Efficacy And Safety Evaluation of Glepaglutide in Treatment of SBS
Zealand Pharman = 9011 Feb 2026 to est. 28 Feb 2032
Short Bowel Syndrome
PepBank has 13 glepaglutide studies with results. All of them gave glepaglutide, with 86 results, grouped by what the studies measured. In each group, results from studies in people come first. Data as of 2026-10-30.
Searches 86 results and 28 papers. Newer studies from Europe PMC
Identifiers, parent molecule, targets and development stage, from curated data.
Glepaglutide is a 39-residue GLP-2 analog with a C-terminal lysine extension. It differs from apraglutide and teduglutide. Its development concerns reduced dependence on parenteral support.
| Target | Action | Evidence |
|---|---|---|
| GLP2RGLP2RO95838 (opens in a new tab) | Agonist | Primary receptor pharmacology and KEGG target annotation.Source (opens in a new tab) |
| GLP1RGLP1RP43220 (opens in a new tab) | Agonist | The primary study identifies glepaglutide as a GLP2R/GLP1R dual agonist.Source (opens in a new tab) |
Residues, differences from the parent, calculated properties and 3D structure. Source values and calculated values are shown separately.
39 amino acids · 1 modification
No sequence is listed for the parent, so no alignment is shown.UniProt P01275 places mature human GLP-2 at precursor residues 146-178. Substitution positions use mature GLP-2 numbering. Glepaglutide adds six C-terminal lysines and a terminal amide. FDA SRS and the medicinal chemistry paper establish these changes.
@pepdb/chem 0.2.0 · EMBOSS pKa set · ExPASy residue masses
pI 10.67 · Net charge at pH 7.4: 4.05
Point or use arrow keys
Henderson-Hasselbalch, EMBOSS pKa set, C-amide. Calculated, not measured.
| pH | Net charge |
|---|---|
| 0 | 10.00 |
| 1 | 9.99 |
| 2 | 9.95 |
| 3 | 9.52 |
| 4 | 7.44 |
| 5 | 5.41 |
| 6 | 4.81 |
| 7 | 4.22 |
| 8 | 3.82 |
| 9 | 3.18 |
| 10 | 2.08 |
| 11 | −1.32 |
| 12 | −3.82 |
| 13 | −4.72 |
| 14 | −4.96 |
39 residues. Each residue counts in one class; F and W count as aromatic.
Loads the 3D viewer (3Dmol.js, about 150 KB) and the model file from AlphaFold DB (EMBL-EBI).
Glepaglutide has 39 residues. A full-atom drawing is hard to read at this size; the sequence view is the reference.
SMILES fromPubChem CID 146170995(opens in a new tab)
CC[C@H](C)[C@@H](C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CC(=O)O)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCCN)C(=O)N)NC(=O)[C@H](CCCCN)NC(=O)[C@H]([C@@H](C)O)NC(=O)[C@H](C)NC(=O)[C@H]([C@@H](C)CC)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CC1=CNC2=CC=CC=C21)NC(=O)[C@H](C)NC(=O)[C@H]([C@@H](C)CC)NC(=O)[C@H](CC3=CC=CC=C3)NC(=O)[C@H](CC(=O)O)NC(=O)[C@H](CCCN=C(N)N)NC(=O)[C@H](C)NC(=O)[C@H](C)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](C)NC(=O)[C@H](CC(=O)O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H]([C@@H](C)CC)NC(=O)[C@H]([C@@H](C)O)NC(=O)[C@H](C)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CO)NC(=O)[C@H](CO)NC(=O)[C@H](CC4=CC=CC=C4)NC(=O)[C@H]([C@@H](C)O)NC(=O)CNC(=O)[C@H](CCC(=O)O)NC(=O)CNC(=O)[C@H](CC5=CNC=N5)NAn ideal alpha-helix projection. It shows where the hydrophobic residues fall if the peptide folds as a helix. It does not show that it does.
