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Short Bowel SyndromePhase 3EASE SBS 4NCT04991311

The Long-term Effect on Intestinal Absorption and Safety of Treatment With Glepaglutide in Patients With Short Bowel Syndrome

A Phase 3 study testing Glepaglutide in people with Short Bowel Syndrome, run by Zealand Pharma at 1 site in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this trial is to investigate the long-term effect of glepaglutide on the intestinal absorption, nutritional status of participants with Short Bowel Syndrome (SBS). The trial will also investigate whether glepaglutide is safe during long-term use. Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Short Bowel Syndrome
What is being tested?
Glepaglutide
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
1 siteDenmark
Study dates
10 Aug 2021to 5 Sep 2023
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial
  • Age greater than or equal to 18 years and less than or equal to 90 years at screening
  • Stable condition of SBS either with intestinal failure (SBS-IF) or intestinal insufficiency. For patients with SBS-IF, a stable condition is defined as less than 25 percent change in parenteral support (PS) volume or energy content for 4 weeks prior to screening.
  • Stable body weight (less than 5 percent change in weight in the 3 months prior to screening)
  • Wet weight of fecal excretion greater than or equal to 1500 grams per day demonstrated during a hospital stay prior to screening

Who cannot join

  • More than 2 SBS-related or PS-related hospitalizations (e.g., catheter-related bacteremia/sepsis, bowel obstruction, severe water-electrolytes disturbances, etc.) within 6 months prior to screening
  • Poorly controlled inflammatory bowel disease (IBD) that is moderately or severely active or fistula interfering with measurements or examinations required in the trial
  • Current bowel obstruction
  • Known radiation enteritis or significant villous atrophy, e.g., due to active celiac disease
  • Cardiac disease defined as: decompensated heart failure (New York Heart Association [NYHA] Class III-IV), unstable angina pectoris, and/or myocardial infarction within the last 6 months prior to screening
  • Any history of colon cancer. History of any other cancers (except margin-free resected cutaneous basal or squamous cell carcinoma or adequately treated in situ cervical cancer) unless disease-free state for at least 5 years
  • Use of glucagon-like peptide-1 (GLP-1), GLP-2, human growth hormone (HGH), somatostatin, or analogs thereof, within 3 months prior to screening

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Rigshospitalet

    Copenhagen

Other trials in Denmark

About this study

Official title: A Single-Center Phase 3b Trial Investigating the Long-term Effect on Intestinal Absorption, Nutritional Status and Long-Term Safety of Treatment With Glepaglutide in Patients With Short Bowel Syndrome (SBS)

The purpose of this trial is to investigate the long-term effect of glepaglutide on the intestinal absorption, nutritional status of participants with Short Bowel Syndrome (SBS). The trial will also investigate whether glepaglutide is safe during long-term use. All participants in the trial will receive glepaglutide injections.

Participants will have 14 visits with the study doctor. At 2 of these, participants will spend 48 hours at the trial site, one visit at the start of the trial and one after 24 weeks of treatment with glepaglutide. At all visits, participants will meet with trial staff and will have blood tests along with other clinical checks and tests done. Participants will be asked about their health and medical history.

Being tested
Glepaglutide
Medical subject headings
Short Bowel Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GlepaglutideDrug

    Also called ZP1848

    Glepaglutide will be delivered in a single-use autoinjector.

Study groups in NCT04991311
Study groupRoleWhat they receive
once-weekly glepaglutideExperimentalAll participants will receive 10 mg of glepaglutide as once-weekly injections under the skin (subcutaneous, s.c.)
Receives: Drug: Glepaglutide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Absorption of Wet Weight/Fluids

    Measured by 48-hour metabolic balance studies. The metabolic balance study measured the total intake and output of energy, macronutrients (lipids, carbohydrates, proteins) and micronutrients. The oral diet (food and fluids) was assessed by duplicate meals and liquids. During the metabolic balance study, the patients collected duplicate portions of all fluids and liquids covering 24-hour periods. Likewise, all output (ostomy output, diarrhea and urine production) was collected, quantified and analyzed.

    Measured: from Week 0 (baseline) to Week 24

Secondary outcomes (26)
  1. Change in Absorption of Energy

    Oral intake minus fecal excretion: measured by 48-hour metabolic balance studies. The metabolic balance study measured the total intake and output of energy, macronutrients (lipids, carbohydrates, proteins) and micronutrients. The oral diet (food and fluids) was assessed by duplicate meals and liquids. During the metabolic balance study, the patients collected duplicate portions of all fluids and liquids covering 24-hour periods. Likewise, all output (ostomy output, diarrhea and urine production) was collected, quantified and analyzed. Energy absorption was measured by bomb calorimetry.

    Measured: from Week 0 (baseline) to Week 24

  2. Change in Absorption of Carbohydrates

    Measured by 48-hour metabolic balance studies. The metabolic balance study measured the total intake and output of energy, macronutrients (lipids, carbohydrates, proteins) and micronutrients. The oral diet (food and fluids) was assessed by duplicate meals and liquids. During the metabolic balance study, the patients collected duplicate portions of all fluids and liquids covering 24-hour periods. Likewise, all output (ostomy output, diarrhea and urine production) was collected, quantified and analyzed.

