Petrelintide (ZP8396) (10mg)
Petrelintide (ZP8396, Zealand Pharma) is a stable, long-acting human amylin analogue in clinical development. It is not an approved medicine. This page summarizes published Phase 1 evidence and laboratory reference calculations for a hypothetical 10 mg vial.
Reviewed by the AllPeptides.eu Editorial Team·Last reviewed: 2026-06-16
Educational information. Not medical advice, and no efficacy claim is implied. Regulatory approval is not a use recommendation by AllPeptides.eu.
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How It Works
Petrelintide is a potent, stable, long-acting human amylin analogue. The molecular-development publication describes optimization of chemical stability while preserving in vitro and in vivo activity, plus formulation at near-neutral pH, a characteristic supporting research into potential coformulation. In the two published Phase 1 trials, its half-life was approximately 10 days and dose proportionality was observed at steady state.
Quick Start
- Laboratory reconstitution reference: 3.0 mL bacteriostatic water → approximately 3.33 mg/mL concentration.
- Published Phase 1 trials: SAD subcutaneous arms of 0.04–2.4 mg and MAD arms of 0.6–9.0 mg, as reported in the publication.
- Concentration calculation: At 3.33 mg/mL, 1 unit = 0.01 mL ≈ 33.3 mcg on a U-100 scale.
- Regulatory status: Investigational compound; not approved by the FDA or EMA.
Phase 1 arms — reference calculations (3 mL = ~3.33 mg/mL)
Route: Subcutaneous, as reported in the clinical studies shown in the table | Frequency: Single dose in SAD; once weekly in MAD
| Week | Dose | Units (per injection) |
|---|---|---|
| SAD — single dose | 0.04–2.4 mg arms | 1.2–72 Units (0.01–0.72 mL) |
| MAD part 1 — 6 weeks | 0.6 mg arm | 18 Units (0.18 mL) |
| MAD part 1 — 6 weeks | 1.2 mg arm | 36 Units (0.36 mL) |
| MAD part 2 — 16 weeks | 2.4 mg study target | 72 Units (0.72 mL) |
| MAD part 2 — 16 weeks | 4.8 mg study target | 2 × 72 Units (0.72 mL) |
| MAD part 2 — 16 weeks | 9.0 mg study target | 3 × 90 Units (0.90 mL) |
The table values are arms reported in the two Phase 1 trials, not a recommendation or dosing plan. Units and mL are exclusively mathematical conversions for the 10 mg / 3.0 mL reference concentration. The separate 0.35 mg intravenous SAD arm is not converted into subcutaneous units.
Reconstitution Steps
- For a laboratory reference calculation, 3.0 mL of bacteriostatic water corresponds to a concentration of approximately 3.33 mg/mL for a 10 mg vial.
- Gentle addition of solvent against the vial wall limits foaming.
- Gentle swirling continues until the lyophilized material is fully dissolved.
- Storage conditions are determined by the research-material protocol, not by approved product labeling.
- Cloudiness or particles are grounds for discarding the research solution.
Protocol Overview
- Compound: Petrelintide (ZP8396), Zealand Pharma's long-acting human amylin analogue.
- Regulatory status: In clinical development; not an approved medicine.
- Phase 1 SAD: Subcutaneous arms of 0.04–2.4 mg and a separate 0.35 mg intravenous arm.
- Phase 1 MAD part 1: Six once-weekly doses in the 0.6 mg and 1.2 mg arms.
- Phase 1 MAD part 2: Sixteen once-weekly doses with escalation every 2 weeks toward the 2.4, 4.8, and 9.0 mg research targets.
- Laboratory reference: 3.0 mL per hypothetical 10 mg vial (~3.33 mg/mL).
Dosing Protocol
- SAD: The publication reports a single subcutaneous dose of 0.04–2.4 mg and a separate 0.35 mg intravenous dose.
- MAD part 1: The publication reports six once-weekly doses of 0.6 mg or 1.2 mg.
- MAD part 2: The publication reports sixteen once-weekly doses, with escalation every 2 weeks toward the 2.4, 4.8, or 9.0 mg research targets.
- Phase 1 outcome: Bodyweight change of up to −8.6% was reported after 16 weeks in MAD part 2.
- Interpretation: These are published outcomes from specific research arms, not instructions for use.
- Break between cycles: A 2–4 week break is recommended before repeating the cycle.
Washout & Cycle Restart
When can I restart?
After completing the cycle, a 2–4 week break is recommended before starting a new cycle. This allows the body to restore normal function and prevents potential downregulation (tachyphylaxis).
Storage Instructions
- There is no approved product labeling with standardized storage conditions for petrelintide.
- The molecular-development publication describes a stable analogue that can be formulated at near-neutral pH.
- Storage and stability conditions depend on the specific research material and laboratory protocol.
Important Notes
- Petrelintide is an investigational compound and is not approved by the FDA or EMA.
- Published human evidence comes from early Phase 1 trials.
- Numerical values on this page exclusively reproduce arms and outcomes from the cited trials.
Potential Benefits & Side Effects
Potential Benefits:
- Phase 1 MAD part 2: Bodyweight change of up to −8.6% after 16 weeks, as reported in the publication.
- Pharmacokinetics: A half-life of approximately 10 days and dose proportionality at steady state in the published trials.
- Molecular development: Stability and formulation at near-neutral pH.
- Research status: Larger and later-phase studies are required before confirmatory conclusions can be drawn.
Potential Side Effects:
- No serious or severe treatment-emergent adverse events were reported in the two Phase 1 trials.
- Nausea in MAD part 2: 16.7–33.3% in the petrelintide arms, versus 16.7% with placebo.
- Most gastrointestinal adverse events were mild.
- One participant discontinued because of gastrointestinal adverse events.
- The available safety evidence remains limited by the size and duration of the published Phase 1 trials.
⚠️ Serious Warnings & Long-Term Risks
The following warnings are based on published literature, FDA labels, and post-marketing surveillance. They do not constitute medical advice. Consult a healthcare professional.
Early safety evidence base
Published human evidence comes from two Phase 1 trials. Gastrointestinal adverse events and one discontinuation due to gastrointestinal events were reported.
📄 Diabetes Obes Metab Phase 1 trialsReferences
- Diabetes, Obesity and Metabolism (2026) — Two randomized, controlled Phase 1 trials of petrelintide
View Source - Journal of Medicinal Chemistry (2025) — Molecular development of stable, long-acting petrelintide
View Source - ClinicalTrials.gov — Renal impairment — NCT07076030
View Source - ClinicalTrials.gov — Hepatic impairment — NCT07682818
View Source - ClinicalTrials.gov — Phase 2 with enicepatide — NCT07589686
View Source
External Sources & Regulatory Status
Regulatory Approvals
Research-only — not approved
Research-only — not approved
Research-only — clinical development ongoing, not approved
Educational information. Not medical advice, and no efficacy claim is implied. Regulatory approval is not a use recommendation by AllPeptides.eu.
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