Eisenberg consensus (normalized) scale · + K, R · − D, E
Assumes an ideal α-helix: 100° per residue, 3.6 residues per turn. The arrow is the mean hydrophobic moment (Eisenberg et al. 1984) and points at the hydrophobic face.
| Position | Residue | Angle | Eisenberg consensus (normalized) |
|---|---|---|---|
| 1 | H | 0° | -0.40 |
| 2 | G | 100° | 0.48 |
| 3 | E | 200° | -0.74 |
| 4 | G | 300° | 0.48 |
| 5 | T | 40° | -0.05 |
| 6 | F | 140° | 1.19 |
| 7 | S | 240° | -0.18 |
| 8 | S | 340° | -0.18 |
| 9 | E | 80° | -0.74 |
| 10 | L | 180° | 1.06 |
| 11 | A | 280° | 0.62 |
| 12 | T | 20° | -0.05 |
| 13 | I | 120° | 1.38 |
| 14 | L | 220° | 1.06 |
| 15 | D | 320° | -0.90 |
| 16 | A | 60° | 0.62 |
| 17 | L | 160° | 1.06 |
| 18 | A | 260° | 0.62 |
| 19 | A | 0° | 0.62 |
| 20 | R | 100° | -2.53 |
| 21 | D | 200° | -0.90 |
| 22 | F | 300° | 1.19 |
| 23 | I | 40° | 1.38 |
| 24 | A | 140° | 0.62 |
| 25 | W | 240° | 0.81 |
| 26 | L | 340° | 1.06 |
| 27 | I | 80° | 1.38 |
| 28 | A | 180° | 0.62 |
| 29 | T | 280° | -0.05 |
| 30 | K | 20° | -1.50 |
| 31 | I | 120° | 1.38 |
| 32 | T | 220° | -0.05 |
| 33 | D | 320° | -0.90 |
| 34 | K | 60° | -1.50 |
| 35 | K | 160° | -1.50 |
| 36 | K | 260° | -1.50 |
| 37 | K | 0° | -1.50 |
| 38 | K | 100° | -1.50 |
| 39 | K | 200° | -1.50 |
People first in each area, then animals, then lab cells. Counts are exact and come from studies that gave the peptide.
PepBank reads each paper before it shows the results. This search looks in Europe PMC for newer papers that PepBank has not read yet.
Counts are exact and come from studies that gave the peptide.
Studies by year
13 of 28 studies have results (46%), published 2019 to 2026. Top row: every study. Bottom row: studies with results about Glepaglutide, by class. The rows use different scales.
Studies28 in all, 2019 to 2026
Studies with results13 in all, 2019 to 2026
Retracted studies are left out. A study with results in two classes counts in both.
AI wrote and checked these results. AI can make mistakes, so check important results against the source.
Registered trials that test the peptide, with phase, status and dates. A dot marks trials with posted results.
11 trials match. Highest phase first. Data from ClinicalTrials.gov.
11 trials · 2 ongoing · 9 completed · 2 with posted results
Healthy Normal Single Ascending Dose and Crohn's Patient Multiple Ascending Dose
NCT00868660Jan 2009 to Feb 2010
Trial to Evaluate the PK Profile of Glepaglutide (ZP1848) After a Single IV and After Multiple SC Injections in Healthy Subjects
NCT032793024 Sept 2017 to 18 Dec 2017
Pharmacokinetic Profile of Glepaglutide After a Single Injection in Subjects With Varying Degrees of Renal Function
NCT0417844710 Dec 2019 to 14 Jul 2020
A Bridging Trial to Compare the PK Profile When Glepaglutide is Administered Via Vial/Syringe Versus Autoinjector.
NCT043187434 Mar 2020 to 10 Jun 2021
11 trials · 2 ongoing · 9 completed · 2 with posted results · source ClinicalTrials.gov (opens in a new tab)
Zealand Pharman = 9011 Feb 2026 to est. 28 Feb 2032
Short Bowel Syndrome
Zealand Pharman = 1507 May 2019 to 30 Apr 2026
Short Bowel Syndrome
Zealand Pharman = 8416 Jun 2021 to 30 Apr 2026
Short Bowel Syndrome
Zealand Pharman = 2811 Dec 2025 to est. 31 Dec 2028
Short Bowel Syndrome (SBS)
Zealand Pharman = 1064 Oct 2018 to 26 Jul 2022
Short Bowel Syndrome
Zealand Pharman = 1210 Aug 2021 to 5 Sept 2023
Short Bowel Syndrome
Zealand Pharman = 18Feb 2016 to May 2017
Short Bowel Syndrome
Zealand Pharman = 854 Mar 2020 to 10 Jun 2021
Healthy
Zealand Pharman = 1610 Dec 2019 to 14 Jul 2020
Renal Impairment
Zealand Pharman = 754 Sept 2017 to 18 Dec 2017
Healthy Subjects
Zealand Pharman = 66Jan 2009 to Feb 2010
Inflammatory Bowel Disease
Studies on this peptide. Some have results. The others have none yet.
