ClinicalTrials.gg
RecruitingNCT07298343CEC-013/CELUpdated Apr 2, 2026

Evaluating the Efficacy and Tolerability of ZED1227 in Subjects With Non-responsive Celiac Disease

A Phase 2 interventional study of ZED1227 + SIGE and Placebo in Celiac Disease, sponsored by Dr. Falk Pharma GmbH. Recruiting at 1 site in Germany. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-04-02.

Sponsored by Dr. Falk Pharma GmbH · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 6 months after the study started (first participant enrolled Jun 2024, registered Dec 2025).
  • Started Jun 2024; still recruiting 2 years 5 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
356
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

A study to discover if ZED1227 can improve continued celiac disease symptoms despite a gluten-free diet

02

Conditions studied

  • Celiac Disease

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Keywords

  • Celiac Disease
  • non-responsive Celiac Disease
03

In context

Celiac Disease

352 studies on the registry are indexed under Celiac Disease; 77 are open to participants now.

This study's planned enrollment of 356 is above the median of 50 across 214 interventional studies indexed under Celiac Disease.

Browse Celiac Disease studies →

Lead sponsor

Dr. Falk Pharma GmbH is the lead sponsor of 39 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Signed
  • Men or women between 18 and 80 years of age, inclusively
  • Documented initial -proven diagnosis of celiac disease or, in case of missing histological documentation, TG2-IgA > 10 x (ULN) at diagnosis at least 12 months prior to V0
  • Adherence to a gluten-free diet (GFD) for at least 12 months prior to V0
  • Human leukocyte antigen DQ (HLA-DQ) typing compatible with celiac disease

Exclusion criteria

Exclusion Criteria:

  • Presence of hypo- or hyperthyroidism. A patient with a well-controlled thyroid disorder during the previous 3 months can be included
  • Patients diagnosed to have confirmed celiac disease type I (RCDI) or II (RCDII), with the exception that patients with a diagnosis of RCDI can be considered for inclusion if they do not have clear signs of T cell monoclonality or atypical T cells (e.g., as revealed by CD3/CD8 immunohistochemistry) and if they do not present with very severe symptoms and/or parameters of significant malabsorption and if they have not received prior treatment with such as budesonide or azathioprine,
  • Severe complications of celiac disease
  • Concomitant diseases of the intestinal tract in addition to celiac disease, such as Crohn's disease, ulcerative colitis, other forms of inflammatory bowel disease, severe irritable bowel syndrome, microscopic colitis, small intestinal bacterial overgrowth (SIBO), exocrine pancreatic insufficiency; any other active diseases of the intestinal tract (e.g., active, untreated peptic ulcer, esophagitis, gastroesophageal reflux disease) that might, in the investigator's opinion, interfere with assessment of symptoms of abdominal pain, diarrhoea, or other components of celiac disease
  • History or presence of dermatitis herpetiformis
Terms in these criteria, in plain language(5)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
356 participants (estimated)

Study arms

  • Experimental
    low Dose 1 ZED1227 + SIGE

    Drug: ZED1227 + SIGE

  • Placebo comparator
    Placebo + SIGE

    Other: Placebo

  • Experimental
    medium Dose ZED1227 + SIGE

    Drug: ZED1227 + SIGE

  • Experimental
    high dose ZED1227 + SIGE

    Drug: ZED1227 + SIGE

  • Experimental
    low Dose 2 ZED1227 + SIGE

    Drug: ZED1227 + SIGE

Interventions

  • DrugZED1227 + SIGE

    Drug page: ZED1227

    oral treatment with different daily doses of ZED1227 vs placebo

  • OtherPlacebo

    Placebo + SIGE

06

What researchers measure

Primary outcomes

  1. Change in CDSD GI Specific Symptom Score

    Time frame: 12 weeks

Secondary outcomes

  1. Change in PRO: Change from baseline in the percentage of Symptom Free Days (SFD)

    Time frame: V5 (Wk 15) over a 14-day period

  2. Histological assessment of villous height to crypt depth ratio (VH:CrD)

    Time frame: 15 weeks

  3. Change in CDSD Non-Stool GI Symptom Score (abdominal pain, bloating, nausea)

    Time frame: 12 weeks

  4. Proportion of subjects with histologic non-worsening, defined as change in VH:CrD ≥ 0

    Time frame: 15 weeks

  5. Change in duodenal mucosal inflammation measured as the density of CD3positive intraepithelial lymphocytes (IELs)

    Time frame: 15 weeks

  6. Change in serological markers TG2-IgA, TG2-IgG, DGP-IgA, DGP-IgG, and EmA-IgA

    Time frame: 12 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2024 (actual). Primary completion is estimated for Aug 2027, 38 months after the start.

Of 24 phase 2 interventional studies under Celiac Disease, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 28. This study's planned 38 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 17, 2025
First posted
Dec 23, 2025
StartActual
Jun 10, 2024
Primary completionEst.
Aug 2027
CompletionEst.
Aug 2027
Last update
Apr 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07298343
Collaborators
Takeda Development Center Americas, Inc.
Responsible party
Sponsor
First posted
Dec 23, 2025
Start date
Jun 10, 2024
Primary completion
Aug 2027 (estimated)
Completion
Aug 2027 (estimated)
Last update
Apr 2, 2026

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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Studies of the drug tested here: ZED1227

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