Phase 3
N=10
The Long-term Effect on Intestinal Absorption and Safety of Treatment With Glepaglutide in Patients With Short Bowel Syndrome
Short Bowel Syndrome
Bottom Line
View on ClinicalTrials.gov: NCT04991311 ↗Enrolled (actual)
10
Serious AEs
60.0%
Results posted
Nov 2024
Primary outcome: Primary: Change in Absorption of Wet Weight/Fluids — 841.6; 1240.0 g/day — p== 0.0585
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Glepaglutide (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Zealand Pharma
- Primary completion
- Feb 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Absorption of Wet Weight/Fluids |
841.6; 1240.0 | = 0.0585 |
| SECONDARY Change in Absorption of Energy |
1037.7 | — |
| SECONDARY Change in Absorption of Carbohydrates |
39.8 | — |
| SECONDARY Change in Absorption of Lipids |
10.5 | — |
| SECONDARY Change in Absorption of Proteins |
1.0 | — |
| SECONDARY Change in Absorption of Sodium |
28.0 | — |
| SECONDARY Change in Absorption of Potassium |
1.9 | — |
| SECONDARY Change in Absorption of Calcium |
1.3 | — |
| SECONDARY Change in Absorption of Magnesium |
-2.2 | — |
| SECONDARY Change in Weekly Parenteral Support (PS) Volume |
-4688.1 | — |
| SECONDARY Change in Weekly PS Volume |
-5312.6 | — |
| SECONDARY Change in Weekly PS Carbohydrates |
-4914.8 | — |
| SECONDARY Change in Weekly PS Carbohydrates |
-4914.8 | — |
| SECONDARY Change in Weekly PS Lipids |
-42.2 | — |
| SECONDARY Change in Weekly PS Lipids |
-42.2 | — |
| SECONDARY Change in Weekly PS Proteins |
-1057.7 | — |
| SECONDARY Change in Weekly PS Proteins |
-1057.7 | — |
| SECONDARY Change in Weekly PS Sodium |
-475.7 | — |
| SECONDARY Change in Weekly PS Sodium |
-475.7 | — |
| SECONDARY Change in Weekly PS Potassium |
-58.9 | — |
| SECONDARY Change in Weekly PS Potassium |
-58.9 | — |
| SECONDARY Change in Weekly PS Magnesium |
-5.8 | — |
| SECONDARY Change in Weekly PS Magnesium |
-5.8 | — |
| SECONDARY Anti-glepaglutide Antibodies |
9 | — |
| SECONDARY Reactivity to ZP1848 |
8 | — |
| SECONDARY Cross-reactivity to Glucagon-like Peptide-2 (GLP-2) |
1 | — |
| SECONDARY Glepaglutide Neutralizing Antibodies |
8 | — |
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. 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.
Eligibility Criteria
Inclusion Criteria
- 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
Exclusion Criteria
- 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
Data sourced from ClinicalTrials.gov (NCT04991311). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.