28 studies match. Retracted studies are left out.
Showing 22 of 28 studiesquery qry_6213203cb8e4ef1ac3c2ad9a
13 studies in all, 12 on this page
Randomized controlled trial · 2019
Naimi et al. 2019The lancet. Gastroenterology & hepatologyn = 18cited by 60
PMID 30880176DOI 10.1016/s2468-1253(19)30077-9PUB-30880176
Randomized controlled trial · 2020
Hvistendahl et al. 2020JPEN. Journal of parenteral and enteral nutritionn = 9cited by 38
PMID 32022286DOI 10.1002/jpen.1767PUB-32022286
Randomized controlled trial · 2019
Naimi et al. 2019EBioMedicinen = 18cited by 25
PMID 31326433PMC6710908DOI 10.1016/j.ebiom.2019.07.016PUB-31326433
Randomized controlled trial · 2023
Naimi et al. 2023JPEN. Journal of parenteral and enteral nutritioncited by 21
PMID 35511704PMC10084040DOI 10.1002/jpen.2389PUB-35511704
Randomized controlled trial · 2022
Hvistendahl et al. 2022JPEN. Journal of parenteral and enteral nutritioncited by 14
PMID 34287979DOI 10.1002/jpen.2224PUB-34287979
Randomized controlled trial · 2022
Agersnap et al. 2022Clinical drug investigationn = 15cited by 12
PMID 36323988PMC9705454DOI 10.1007/s40261-022-01210-1PUB-36323988
Animal study (in vivo) · wistar rats · 2023
Skarbaliene et al. 2023BMC gastroenterologycited by 11
PMID 36944922PMC10029296DOI 10.1186/s12876-023-02716-4PUB-36944922
Animal study (in vivo) · wistar rats and beagle dogs · 2022
Glerup et al. 2022Physiological researchcited by 5
PMID 35344672PMC9150555DOI 10.33549/physiolres.934839PUB-35344672
Non-randomized trial · 2025
Pinar et al. 2025Clinical nutrition ESPENn = 10cited by 3
PMID 40774623DOI 10.1016/j.clnesp.2025.08.006PUB-40774623
Animal study (in vivo) · 2025
Zhang et al. 2025Advanced healthcare materialscited by 2
PMID 39905897PMC11912111DOI 10.1002/adhm.202403497PUB-39905897
Non-randomized trial · 2026
Pinar et al. 2026Clinical nutrition ESPENn = 10
PMID 41759957DOI 10.1016/j.clnesp.2026.102989PUB-41759957
Randomized controlled trial · 2026
Mercer et al. 2026Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutritionn = 30
PMID 41816796PMC13419254DOI 10.1002/ncp.70109PUB-41816796
11 studies in all, 10 on this page
PubMed tag: Review · 2022
Kounatidis et al. 2022Current nutrition reportscited by 22
PMID 35933503DOI 10.1007/s13668-022-00433-0PUB-35933503
PubMed tag: Randomized Controlled Trial, Clinical Trial, Phase III · 2025
Jeppesen et al. 2025Gastroenterologycited by 22
PMID 39708985DOI 10.1053/j.gastro.2024.11.023PUB-39708985
PubMed tag: Network Meta-Analysis, Systematic Review · 2024
Sabra et al. 2024Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tractcited by 13
PMID 38663565DOI 10.1016/j.gassur.2024.04.009PUB-38663565
PubMed tag: review-article, Review · 2022
Zhu et al. 2022The Journal of international medical researchcited by 12
PMID 35343263PMC8966062DOI 10.1177/03000605221086145PUB-35343263
PubMed tag: none · 2023
Agersnap et al. 2023Clinical pharmacokineticscited by 6
PMID 36811175PMC10085944DOI 10.1007/s40262-023-01215-9PUB-36811175
PubMed tag: Review · 2024
Pironi et al. 2024Current opinion in clinical nutrition and metabolic carecited by 5
PMID 38963563DOI 10.1097/mco.0000000000001053PUB-38963563
PubMed tag: Meta-Analysis, Systematic Review · 2026
Bastas et al. 2026Clinical nutrition ESPENcited by 1
PMID 41344401DOI 10.1016/j.clnesp.2025.11.132PUB-41344401
PubMed tag: review-article, Review · 2025
Hyder et al. 2025JGH open : an open access journal of gastroenterology and hepatologycited by 1
PMID 41424579PMC12717787DOI 10.1002/jgh3.70327PUB-41424579
PubMed tag: Review · 2026
Gorard et al. 2026Current opinion in gastroenterology
PMID 41866997DOI 10.1097/mog.0000000000001169PUB-41866997
PubMed tag: review-article, Review · 2026
Attieh et al. 2026World journal of gastrointestinal pharmacology and therapeutics
PMID 42273249PMC13248184DOI 10.4292/wjgpt.v17.i2.118861PUB-42273249
These studies name Glepaglutide but give no result for it (for example, the results concern another peptide in the study).
