Actively Recruiting

Phase 3
Age: 18Years - 90Years
All Genders
ID07197944

A Phase 3, Double-blind, Randomized, Placebo-controlled Trial of Glepaglutide 10 mg Twice Weekly with Long-term Safety Evaluation in Patients With Short Bowel Syndrome-intestinal Failure

Led by Zealand Pharma · Updated on 2026-04-20

90

Participants Needed

23

Research Sites

174 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating glepaglutide, given twice weekly, in adults with short bowel syndrome-intestinal failure (SBS-IF) to confirm its effectiveness and safety. This Phase 3, double-blind, randomized, placebo-controlled trial also aims to collect long-term safety data. The study is sponsored by Zealand Pharma and focuses on patients who rely on parenteral support (PS) due to reduced bowel length. Participants will receive either glepaglutide 10 mg or a placebo through subcutaneous injections twice a week. The trial includes a randomized treatment period followed by a long-term open-label safety phase. During the study, participants will be monitored closely to assess changes in their need for parenteral support and overall clinical response. Throughout the study, participants will undergo regular evaluations including measurement of parenteral support volume changes, clinical response assessments, and monitoring for treatment-emergent adverse events. The main outcome is the change in weekly parenteral support volume from baseline to week 24, with additional follow-ups up to week 52. Participants will be involved in scheduled visits and safety assessments during the entire study period, which runs until 2032.

CONDITIONS

Brief Title

Efficacy And Safety Evaluation of Glepaglutide in Treatment of SBS

Who Can Participate

Age: 18Years - 90Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent
  • Age between 18 and 90 years
  • Diagnosis of short bowel syndrome with small bowel length less than 200 cm
  • Stable need for parenteral support at least 3 days per week
  • No planned restorative surgery during the trial period
  • Presence of a stoma or colon in continuity
Not Eligible

You will not qualify if you...

  • More than 2 hospitalizations related to SBS or parenteral support within 6 months before screening
  • Poorly controlled moderate or severe inflammatory bowel disease or fistula interfering with trial assessments
  • History of colorectal cancer or other cancers unless disease-free for at least 5 years
  • Ongoing bowel obstruction
  • Body mass index less than 18.5 kg/m²

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - 24 weeks

Participants receive glepaglutide or placebo by subcutaneous injections twice weekly to evaluate the efficacy and safety in treating short bowel syndrome.

Twice weekly injections during treatment period

Long-term Safety Evaluation

Duration - Up to approximately 28 months after treatment

Participants who complete the initial treatment phase continue to be monitored for long-term safety of glepaglutide.

Trial Site Locations

Total: 23 locations

1

Washington University Center for Advanced Medicine

St Louis, Missouri, United States, 63110

Actively Recruiting

2

Lied Transplant Center at Nebraska Medical Center

Omaha, Nebraska, United States, 68105

Actively Recruiting

3

New York Presbyterian Hospital-Columbia University Medical Center

New York, New York, United States, 10032

Not Yet Recruiting

4

Vanderbilt University Medical Center

Nashville, Tennessee, United States, 37232

Actively Recruiting

5

Universitätsklinikum AKH Wien

Vienna, State of Vienna, Austria, 1090

Actively Recruiting

6

Rigshospitalet-Blegdamsvej 9

Copenhagen, Denmark, 2100

Actively Recruiting

7

AP-HP - Hôpital Beaujon

Clichy, France, 92118

Actively Recruiting

8

Universitätsmedizin Rostock

Rostock, Mecklenburg-Vorpommern, Germany, 18057

Actively Recruiting

9

Eugastro Klinische Studien GmbH

Leipzig, Saxony, Germany, 4103

Actively Recruiting

10

Charité - Universitätsmedizin Berlin

Berlin, Germany, 10117

Actively Recruiting

11

Universitätsklinikum Bonn

Bonn, Germany, 53127

Actively Recruiting

12

Asklepios Klinik St. Georg

Hamburg, Germany

Actively Recruiting

13

Semmelweis Egyetem - Sebészeti, Transzplantációs és Gasztroenterológiai Klinika

Budapest, Hungary, 1082

Actively Recruiting

14

Fondazione Policlinico Universitario A. Gemelli IRCCS - PPDS

Rome, Lazio, Italy, 00136

Actively Recruiting

15

Radboud Universitair Medisch Centrum

Nijmegen, Gelderland, Netherlands, 6525 GA

Actively Recruiting

16

Oslo Universitetssykehus HF, Ullevål

Oslo, Norway, 0450

Actively Recruiting

17

Wojewodzki Specjalistyczny Szpital im. M. Pirogowa w Lodzi

Lodz, Lódzkie, Poland, 90-531

Actively Recruiting

18

Samodzielny Publiczny Szpitala Kliniczny im. Prof. Witolda Orlowskiego Centrum Medycznego Kształcenia Podyplomowego

Warsaw, Poland, 00-416

Actively Recruiting

19

Hospital General Universitario Gregorio Marañon

Madrid, Spain, 28007

Actively Recruiting

20

Hospital Universitario 12 de Octubre

Madrid, Spain, 28041

Actively Recruiting

21

Hospital Universitario Virgen del Rocio - PPDS

Seville, Spain, 41013

Actively Recruiting

22

Sahlgrenska Universitets sjukhuset

Gothenburg, Sweden, 413 46

Actively Recruiting

23

Karolinska Universitetssjukhuset Solna

Solna, Sweden, 171 64

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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