    Measured: from Week 0 (baseline) to Week 24

  3. Change in Absorption of Lipids

    Measured by 48-hour metabolic balance studies. The metabolic balance study measured the total intake and output of energy, macronutrients (lipids, carbohydrates, proteins) and micronutrients. The oral diet (food and fluids) was assessed by duplicate meals and liquids. During the metabolic balance study, the patients collected duplicate portions of all fluids and liquids covering 24-hour periods. Likewise, all output (ostomy output, diarrhea and urine production) was collected, quantified and analyzed.

    Measured: from Week 0 (baseline) to Week 24

  4. Change in Absorption of Proteins

    Measured by 48-hour metabolic balance studies. The metabolic balance study measured the total intake and output of energy, macronutrients (lipids, carbohydrates, proteins) and micronutrients. The oral diet (food and fluids) was assessed by duplicate meals and liquids. During the metabolic balance study, the patients collected duplicate portions of all fluids and liquids covering 24-hour periods. Likewise, all output (ostomy output, diarrhea and urine production) was collected, quantified and analyzed.

    Measured: from Week 0 (baseline) to Week 24

  5. Change in Absorption of Sodium

    Measured by 48-hour metabolic balance studies. The metabolic balance study measured the total intake and output of energy, macronutrients (lipids, carbohydrates, proteins) and micronutrients. The oral diet (food and fluids) was assessed by duplicate meals and liquids. During the metabolic balance study, the patients collected duplicate portions of all fluids and liquids covering 24-hour periods. Likewise, all output (ostomy output, diarrhea and urine production) was collected, quantified and analyzed.

    Measured: from Week 0 (baseline) to Week 24

  6. Change in Absorption of Potassium

    Measured by 48-hour metabolic balance studies. The metabolic balance study measured the total intake and output of energy, macronutrients (lipids, carbohydrates, proteins) and micronutrients. The oral diet (food and fluids) was assessed by duplicate meals and liquids. During the metabolic balance study, the patients collected duplicate portions of all fluids and liquids covering 24-hour periods. Likewise, all output (ostomy output, diarrhea and urine production) was collected, quantified and analyzed.

    Measured: from Week 0 (baseline) to Week 24

  7. Change in Absorption of Calcium

    Measured by 48-hour metabolic balance studies. The metabolic balance study measured the total intake and output of energy, macronutrients (lipids, carbohydrates, proteins) and micronutrients. The oral diet (food and fluids) was assessed by duplicate meals and liquids. During the metabolic balance study, the patients collected duplicate portions of all fluids and liquids covering 24-hour periods. Likewise, all output (ostomy output, diarrhea and urine production) was collected, quantified and analyzed.

    Measured: from Week 0 (baseline) to Week 24

  8. Change in Absorption of Magnesium

    Measured by 48-hour metabolic balance studies. The metabolic balance study measured the total intake and output of energy, macronutrients (lipids, carbohydrates, proteins) and micronutrients. The oral diet (food and fluids) was assessed by duplicate meals and liquids. During the metabolic balance study, the patients collected duplicate portions of all fluids and liquids covering 24-hour periods. Likewise, all output (ostomy output, diarrhea and urine production) was collected, quantified and analyzed.

    Measured: from Week 0 (baseline) to Week 24

  9. Change in Weekly Parenteral Support (PS) Volume

    Only for participants with Short Bowel Syndrome with Intestinal Failure (SBS-IF). PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 12

  10. Change in Weekly PS Volume

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 24

  11. Change in Weekly PS Carbohydrates

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 12

  12. Change in Weekly PS Carbohydrates

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 24

  13. Change in Weekly PS Lipids

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 12

  14. Change in Weekly PS Lipids

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 24

  15. Change in Weekly PS Proteins

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 12

  16. Change in Weekly PS Proteins

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 24

  17. Change in Weekly PS Sodium

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 12

  18. Change in Weekly PS Sodium

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 24

  19. Change in Weekly PS Potassium

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 12

  20. Change in Weekly PS Potassium

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 24

  21. Change in Weekly PS Magnesium

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 12

  22. Change in Weekly PS Magnesium

    Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

    Measured: from Week 0 (baseline) to Week 24

  23. Anti-glepaglutide Antibodies

    Monitored throughout the trial at baseline (Week 0) and weeks 4, 12, 24, 52 and 56

    Measured: Week 56

  24. Reactivity to ZP1848

    Monitored throughout the trial at baseline (Week 0) and weeks 4, 12, 24, 52 and 56. Anti-drug antibodies (ADA) positive samples were analyzed for reactivity to ZP1848.

    Measured: Week 56

  25. Cross-reactivity to Glucagon-like Peptide-2 (GLP-2)

    Monitored throughout the trial at baseline (Week 0) and weeks 4, 12, 24, 52 and 56. ADA positive samples were analyzed for cross-reactivity to glucagon-like peptide-2 (GLP-2).

    Measured: Week 56

  26. Glepaglutide Neutralizing Antibodies

    Monitored throughout the trial at baseline (Week 0) and weeks 4, 12, 24, 52 and 56

    Measured: Week 56

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Aug 2021
  2. Study start10 Aug 2021
  3. Primary completion2 Feb 2023
  4. Study completion5 Sep 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04991311
Sponsor's protocol ID
ZP1848-20060
Other IDs
2020-005194-27, U1111-1260-2961
Acronym
EASE SBS 4
Status last verified
Sep 2024
First submitted
14 Jul 2021
Last updated
22 Nov 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Glepaglutide in people with Short Bowel Syndrome, run by Zealand Pharma at 1 site in Denmark.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Nov 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Absorption of Wet Weight/Fluids (time frame: from Week 0 (baseline) to Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Nov 2024.

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