PubMed tag: none · 2020
Hargrove et al. 2020The Journal of pharmacology and experimental therapeuticscited by 51
PMID 32075870DOI 10.1124/jpet.119.262238PUB-32075870
PubMed tag: none · 2023
Gibadullin et al. 2023Journal of the American Chemical Societycited by 10
PMID 37235770PMC10335629DOI 10.1021/jacs.3c01628PUB-37235770
PubMed tag: none · 2025
Larsen et al. 2025Journal of medicinal chemistrycited by 2
PMID 39851172DOI 10.1021/acs.jmedchem.4c02361PUB-39851172
Page 1 of 1
Naimi RM · The lancet. Gastroenterology & hepatology · 2019
Randomized controlled trial · 22 results
Naimi RM · EBioMedicine · 2019
Randomized controlled trial · 9 results
Foerster RH · Clinical nutrition ESPEN · 2026
Randomized controlled trial · 4 results
Mercer DF · Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
Randomized controlled trial · 2 results
Agersnap MA · Clinical drug investigation · 2022
Randomized controlled trial · 7 results
Hvistendahl MK · JPEN. Journal of parenteral and enteral nutrition · 2020
Randomized controlled trial · 6 results
Naimi RM · JPEN. Journal of parenteral and enteral nutrition · 2023
Randomized controlled trial · 7 results
Hvistendahl MK · JPEN. Journal of parenteral and enteral nutrition · 2022
Randomized controlled trial · 4 results
Pinar I · Clinical nutrition ESPEN · 2025
Non-randomized trial · 8 results
Pinar I · Clinical nutrition ESPEN · 2026
Non-randomized trial · 2 results
Skarbaliene J · BMC gastroenterology · 2023
Animal study (in vivo) · wistar rats · 5 results
Glerup P · Physiological research · 2022
Animal study (in vivo) · wistar rats and beagle dogs · 6 results
Zhang W · Advanced healthcare materials · 2025
Animal study (in vivo) · 4 results
Approval and sport status, and the safety outcomes reported in study results. Laws and labels change, so check the regulator for the current status.
| Jurisdiction | Body | Status | As of | Source |
|---|---|---|---|---|
| US | FDA | FDA issued a complete response letter on 19 December 2024. The current sponsor page states that FDA has not approved glepaglutide. An openFDA Drugs@FDA ingredient query returned no matching record. | 27 Oct 2026 | globenewswire.com (opens in a new tab) |
| EU | EMA | CHMP adopted a positive opinion for Zeydovio on 17 September 2026. The EMA page reports an opinion, not a European Commission marketing authorisation. No national approval was established. | 27 Oct 2026 | ema.europa.eu (opens in a new tab) |
| Sport | WADA | Banned in sport (WADA S0) S0 assessment follows the 2026 rule for non-approved pharmacological substances and the sponsor statement of no health-authority approval. | 2026 List | wada-ama.org (opens in a new tab) |
21 safety results for Glepaglutide.
In adults with short bowel syndrome, treatment-related stoma complications occurred in 13 patients (72%) receiving glepaglutide.
Randomized controlled trialn = 18
In adults with short bowel syndrome, treatment-related injection site reactions occurred in 11 patients (61%) receiving glepaglutide.
