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Ziltivekimab B

Phase 3

Cardiovascular Risk | Small molecule | Immunology |Novo Nordisk A/S|Last Updated: Apr 13, 2026

Success Probability
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment6,200
FDA Designations
No designations recorded
Clinical trial landscape

Ziltivekimab B · 2 trials · 4 indications

Phase 3 1Phase 1 1
NCT05021835ZEUS - A Research Study to Look at How Ziltivekimab Works Compared to Placebo in People With Cardiovascular Disease, Chronic Kidney Disease and InflammationCardiovascular Risk
ACTIVE NOT_RECRUITING6,200 Analytics
PHASE3ACTIVE NOT_RECRUITING
ZEUS - A Research Study to Look at How Ziltivekimab Works Compared to Placebo in People With Cardiovascular Disease, Chronic Kidney Disease and Inflammation
Cardiovascular RiskUnlock trial analytics
Study Endpoints
Primary Endpoints
Time to first occurrence of 3-point Major Adverse Cardiovascular Event (MACE), a composite endpoint consisting of: Cardiovascular (CV) death, non-fatal Myocardial Infarction (MI) and non-fatal stroke
From randomisation (month 0) to end-of-study (up to 48 months)

Months

AUC0-inf, zilti, SD: Area under the ziltivekimab serum concentration-time curve from 0 hours and extrapolated to infinity after a single dose
From day 1 (pre-dose) to day 183 after a single dose

Measured in day\*microgram per milliliter (day\*μg/mL).

Secondary Endpoints
Time to first occurrence of expanded MACE, a composite endpoint consisting of: CV death, non-fatal MI, non-fatal stroke and hospitalisation for unstable angina pectoris requiring urgent coronary revascularisation
From randomisation (month 0) to end-of-study (up to 48 months)
Number of heart failure hospitalisations or urgent heart failure visits or CV deaths
From randomisation (month 0) to end-of-study (up to 48 months)
Time to first occurrence of a composite kidney endpoint consisting of: CV death, onset of persistent atleast 40 percent (%) reduction in eGFR (CKD-epidemiology collaboration [CKD-EPI]) compared with baseline, kidney failure
From randomisation (month 0) to end-of-study (up to 48 months)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ZiltivekimabEXPERIMENTALParticipants will receive Ziltivekimab B or Ziltivekimab C subcutaneously once monthly for up to 4 years.
PlaceboPLACEBO_COMPARATORParticipants will receive either placebo (Ziltivekimab B) or placebo (Ziltivekimab C) subcutaneously once monthly for up to 4 years.
Ziltivekimab B (manual syringe)EXPERIMENTALParticipants will receive a single subcutaneous (s.c.) injection of 15 milligram (mg) ziltivekimab B (15 milligrams per milliliter \[mg/mL\]) by single-use pre-filled manual syringe on Day 1.
Ziltivekimab D (manual syringe)EXPERIMENTALParticipants will receive a single s.c. injection of 15 mg ziltivekimab D (15 mg/mL) by single-use pre-filled manual syringe on Day 1.
Ziltivekimab C (pen-injector)EXPERIMENTALParticipants will receive a single s.c. injection of 15 mg ziltivekimab C (30 mg/mL) by single-use pre-filled syringe assembled into a shield-activated pen-injector on Day 1.
Interventions
NameTypeDescription
Ziltivekimab BDRUGAdministered subcutaneously (s.c., under skin) once-monthly added to standard of care.
Ziltivekimab CDRUGAdministered subcutaneously (s.c., under skin) once-monthly added to standard of care.
Placebo (Ziltivekimab B)DRUGAdministered subcutaneously (s.c., under skin) once-monthly added to standard of care.
Placebo (Ziltivekimab C)DRUGAdministered subcutaneously (s.c., under skin) once-monthly added to standard of care.
Ziltivekimab DDRUGParticipants will receive a single s.c. injection of 15 mg ziltivekimab D (15 mg/mL) by single-use pre-filled manual syringe on Day 1.
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1065

Inclusion Criteria: * Chronic kidney disease defined by one of the below: 1. Estimated glomerular filtration rate (eGFR) greater than or equal to (\>=) 15 and below 60 mL/min/1.73 m\^2 (using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation) 2. Urinary albumi...

Countries:United StatesArgentinaAustraliaBelgiumBrazilBulgariaCanadaChinaCroatiaCzechiaDenmarkGermanyGreeceHungaryIndiaIsraelItalyJapanLatviaLithuaniaMalaysiaMexicoNetherlandsPolandPortugalRomaniaRussiaSerbiaSlovakiaSouth AfricaSouth KoreaSpainSwedenTaiwanThailandTurkey (Türkiye)UkraineUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05021835primaryCompletionDate: changed
LOWMay 24, 2026NCT05021835studyFirstPostDate: changed