ClinicalTrials.gg
RecruitingNCT07721597Updated Aug 13, 2026

A Single and Multiple Ascending Dose Trial Assessing Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ZP6590 in Participants With Normal Weight, Overweight and Obesity

An Early Phase 1 interventional study of ZP6590, solution for injection and Placebo, solution for injection in Healthy Participants Study, Overweight and Obese Adults and First in Man Study to Evaluate Initial Safety, sponsored by Zealand Pharma. Recruiting at 1 site in Germany. Open to male participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-13.

Primary conditionObesityRegistry: OverweightReclassifiedWhy we changed it
Registry
Overweight — the first condition term the registry derived for this study.
ClinicalTrials.gg
Obesity
Why
  1. The study's title name Obesity, a narrower term within Overweight.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

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

From the registry’s dates

  • Started Jul 2026; still recruiting 4 months later.
Phase
Early Phase 1
Study type
Interventional
Enrollment
88
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
Male
01

Study summary

The goal of this clinical trial is to learn about the safety and tolerability of drug ZP6590 and to learn how the body processes the drug ZP6590 in adults. The main questions it aims to answer are:

  • Is the drug ZP6590 safe and well tolerated when administered as escalating single and multiple doses of the ZP6590?
  • How quickly and to what extent the administered investigational drug is absorbed and distributed, and how long it takes to be eliminated from the body?

In the first Part of the study:

Participants will:

  • Get a single ascending dose of the drug ZP6590 or placebo and will have an observation period of 4 weeks.

In the second Part of the study:

Participants will:

  • Get multiple dosages of the drug ZP6590 or placebo for 6 or 12 weeks followed by an observation period of 6 weeks after last dosing.
Read the detailed description

The main objective of this randomized, double-blind, placebo-controlled trial is to assess the safety and tolerability of drug ZP6590 as single ascending doses and multiple ascending doses in healthy participants living with normal weight, overweight and obesity.

In addition, the study will investigate the pharmacokinetics of the drug ZP6590.

The trial is divided in two parts:

SAD-Part 1: Participants will be administered a single subcutaneous dose of the drug ZP6590 or placebo and will have an observation period of 4 weeks.

MAD-Part 2: Participants will be administered multiple dosages of the drug ZP6590 or placebo for 6 or 12 weeks followed by an observation period of 6 weeks after last dosing.

After informed consent has been obtained, eligibility of the participants will be assessed during a screening visit.

SAD- and MAD-Part: Eligible participants will be admitted to the site in the morning on Day before dosing and will have ambulatory visits or remain under in-house conditions after dosing.

Safety evaluation for dose escalation:

The safety and exposure assessments of each cohort will take place before dose escalation to the next dose level will start.

02

Conditions studied

  • Healthy Participants Study
  • Overweight and Obese Adults
  • First in Man Study to Evaluate Initial Safety

Browse trials for

Keywords

  • ZP6590
  • Safety and Tolerability
  • GIP-R agonist
  • obesity
03

In context

Obesity Reclassified

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's planned enrollment of 88 is above the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity 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.

Compared within Obesity, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Overweight. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

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

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

SAD-Part:

  • Male participant
  • Age between 18 and 55 years, both inclusive
  • (BMI) between 20.0 and 29.9 kg/m\^2, both inclusive

MAD-Part:

  • Male participant
  • Age between 18 and 60 years, both inclusive
  • Body Mass Index (BMI) between 27.0 and 39.9 kg/m\^2, both inclusive

Exclusion criteria

Exclusion Criteria:

SAD-Part and MAD-Part:

  • Any abnormal haematology, biochemistry, or urinalysis screening tests, as judged by the investigator
  • Treatment for weight management within 3 months before randomization in this trial
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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
88 participants (estimated)

Study arms

  • Active comparator
    Drug: ZP6590, solution for injection

    ZP6590 will be administered as single dose administration and as multiple dose administrations.

    Drug: ZP6590, solution for injection

  • Placebo comparator
    Placebo, solution for injections

    Placebo will be administered as single dose administration and as multiple dose administrations.

    Drug: Placebo, solution for injection

Interventions

  • DrugZP6590, solution for injection

    Participants will receive single or multiple subcutaneous dose administrations of ZP6590.

  • DrugPlacebo, solution for injection

    Participants will receive single or multiple subcutaneous dose administrations of Placebo.

06

What researchers measure

Primary outcomes

  1. Safety and Tolerability

    Incidence of treatment emergent adverse events (TEAEs) from first dose to end of trial

    Time frame: Single ascending Dose (SAD)-Part: From Day 1 to Day 29 (4 weeks) Multiple ascending Dose (MAD)-Part: MAD-cohorts (6-Weeks): From Day 1 to Day 78 MAD-cohort (12-Weeks): Day 1 to Day 120

Secondary outcomes

  1. To investigate the pharmacokinetic properties of ZP6590 following single subcutaneous injection

    Area under the plasma concentration versus time curve from 0 to infinity (AUCinf)

    Time frame: SAD-Part: From Day 1 to Day 29

  2. To investigate the pharmacokinetic properties of ZP6590 following single subcutaneous injection

    Area under the plasma concentration versus time curve from 0 to last (AUClast)

    Time frame: SAD Part: From Day 1 to Day 29

  3. To investigate the pharmacokinetic properties of ZP6590 following single subcutaneous injection

    Peak Plasma Concentration (Cmax)