Randomized controlled trialn = 18
In adults with short bowel syndrome, treatment-related peripheral oedema occurred in ten patients (56%) receiving glepaglutide.
Randomized controlled trialn = 18
In adults with short bowel syndrome, treatment-related nausea occurred in eight patients (44%) receiving glepaglutide.
Randomized controlled trialn = 18
In adults with short bowel syndrome, treatment-related abdominal pain occurred in eight patients (44%) receiving glepaglutide.
Randomized controlled trialn = 18
In adults with short bowel syndrome, treatment-related polyuria occurred in six patients (33%) receiving glepaglutide.
Randomized controlled trialn = 18
In adults with short bowel syndrome, treatment-related fatigue occurred in six patients (33%) receiving glepaglutide.
Randomized controlled trialn = 18
In adults with short bowel syndrome, treatment-related abdominal distention occurred in five patients (28%) receiving glepaglutide.
Randomized controlled trialn = 18
The doses that these studies used. They are not recommendations.
1 mg dailyHuman
10 mg dailyHuman
0·1 mg dailyHuman
10 mgHuman
1 mgHuman
10 mg once or twice weeklyHuman
6 of 19 shown
PepBank is a research reference. Talk to a doctor before you use any peptide.
Data version, change history and code for this peptide.
curl -s https:// pepbank.io/ v1/ briefs/ glepaglutideEvidence summary for Glepaglutide: counts by class, key results with sources, notices, data version.
In PepBank now:147 peptides, 6 blends and 13 other compounds97,577 study results from 17,383 studies8,473 clinical trialsUpdated
Top outcomes
The 8 outcome groups with the most study results, by evidence class.
Data version 308560. Bar length is the number of results, not the size of an effect.
Evidence matrix
Study results by outcome and evidence class. Arrows show how the measured outcome moved, not whether the change is good.
| Outcome group | Human | Animal | Lab | Computer model | Total |
|---|---|---|---|---|---|
| Adverse eventsWhole body | Human: 13 results from 3 studies: 13 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 13 |
| Intestinal growth and absorptionGastrointestinal | Human: 12 results from 4 studies: 9 increase, 2 decrease, 1 no significant change. Strongest design: Randomized controlled trial | Animal: 9 results from 2 studies: 6 increase, 1 decrease, 2 not reported. Strongest design: Animal study (in vivo) | No results | No results | 21 |
| Liver fat and liver functionLiver | Human: 12 results from 2 studies: 4 increase, 3 decrease, 5 no significant change. Strongest design: Randomized controlled trial | No results | No results | No results | 12 |
| Gastrointestinal adverse eventsGastrointestinal | Human: 6 results from 1 study: 6 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 6 |
| Gastrointestinal motilityGastrointestinal | Human: 6 results from 1 study: 4 increase, 2 no significant change. Strongest design: Randomized controlled trial | No results | No results | No results | 6 |
| Intensive care and hospital outcomesGastrointestinal | Human: 6 results from 2 studies: 3 decrease, 3 no significant change. Strongest design: Randomized controlled trial | No results | No results | No results | 6 |
| PharmacokineticsPharmacology | Human: 5 results from 1 study: 5 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 5 |
| Gut microbiotaGastrointestinal | Human: 2 results from 1 study: 2 no significant change. Strongest design: Non-randomized trial | No results | No results | No results | 2 |
| Quality of lifeGastrointestinal | Human: 2 results from 1 study: 2 increase. Strongest design: Randomized controlled trial | No results | No results | No results | 2 |
| Receptor activity and mechanismGastrointestinal | Human: 2 results from 2 studies: 2 no significant change. Strongest design: Randomized controlled trial | No results | No results | No results | 2 |
| Appetite and food intakeMetabolic and weight | Human: 1 result from 1 study: 1 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 1 |
| Body compositionMetabolic and weight | Human: 1 result from 1 study: 1 no significant change. Strongest design: Non-randomized trial | No results | No results | No results | 1 |
12 outcome groups shown of 17 · 86 study results
Data version 308560. Shade grows with the number of results. Every cell shows the exact count.
Trials by phase
11 registered trials, grouped by phase and shown by status.
Source: ClinicalTrials.gov, data version 308560. Status is the registry status.