Promising new treatment for rare sugar disorder moves to final testing phase
NCT ID NCT06208215
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests an investigational drug called RZ358 for people with congenital hyperinsulinism, a rare condition causing dangerously low blood sugar. The trial involves 56 participants aged 3 months to 45 years who still have low blood sugar despite standard treatments. Over 24 weeks, half will receive RZ358 plus standard care, and half will receive a placebo plus standard care, to see if the drug reduces low blood sugar events safely.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 56 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2024
- Expected to finish
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Nov 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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3 months to 45 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: At screening, aged ≥ 3 months and ≤ 45 years old. An established clinical diagnosis of congenital HI (hyperinsulinism), with or without identification of a known monogenic variant by genetic testing. Participant has failed to achieve adequate glycemic control with appropriate and reasonable trials of locally accepted and available Standard of Care (SOC) medical therapies (e.g., diazoxide and somatostatin analogs (SSAs)) per the judgment of the investigator. Experiencing ≥ 3 hypoglycemia events per week by screening Self-Monitoring Blood Glucose (SMBG) and average daily percent time with hypoglycemia of ≥ 8% of the monitored screening Continuous Glucose Monitor (CGM) time. Exclusion Criteria: Alanine aminotransaminase (ALT), aspartate aminotransaminase (AST), total bilirubin (TB), alkaline phosphatase (ALP), and gamma-glutamyl transferase (GGT) ≥ 1.5 × the upper limit of normal for the age-specific reference range, regardless of assessed significance. Body mass index (BMI) ≥ 35 kg/m2 for participants aged 18 years and above, or BMI ≥ 99% (percentile) per Centers for Disease Control and Prevention growth charts for participants \> 12 and \< 18 years of age (no BMI exclusion for participants ≤ 12 years of age). A known clinical diagnosis of diabetes or pre-diabetes, or a history of insulin dependency within 3 months of screening. Average daily percent time with hyperglycemia ≥ 5% of the monitored screening continuous glucose monitoring (CGM) time. Known allergy or sensitivity to RZ358 or any component of the drug.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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Cook Children's Medical Center
Fort Worth, Texas, 76104, United States
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Rezolute Investigative Site, Al Rayyan, Qatar
Al Rayyan, Qatar
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Rezolute Investigative Site, Ankara, Turkey
Ankara, 06800, Turkey (Türkiye)
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Rezolute Investigative Site, Athens, Greece
Athens, 115 27, Greece
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Rezolute Investigative Site, Barcelona, Spain
Barcelona, 08035, Spain
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Rezolute Investigative Site, Berlin, Germany
Berlin, 13353, Germany
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Rezolute Investigative Site, Bron, France
Bron, 69677, France
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Rezolute Investigative Site, Dusseldorf, Germany
Düsseldorf, 40225, Germany
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Rezolute Investigative Site, Hà Nội, Vietnam
Hà Nội, 100000, Vietnam
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Rezolute Investigative Site, London, United Kingdom
London, WC1N 3JH, United Kingdom
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Rezolute Investigative Site, Manchester, United Kingdom
Manchester, M13 9WL, United Kingdom
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Rezolute Investigative Site, Odense, Denmark
Odense, 5000, Denmark
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Rezolute Investigative Site, Paris, France
Paris, 75015, France
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Rezolute Investigative Site, Seeb, Oman
Seeb, 123, Oman
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Rezolute Investigative Site, Sevilla, Spain
Seville, 41013, Spain
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Rezolute Investigative Site, Tbilisi, Georgia
Tbilisi, 0159, Georgia
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Rezolute Investigative Site, Varna, Bulgaria
Varna, 9010, Bulgaria
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