    Time frame: SAD-Part: From Day 1 to Day 29

  4. To investigate the pharmacokinetic properties of ZP6590 following single subcutaneous injection

    Time to Peak Plasma Concentration (Tmax)

    Time frame: SAD-Part: From Day 1 to Day 29

  5. To investigate the pharmacokinetic properties of ZP6590 following single subcutaneous injection

    Terminal rate constant (λz)

    Time frame: SAD-Part: From Day 1 to Day 29

  6. To investigate the pharmacokinetic properties of ZP6590 following single subcutaneous injection

    Terminal half-life (t½)

    Time frame: SAD-Part: From Day 1 to Day 29

  7. To investigate the pharmacokinetic properties of ZP6590 following single subcutaneous injection

    Apparent volume of distribution during terminal phase (Vz/f)

    Time frame: SAD-Part: From Day 1 to Day 29

  8. To investigate the pharmacokinetic properties of ZP6590 following single subcutaneous injection

    apparent total clearance of ZP6590 from plasma for SAD cohorts (CL/f)

    Time frame: SAD-Part: From Day 1 to Day 29

  9. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Area under the plasma concentration versus time curve from 0 to trough (AUCτ)

    Time frame: MAD-Part: After 1st and 4th doses (6-Weeks and 12-Weeks Cohorts) and after 6th dose (12-Weeks Cohort), dosing interval in hours.

  10. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Peak Plasma Concentration (Cmax)

    Time frame: MAD-Part: After 1st and 4th doses (6-Weeks and 12-Weeks Cohorts) and after 6th dase (12-Weeks Cohort), dosing interval in hours

  11. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Time to Peak Plasma Concentration (Tmax)

    Time frame: MAD-Part: After 1st and 4th doses (6-Weeks and 12-Weeks Cohorts) and after 6th dase (12-Weeks Cohort), dosing interval in hours

  12. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Trough concentration measured predose for MAD cohorts (Cτ)

    Time frame: MAD-Part: After 2nd, 3rd, 4th, 5th doses (6-Weeks Cohorts and 12-Weeks Cohort) and 6th, 7th, 8th, 9th, 10th, 11th and 12th doses (12-Weeks Cohort)

  13. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Area under the plasma concentration versus time curve from 0 to infinity (AUCinf)

    Time frame: MAD-Part: After 6th (6-Weeks Cohorts) and 12th (12-Weeks-Cohort) doses

  14. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Area under the plasma concentration versus time curve from 0 to last (AUClast)

    Time frame: MAD-Part: After 6th (6-Weeks cohorts) and 12th (12-Weeks-Cohort) doses

  15. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Peak Plasma Concentration (Cmax)

    Time frame: MAD-Part: After 6th (6-Weeks cohorts) and 12th (12-Weeks-Cohort) doses

  16. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Time to Peak Plasma Concentration (Tmax)

    Time frame: MAD-Part: After 6th (6-Weeks cohorts) and 12th (12-Weeks-Cohort) doses

  17. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Terminal rate constant (λz)

    Time frame: MAD-Part: After 6th (6-Weeks cohorts) and 12th (12-Weeks-Cohort) doses

  18. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Terminal half-life (t½)

    Time frame: MAD-Part: After 6th (6-Weeks cohorts) and 12th (12-Weeks-Cohort) doses

  19. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Apparent volume of distribution during terminal phase (Vz/f)

    Time frame: MAD-Part: After 6th (6-Weeks cohorts) and 12th (12-Weeks-Cohort) doses

  20. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Apparent total clearance of ZP6590 from plasma at steady state (SS) for MAD-cohorts (CLss/f)

    Time frame: MAD-Part: After 6th (6-Weeks cohorts) and 12th (12-Weeks-Cohort) doses

  21. To investigate the pharmacokinetic properties of ZP6590 following multiple subcutaneous injections

    Mean residence time of plasma ZP6590 concentration at steady state (SS) for MAD cohorts (MRTss)

    Time frame: MAD-Part: After 6th (6-Weeks cohorts) and 12th (12-Weeks-Cohort) doses

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

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 Jul 2026 (actual). Primary completion is estimated for Sep 2027, 13 months after the start.

Of 334 industry-sponsored phase 1 interventional studies under Obesity, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 15. This study's planned 13 months is above that.

Counting every sponsor, half of 439 studies reached it within 11 months; a quarter within 6 and three quarters within 24.

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

Registered
Jul 16, 2026
First posted
Jul 23, 2026
StartActual
Jul 9, 2026
Primary completionEst.
Sep 6, 2027
CompletionEst.
Sep 6, 2027
Last update
Aug 13, 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 Aug 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07721597
Lead sponsor
Zealand Pharma
Responsible party
Sponsor
First posted
Jul 23, 2026
Start date
Jul 9, 2026
Primary completion
Sep 6, 2027 (estimated)
Completion
Sep 6, 2027 (estimated)
Last update
Aug 13, 2026

Study contacts

Regulatory Affairs Department Regulatory Affairs Department, MDRA
Contact
clinicaltrialservices@profil.com
+49213140180
Regulatory Affairs Department Regulatory Affairs Department
Contact
clinicaltrialservices@profil.com
+49213140180
Ulrike Hövelmann
principal investigator · Profil Institut für Stoffwechselforschung GmbH

Oversight

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

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