A trial to assess the long-term safety and effectiveness of glepaglutide in patients with short bowel syndrome who have been previously treated with the medicine

2025-520775-81-00 Protocol ZP1848-25009 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 23 Dec 2025 · Status Ongoing, recruitment ended · 4 EU/EEA countries · 10 sites · Protocol ZP1848-25009

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 32
Countries 4
Sites 10

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

  1. To evaluate the efficacy of glepaglutide treatement in patients with SBS

Conditions and MedDRA coding

Short Bowel Syndrome

VersionLevelCodeTermSystem organ class
20.1 PT 10049416 Short-bowel syndrome 100000004856

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
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 numberTitleSponsor
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. 1. Has provided signed informed consent and agrees to comply with protocol requirements.
  2. 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. 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. 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. 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. 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. 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. 6. Has a known or suspected hypersensitivity to glepaglutide or related products.
  7. 7. Has committed to an institution by virtue of an order issued by the judicial or administrative authorities.
  8. 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

  1. TEAEs from baseline (Visit 1) to the safety follow-up visit

Secondary endpoints 1

  1. Change in prescribed weekly PS volume from baseline to Month 24/EOT

Investigational products

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

Test 1

Glepaglutide 20.0 mg/mL

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

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
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

Belgium

1 site · Ongoing, recruitment ended
UZ Leuven
Gastro-enterology, Herestraat 49, 3000, Leuven

France

1 site · Ongoing, recruitment ended
Assistance Publique Hopitaux De Paris
Department of Gastroenterology, IBD and Nutrition Hospital Beaujon – AP-HP, 100 Boulevard Du General Leclerc, 92110, Clichy

Germany

5 sites · Ongoing, recruitment ended
Goethe University Frankfurt
Medizinische Klinik 1, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main
Asklepios Klinik St George
Innere Medizin und Gastroenterologie, Lohmuehlenstrasse 5, St. Georg, Hamburg
Rostock University Medical Center
Zentrum für Innere Medizin Klinik II - Abteilung für Gastroenterologie, Ernst-Heydemann-Strasse 6, Hansaviertel, Rostock
Charite Universitaetsmedizin Berlin KöR
Medizinische Klinik m.S. Hepatologie und Gastroenterologie CCM/CVK, Chariteplatz 1, Mitte, Berlin
Universitaetsklinikum Bonn AöR
Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefäßchirurgie, Venusberg-Campus 1, Venusberg, Bonn

Poland

3 sites · Ongoing, recruitment ended
Samodzielny Publiczny Szpital Kliniczny Im. Prof. W. Orlowskiego CMKP
Oddział Kliniczny Żywienia i Chirurgii, Ul. Czerniakowska 231, 00-416, Warsaw
Wojewodzki Specjalistyczny Szpital Im. M. Pirogowa W Lodzi
Centrum Leczenia Żywieniowego, Ul. Wolczanska 191/195, 90-531, Lodz
Szpital Skawina Sp. z o.o.
Oddział Chirurgii Ogólnej i Leczenia Niewydolności Przewodu Pokarmowego, Ul. Tyniecka 15, 32-050, Skawina

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment 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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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