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CompletedNCT03279302Updated Dec 22, 2017

Trial to Evaluate the PK Profile of Glepaglutide (ZP1848) After a Single IV and After Multiple SC Injections in Healthy Subjects

A Phase 1 interventional study of Glepaglutide in Healthy Subjects, sponsored by Zealand Pharma. Completed at 1 site in United States. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-12-22.

Sponsored by Zealand Pharma · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The primary objective of the trial is to characterize the pharmacokinetic (PK) profiles of glepaglutide and its primary active metabolites following once-daily and once-weekly subcutaneous (SC) injections and after a single intravenous (IV) infusion in healthy subjects.

Glepaglutide is a proposed International Nonproprietary Name for ZP1848

02

Conditions studied

  • Healthy Subjects
03

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead ECG, vital signs measurements, and clinical laboratory evaluations
  • Body Mass index between 18 and 30.0 kg/m2
  • Able to comply with all the trial procedures
  • females will not be pregnant or lactating
  • If female of childbearing potential or male agree to use contraception as defined in the protocol
  • Male subjects must also be willing to refrain from donating sperm from trial Check-in until 90 days after the last dose

Exclusion criteria

Exclusion Criteria:

  • Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder
  • History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance
  • History of bowel obstruction, stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs (uncomplicated appendectomy and/or cholecystectomy or hernia repair will be allowed).
  • Clinically significant abnormality on 12-lead ECG
  • Clinically significant abnormality in hematology, clinical chemistry, or urinalysis
  • History of alcoholism or drug/chemical abuse within 2 years
  • Alcohol consumption of > 21 units per week for males and > 14 units for females
  • Positive urine drug screen
  • Positive hepatitis panel and/or positive human immunodeficiency test
  • Receipt of any investigational product within 30 days or 5 half-lives
  • Previous exposure to GLP-1, GLP-2, human growth hormone, or analogs thereof 30 days prior to Check-in
  • Use or intend to use any medications/products known to be strong inhibitors or strong inducers of cytochrome P450 3A enzyme, including St. John's wort
  • Use of tobacco, smoking cessation products, or products containing nicotine (including but not limited to cigarettes, e-cigarettes, pipes, cigars, chewing tobacco, nicotine lozenges, or nicotine gum ) within 3 months prior to Screening
  • Receipt of blood products within 2 months prior to Check-in and throughout the trial.
  • Donation of blood or significant blood loss from 56 days prior to Screening, plasma from 2 weeks prior to Screening, or platelets from 6 weeks prior to Screening and throughout the trial.
  • Poor peripheral venous access.
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
75 participants (actual)

Study arms

  • Experimental
    Group A

    1 mg glepaglutide once daily, given as single SC injections on Days 1 to 7

    Drug: Glepaglutide

  • Experimental
    Group B

    5 mg glepaglutide once daily, given as single SC injections on Days 1 to 7

    Drug: Glepaglutide

  • Experimental
    Group C

    5 mg glepaglutide once weekly, given as single SC injections on Days 1, 8, 15, 22, 29, and 36

    Drug: Glepaglutide

  • Experimental
    Group D

    10 mg glepaglutide once weekly, given as single SC injections on Days 1, 8, 15, 22, 29, and 36

    Drug: Glepaglutide

  • Experimental
    Group E

    1 mg glepaglutide, given as an IV infusion at a rate of 4 mg/h for 15 minutes on Day 1

    Drug: Glepaglutide

Interventions

  • DrugGlepaglutide

    Solution for injection

    Also known as: ZP1848

05

What researchers measure

Primary outcomes

  1. Pharmacokinetic parameter - half life

    Half life of glepaglutide and active metabolites

    Time frame: Day 0 up to Day 73

  2. Pharmacokinetic parameter - total body clearance

    Total body clearance after IV administration

    Time frame: Day 0 to Day 22

  3. Pharmacokinetic parameter - Apparent clearance

    CL/F for subcutaneous doses

    Time frame: Day 0 to Day 73

  4. Pharmacokinetic parameter - Volume of distribution

    Volume of distribution after IV dosing

    Time frame: Day 0- Day 22

  5. Pharmacokinetic parameter - apparent volume of distribution

    Vss/F and Vz/F for subcutaneous doses

    Time frame: Day 0 to Day 73

Secondary outcomes

  1. Pharmacokinetic parameter - Cmax

    Maximum observed plasma concentration

    Time frame: Day 0 to Day 73

  2. Pharmacokinetic parameter - tmax

    time of maximum observed plasma concentration

    Time frame: Day 0 to Day 73

  3. Pharmacokinetic parameter - AUC

    Area under the curve

    Time frame: Day 0 to Day 73

  4. Pharmacodynamic parameter - plasma citrulline levels

    change in plasma citrulline levels

    Time frame: Day 0 to Day 73

  5. ADA incidence

    Overall incidence of anti-glepaglutide antibodies

    Time frame: Day 0 to Day 73

  6. Safety and tolerability - AEs

    Incidence, nature, and severity of adverse events, abnormal clinical laboratory tests, and injection site reactions

    Time frame: Day 0 to Day 73

  7. Safety and tolerability - ECGs

    12 lead electrocardiogram parameters

    Time frame: Day 0 to Day 73

06

Study locations

1 site
  • Covance CRU
    Dallas, Texas 75247, United States
07

References and documents

Publications

  • Agersnap MA, Sonne K, Knudsen KM, Knudsen CB, Berner-Hansen M. Pharmacokinetics of Glepaglutide, A Long-Acting Glucagon-Like Peptide-2 Analogue: A Study in Healthy Subjects. Clin Drug Investig. 2022 Dec;42(12):1093-1100. doi: 10.1007/s40261-022-01210-1. Epub 2022 Nov 2. PubMed 36323988 ↗
08

Registry details

Key details

Study ID
NCT03279302
Lead sponsor
Zealand Pharma
Responsible party
Sponsor
First posted
Sep 12, 2017
Start date
Sep 4, 2017
Primary completion
Dec 18, 2017
Completion
Dec 18, 2017
Last update
Dec 22, 2017

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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