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    Petrelintide (ZP8396) (10mg)

    Subcutaneous, as reported in the clinical studies shown in the tableSingle dose in SAD; once weekly in MAD10mg

    Reviewed by the AllPeptides.eu Editorial Team·Last reviewed: 2026-06-16

    🇺🇸 Phase II
    🇪🇺 Phase II

    Educational information. Not medical advice, and no efficacy claim is implied. Regulatory approval is not a use recommendation by AllPeptides.eu.

    Research-only — no FDA/EMA approval
    Educational information. Not medical advice or a recommendation for use.

    ⚠️ For informational/educational purposes only. Not medical advice. We do not sell any products. Self-treatment carries serious risks — consult a healthcare professional. Disclaimer

    Free Access

    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.
    Detailed Protocol Data

    Phase 1 arms — reference calculations (3 mL = ~3.33 mg/mL)

    Educational only
    Vial Size— affects syringe units
    BAC Water3 mL
    Concentration3.33 mg/mL

    Route: Subcutaneous, as reported in the clinical studies shown in the table | Frequency: Single dose in SAD; once weekly in MAD

    WeekDoseUnits (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

    1. 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.
    2. Gentle addition of solvent against the vial wall limits foaming.
    3. Gentle swirling continues until the lyophilized material is fully dissolved.
    4. Storage conditions are determined by the research-material protocol, not by approved product labeling.
    5. 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.
    Clinical Analysis & Safety

    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.

    ⚠️ Other
    🟡 Moderate / Theoretical

    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 trials

    References

    1. Diabetes, Obesity and Metabolism (2026) — Two randomized, controlled Phase 1 trials of petrelintide
      View Source
    2. Journal of Medicinal Chemistry (2025) — Molecular development of stable, long-acting petrelintide
      View Source
    3. ClinicalTrials.gov — Renal impairment — NCT07076030
      View Source
    4. ClinicalTrials.gov — Hepatic impairment — NCT07682818
      View Source
    5. ClinicalTrials.gov — Phase 2 with enicepatide — NCT07589686
      View Source
    Research Sources & Verified Data
    …
    Clinical Trials
    …
    PubMed Studies
    Research-only
    FDA Status
    0
    Regulatory Approvals
    Verified across ClinicalTrials.gov, PubMed & FDA

    External Sources & Regulatory Status

    Regulatory Approvals

    🇺🇸
    FDA
    Phase II

    Research-only — not approved

    🇪🇺
    EMA
    Phase II

    Research-only — not approved

    Research-only — clinical development ongoing, not approved

    No official regulatory source available yet — research peptide.

    Educational information. Not medical advice, and no efficacy claim is implied. Regulatory approval is not a use recommendation by AllPeptides.eu.

    Summary:
    0 Approvals
    0 PubMed
    0 Clinical Studies

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