ClinicalTrials.gg
RecruitingNCT07197944EASE SBS 5Updated Sep 29, 2026

Efficacy And Safety Evaluation of Glepaglutide in Treatment of SBS

A Phase 3 interventional study of Glepaglutide and Placebo in Short Bowel Syndrome, sponsored by Zealand Pharma. Recruiting at 33 sites in 14 countries. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by Zealand Pharma · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2026; still recruiting 9 months later.
Updated Sep 29, 20262 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

The purpose of the present Phase 3 trial is to confirm the efficacy and safety of glepaglutide 10 mg twice weekly in a patient population with SBS-IF and generate additional long-term safety data.

Glepaglutide is the International Nonproprietary Name and United States Adopted Name (USAN) for ZP1848.

Read the detailed description

The trial is a phase 3, double-blind, randomized, parallel-group, placebo-controlled, multicenter trial to confirm the efficacy and safety of glepaglutide 10 mg twice weekly, followed by a long-term, open-label safety evaluation in patients with short bowel syndrome-intestinal failure (SBS-IF).

02

Conditions studied

  • Short Bowel Syndrome

Keywords

  • Intestinal Failure
  • Pathologic Processes
  • Malabsorption Syndromes
  • Intestinal Diseases
  • Gastrointestinal Diseases
  • Digestive System Diseases
  • Postoperative Complications
  • Short Bowel Syndrome
  • Syndrome
03

In context

Short Bowel Syndrome

159 studies on the registry are indexed under Short Bowel Syndrome; 24 are open to participants now.

This study's planned enrollment of 90 is above the median of 21 across 108 interventional studies indexed under Short Bowel Syndrome.

Browse Short Bowel Syndrome studies →

Lead sponsor

Zealand Pharma is the lead sponsor of 43 studies on the registry; 5 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 8 (47%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Signed ;
  • Age of 18 to 90 years;
  • A diagnosis of SBS, defined as having a small bowel with an estimated length of less than 200 cm (equal to 79 inches) in continuity (latest intestinal resection ≥6 months before screening);
  • Stable PS need of ≥3 days per week;
  • No restorative surgery planned during the trial period;
  • Having a stoma or colon in continuity.

Key Exclusion Criteria:

  • More than 2 SBS- or PS-related hospitalizations within 6 months before screening;
  • Poorly controlled Inflammatory Bowel Disease (IBD) that is moderately or severely active or a fistula that can interfere with the measurements or examinations required in the trial;
  • History of colorectal cancer or any other type of cancer (except for margin-free resected cutaneous basal, squamous cell carcinoma or adequately treated in situ cervical cancer) unless the patient has been disease-free for at least 5 years; ongoing bowel obstruction;
  • \<18.5 kg/m\^2.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    Glepaglutide Group

    Drug: Glepaglutide

  • Placebo comparator
    Placebo Group

    Placebo for glepaglutide

    Other: Placebo

Interventions

  • Subcutaneous (SC) injections twice weekly

    Also known as: ZP1848

  • OtherPlacebo

    SC injections twice weekly

06

What researchers measure

Primary outcomes

  1. Change in weekly Parenteral Support (PS) volume

    Time frame: Baseline to Week 24

Secondary outcomes

  1. Proportion of participants achieving clinical response

    Defined as achieving a reduction of at least 20% in weekly PS volume

    Time frame: Baseline to Week 52

  2. Proportion of participants achieving clinical response

    Defined as achieving a reduction of at least 20% in weekly PS volume

    Time frame: Baseline to Week 20 and Week 24

  3. Proportion of participants with a reduction in days on PS ≥1 day/week

    Time frame: Baseline to Week 52

  4. Proportion of participants with a reduction in days on PS ≥1 day/week

    Time frame: Baseline to Week 24

  5. Proportion of participants with a reduction of 100% weekly PS volume (weaned-off)

    Time frame: Baseline to Week 52

  6. Proportion of participants with a reduction of 100% weekly PS volume (weaned-off)

    Time frame: Baseline to Week 24

  7. Proportion of participants achieving 'much better' Patient Global Impression of Change (PGIC) status

    PGIC scoring categories are: 'Much better', 'A little better', 'No change', 'A little worse', and 'Much worse'

    Time frame: Week 24

  8. Change in weekly PS volume

    Time frame: Baseline to Week 12

  9. Change in weekly PS volume

    Time frame: Baseline to Week 8

  10. Incidence of Treatment Emergent Adverse Events (TEAEs)

    Time frame: Baseline to Week 52

07

Study locations

32 of 33 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
2 sites added
Show 2 added (1 United States, 1 Poland)
  • UPMC Starzl Transplantation Institute · Pittsburgh, United States
  • Szpital Skawina sp. z o.o. im. Stanley Dudricka · Skawina, Poland
Sep 29, 2026
Show all 1 update
  1. Sep 29, 2026
    2 sites added
    Show 2 added (1 United States, 1 Poland)
    • UPMC Starzl Transplantation Institute · Pittsburgh, United States
    • Szpital Skawina sp. z o.o. im. Stanley Dudricka · Skawina, Poland
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07197944
Lead sponsor
Zealand Pharma
Responsible party
Sponsor
First posted
Sep 30, 2025
Start date
Feb 11, 2026
Primary completion
Oct 23, 2028 (estimated)
Completion
Feb 28, 2032 (estimated)
Last update
Sep 29, 2026

Oversight

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

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Studies of the drug tested here: Glepaglutide

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