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Ziltivekimab B

Phase 3

Cardiovascular Risk | Small molecule | Immunology |Novo Nordisk A/S|Last Updated: Jul 28, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment6,385

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
COMPLETED6,385 Analytics
PHASE3COMPLETED
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 Sites1071

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)

MEDIUMAug 28, 2026NCT05021835TRIAL_REMOVED: changed
MEDIUMAug 28, 2026NCT05021835TRIAL_REMOVED: changed
MEDIUMAug 28, 2026NCT05021835TRIAL_REMOVED: changed
MEDIUMAug 28, 2026NCT05021835TRIAL_REMOVED: changed
HIGHJul 28, 2026NCT05021835Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHJul 28, 2026NCT05021835Status: ACTIVE_NOT_RECRUITING → COMPLETED

Frequently asked questions about Ziltivekimab B

What is Ziltivekimab B used for?

Ziltivekimab B is an investigational drug being studied for cardiovascular risk in people with cardiovascular disease, chronic kidney disease, and inflammation. It is also being studied in healthy participants to assess blood levels of different formulations. The drug is in Phase 3 clinical development and is not yet approved.

What does Ziltivekimab B target?

Ziltivekimab B is a small molecule being developed for cardiovascular risk. Its specific molecular target is not disclosed in the available information. The drug is being studied in patients with cardiovascular disease, chronic kidney disease, and inflammation to evaluate its effects compared to placebo.

Who makes Ziltivekimab B?

Ziltivekimab B is being developed by Novo Nordisk A/S, a biopharmaceutical company listed on the stock exchange under the ticker NVO. The company is conducting clinical trials to evaluate the drug's safety and efficacy in cardiovascular risk and healthy participants.

What phase is Ziltivekimab B in?

Ziltivekimab B is in Phase 3 clinical development. The drug is investigational and has not been approved by regulatory authorities. It is being studied in a completed Phase 3 trial for cardiovascular risk and a completed Phase 1 trial in healthy participants.

What clinical trials is Ziltivekimab B in?

Ziltivekimab B has been studied in two completed trials. NCT05021835, a Phase 3 study called ZEUS, enrolled 6,385 participants with cardiovascular disease, chronic kidney disease, and inflammation. NCT05721989, a Phase 1 study, enrolled 267 healthy participants to evaluate blood levels of different formulations.

Is Ziltivekimab B the same as Ziltivekimab?

Ziltivekimab B is a formulation of the study medicine ziltivekimab. The Phase 1 trial NCT05721989 investigated blood levels of three different formulations of ziltivekimab, including Ziltivekimab B. The drug is being developed by Novo Nordisk for cardiovascular risk.