Current partner codePEPTIDESDE
NCT04964986·Phase 2·INTERVENTIONAL

Metabolic Balance Study of Apraglutide in Patients With Short Bowel Syndrome, Intestinal Failure (SBS-IF) and Colon-in-Continuity (CIC)

Status

Completed

Phase

Phase 2

Enrollment

10

Locations

2

Results

Posted

Publications

2

Study summary

What the protocol is testing.

The primary objective of the trial is to evaluate the safety of apraglutide in adult subjects with SBS-IF and CIC.

Full detailed description

This is an international, multicenter trial to evaluate the safety of apraglutide in adult participants with SBS-IF and CIC. The active pharmaceutical ingredient is apraglutide, an investigational glucagon-like peptide-2 (GLP-2) analogue. The trial consists of an evaluation period of 52 weeks.

Interventions

Treatment arms and agents.

DRUG

Apraglutide

Apraglutide is a synthetic peptide analogue of GLP-2 under development for treatment of SBS-IF, which acts as a full agonist at the GLP-2 receptor with in vitro potency and selectivity comparable with native GLP-2.

Timeline

From registration to results.

  1. First posted

    Jul 16, 2021

  2. Study start

    Jun 14, 2021

  3. Primary completion

    Jun 6, 2023

  4. Study completion

    Jun 6, 2023

  5. Results posted

    Jun 18, 2025

  6. Registry updated

    Jun 18, 2025

Outcomes

What the study measures.

Primary outcomes

Number of Participants Who Experienced a Treatment-Emergent Adverse Event (TEAE)

Time frame · Day 1 up to approximately 55 weeks

A TEAE was any unfavorable and unintended sign, symptom, or disease temporally associated with apraglutide, whether or not related, that occurred or worsened after the dose of apraglutide. A serious TEAE was defined as any TEAE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was an important medical event. Clinically significant changes from baseline in clinical chemistry, hematology, hemostasis, anti-drug antibodies (ADAs), and urine analysis were reported as adverse events. Adverse events of special interest (AESI) included injection site reaction, gastrointestinal obstruction, gallbladder, biliary, and pancreatic disease, fluid overload, colorectal polyps, malignancies.

Absolute Change in Absorption of Energy Over Metabolic Balance (MB) Periods From Baseline at Week 48

Time frame · Baseline and Week 48

Applicable to Protocol V3.0 implemented in France (classed as secondary endpoint in Protocol V4.0 \[implemented in Belgium\]). The absorption was defined as dietary intake minus output from fecal excretion over a 72-hour MB period at a given analysis time point. Since dietary intake and fecal excretion were measured daily, i.e., up to three measurements may contribute to absorption calculations, the average over all available daily absorption measurements over the 72-hour period were used for analysis.

Secondary outcomes

Relative Change From Baseline in Actual Weekly Parenteral Support (PS) Volume at Weeks 4, 24, and 52

Time frame · Baseline, Week 4, Week 24, and Week 52

The sum of daily PS volume (including extra fluids) from weekly PS diary data recorded for the corresponding analysis timepoint was used for analysis.

Absolute Change From Baseline in Actual Weekly PS Volume at Weeks 24 and 52

Time frame · Baseline, Week 24 and Week 52

The sum of daily PS volume (including extra fluids) from weekly PS diary data recorded for the corresponding analysis timepoint was used for analysis.

Number of Participants Who Achieved a Reduction of at Least 1 Day Per Week of PS From Baseline at Weeks 24 and 52

Time frame · Baseline, Week 24 and Week 52

Participants were considered to have a reduction of at least one day per week of PS from Baseline (incl. extra fluids) if the number of days with PS from weekly PS diary data recorded for the corresponding analysis timepoint was smaller compared to the number of days with PS from weekly PS diary data for Baseline.

Number of Participants Considered Clinical Responders at Weeks 24 and 52

Time frame · Baseline, Week 24 and 52

Clinical response was defined as a 20% reduction of PS volume from Baseline. The sum of daily PS volume (including extra fluids) from weekly PS diary data recorded for the corresponding analysis timepoint was used for analysis.

Number of Participants Who Achieved Enteral Autonomy at Weeks 24 and 52

Time frame · Weeks 24 and 52

Enteral autonomy was defined as a participant not receiving PS for hydration or parenteral nutrition (PN) for calories. Participants may have still receive minimal fluid to maintain patency of the central line or for specific elemental/micro-nutrient needs (e.g., \<100 mL fluid for administration of magnesium).

Absolute Change in Total Energy in PN From Baseline at Weeks 24 and 52

Time frame · Baseline, Week 24 and Week 52

PN was defined as PS that includes protein, carbohydrate, fat, vitamins, and/or trace elements.

Relative Change in Absorption of Energy Over MB Periods From Baseline at Week 48

Time frame · Baseline and Week 48

The absorption was defined as dietary intake minus output from fecal excretion over a 72-hour MB period at a given analysis time point. Since dietary intake and fecal excretion were measured daily, i.e., up to three measurements may contribute to absorption calculations, the average over all available daily absorption measurements over the 72-hour period were used for analysis.

Absolute Change in Absorption of Macronutrients Over MB Periods From Baseline at Weeks 4 and 48

Time frame · Baseline, Week 4 and Week 48

The absorption was defined as dietary intake minus output from fecal excretion over a 72-hour MB period at a given analysis time point. Since dietary intake and fecal excretion were measured daily, i.e., up to three measurements may contribute to absorption calculations, the average over all available daily absorption measurements over the 72-hour period were used for analysis.

Absolute Change in Urine Volume Over MB Periods From Baseline at Week 4 and Week 48

Time frame · Baseline, Week 4 and Week 48

Based on average daily urine volume data derived as per balance period calculations.

Absolute Change in Absorption of Energy Over MB Periods From Baseline at Week 4

Time frame · Baseline and Week 4

The absorption was defined as dietary intake minus output from fecal excretion over a 72-hour MB period at a given analysis time point. Since dietary intake and fecal excretion were measured daily, i.e., up to three measurements may contribute to absorption calculations, the average over all available daily absorption measurements over the 72-hour period were used for analysis.

Eligibility

Who can take part.

Minimum age
18 Years
Maximum age
Not reported
Sex
ALL
Healthy volunteers
No

Inclusion Criteria: * Signed informed consent for this trial prior to any trial specific assessment. * Male and female subjects with SBS-IF and CIC, receiving parenteral support (PS), secondary to surgical resection of the small intestine with \< 200 cm from duodenojejunal flexure. * Subject must require parenteral support (PS) at least 2 days per week and be considered stable. * No restorative surgery intended to change PS requirements in the trial period. * Age ≥ 18 years at screening. Exclusion Criteria: * Pregnancy or lactation. * Body mass index equal or higher than 30 kg/m\^2 at the time of screening. * Major abdominal surgery in the last 6 months prior to screening.

Study locations

2 registered sites.

Belgium · France. Showing up to 24 locations stored in the fast local snapshot.

UZ Leuven

Leuven, Belgium

Beaujon Hospital

Clichy, France

Related trials

More studies on Apraglutide.

Related PeptideStat pages

Put the record in context.

Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.