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

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)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04991311
Acronym
EASE SBS 4
Enrollment
12
Registered
2021-08-05
Start date
2021-08-10
Completion date
2023-09-05
Last updated
2024-11-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Short Bowel Syndrome

Brief 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.

Interventions

Glepaglutide will be delivered in a single-use autoinjector.

Sponsors

Zealand Pharma
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No

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

Design outcomes

Primary

MeasureTime frameDescription
Change in Absorption of Wet Weight/Fluidsfrom Week 0 (baseline) to Week 24Measured 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.

Secondary

MeasureTime frameDescription
Change in Absorption of Carbohydratesfrom Week 0 (baseline) to Week 24Measured 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.
Change in Absorption of Lipidsfrom Week 0 (baseline) to Week 24Measured 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.
Change in Absorption of Proteinsfrom Week 0 (baseline) to Week 24Measured 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.
Change in Absorption of Sodiumfrom Week 0 (baseline) to Week 24Measured 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.
Change in Absorption of Potassiumfrom Week 0 (baseline) to Week 24Measured 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.
Change in Absorption of Calciumfrom Week 0 (baseline) to Week 24Measured 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.
Change in Absorption of Magnesiumfrom Week 0 (baseline) to Week 24Measured 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.
Change in Weekly Parenteral Support (PS) Volumefrom Week 0 (baseline) to Week 12Only 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.
Change in Weekly PS Volumefrom Week 0 (baseline) to Week 24Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.
Change in Absorption of Energyfrom Week 0 (baseline) to Week 24Oral 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.
Change in Weekly PS Lipidsfrom Week 0 (baseline) to Week 12Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.
Change in Weekly PS Proteinsfrom Week 0 (baseline) to Week 12Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.
Change in Weekly PS Sodiumfrom Week 0 (baseline) to Week 12Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.
Change in Weekly PS Potassiumfrom Week 0 (baseline) to Week 12Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.
Change in Weekly PS Magnesiumfrom Week 0 (baseline) to Week 12Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.
Anti-glepaglutide AntibodiesWeek 56Monitored throughout the trial at baseline (Week 0) and weeks 4, 12, 24, 52 and 56
Reactivity to ZP1848Week 56Monitored 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.
Cross-reactivity to Glucagon-like Peptide-2 (GLP-2)Week 56Monitored 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).
Glepaglutide Neutralizing AntibodiesWeek 56Monitored throughout the trial at baseline (Week 0) and weeks 4, 12, 24, 52 and 56
Change in Weekly PS Carbohydratesfrom Week 0 (baseline) to Week 12Only for participants with SBS-IF. PS use was recorded in patient diaries throughout the trial, including type and volume used.

Countries

Denmark

Participant flow

Recruitment details

The trial was conducted at a single site in Denmark. The study was planned to enroll a minimum of 6 and a maximum of 16 patients with SBS intestinal failure (SBS-IF) or SBS intestinal insufficiency (SBS-II). First patient recruited was on 10 Aug 2021.

Pre-assignment details

A total of 12 patients were screened: 1 patient failed the screening, 1 patient was withdrawn before receiving investigational product.

Participants by arm

ArmCount
Once-weekly Glepaglutide
All participants received 10 mg of glepaglutide as once-weekly injections under the skin (subcutaneous, s.c.) Glepaglutide: Glepaglutide was delivered in a single-use autoinjector.
10
Total10

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event1

Baseline characteristics

CharacteristicOnce-weekly Glepaglutide
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
3 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
Age, Continuous54.6 years
STANDARD_DEVIATION 15.85
BMI24.1 kg/m^2
STANDARD_DEVIATION 2.32
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
10 Participants
Region of Enrollment
Denmark
10 participants
Sex: Female, Male
Female
5 Participants
Sex: Female, Male
Male
5 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
1 / 10
other
Total, other adverse events
10 / 10
serious
Total, serious adverse events
6 / 10

Outcome results

Primary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Absorption of Wet Weight/Fluids841.6 g/dayStandard Deviation 1839.1
Week 24 GroupChange in Absorption of Wet Weight/Fluids1240.0 g/dayStandard Deviation 1529.74
Comparison: The participants in both comparison groups are the same.p-value: =0.058595% CI: [-17.6, 814.4]Paired t-test (2-sided, alpha=0.05)
Secondary

Anti-glepaglutide Antibodies

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

Time frame: Week 56

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Baseline Group - Week 0Anti-glepaglutide Antibodies9 Participants
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Absorption of Calcium1.3 mmol/dayStandard Deviation 6.42
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Absorption of Carbohydrates39.8 g/dayStandard Deviation 48.31
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Absorption of Energy1037.7 kJ/dayStandard Deviation 1182.18
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Absorption of Lipids10.5 g/dayStandard Deviation 26.56
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Absorption of Magnesium-2.2 mmol/dayStandard Deviation 5.06
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Absorption of Potassium1.9 mmol/dayStandard Deviation 26.44
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Absorption of Proteins1.0 g/dayStandard Deviation 1.65
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Absorption of Sodium28.0 mmol/dayStandard Deviation 83.64
Secondary

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.

Time frame: from Week 0 (baseline) to Week 12

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly Parenteral Support (PS) Volume-4688.1 mLStandard Deviation 3150.67
Secondary

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.

Time frame: from Week 0 (baseline) to Week 12

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Carbohydrates-3547.1 kJStandard Deviation 6375.32
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Carbohydrates-4914.8 kJStandard Deviation 2452.1
Secondary

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.

Time frame: from Week 0 (baseline) to Week 12

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Lipids-260.3 kJStandard Deviation 1361.6
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Lipids-42.2 kJStandard Deviation 1869.08
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Magnesium-5.8 mmolStandard Deviation 14.84
Secondary

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.

Time frame: from Week 0 (baseline) to Week 12

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Magnesium1.6 mmolStandard Deviation 9.02
Secondary

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.

Time frame: from Week 0 (baseline) to Week 12

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Potassium-35.6 mmolStandard Deviation 73.88
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Potassium-58.9 mmolStandard Deviation 51.64
Secondary

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.

Time frame: from Week 0 (baseline) to Week 12

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Proteins-879.3 kJStandard Deviation 1939.6
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Proteins-1057.7 kJStandard Deviation 983.93
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Sodium-475.7 mmolStandard Deviation 506.37
Secondary

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.

Time frame: from Week 0 (baseline) to Week 12

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Sodium-473.7 mmolStandard Deviation 440.09
Secondary

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.

Time frame: from Week 0 (baseline) to Week 24

ArmMeasureValue (MEAN)Dispersion
Baseline Group - Week 0Change in Weekly PS Volume-5312.6 mLStandard Deviation 5463.54
Secondary

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).

Time frame: Week 56

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Baseline Group - Week 0Cross-reactivity to Glucagon-like Peptide-2 (GLP-2)1 Participants
Secondary

Glepaglutide Neutralizing Antibodies

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

Time frame: Week 56

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Baseline Group - Week 0Glepaglutide Neutralizing Antibodies8 Participants
Secondary

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.

Time frame: Week 56

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Baseline Group - Week 0Reactivity to ZP18488 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026