publication) | L2_ZP1848-25009_PatientCard_DEU_deu_Public | 1.0.0 |
| Synopsis of the protocol (for publication) | D1_Zealand_ZP1848-25009_Protocol Lay Synopsis_2025-520775-81_BE_DEU_Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Zealand_ZP1848-25009_Protocol Lay Synopsis_2025-520775-81_BE_FR_Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Zealand_ZP1848-25009_Protocol Lay Synopsis_2025-520775-81_BE_NLD_Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Zealand_ZP1848-25009_Protocol Lay Synopsis_2025-520775-81_FR_FR_Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Zealand_ZP1848-25009_Protocol Lay Synopsis_2025-520775-81_PL_POL_Public | 1.0 |
| Synopsis of the protocol (for publication) | D1_Zealand_ZP1848-25009_Protocol Lay Synopsis_2025-520775-81_Public | 1.0 |
Application history
4 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-09-12 | Germany | Acceptable 2025-11-24
|
2025-11-26 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2026-01-21 | Germany | Acceptable 2025-11-24
|
2026-01-21 |
| 3 | SUBSTANTIAL MODIFICATION | SM-1 | 2026-01-30 | Germany | Acceptable 2026-03-11
|
2026-03-11 |
| 4 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2026-03-27 | Germany | Acceptable 2026-03-11
|
2026-03-27 |