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Ersodetug

Phase 3

Congenital Hyperinsulinism | Small molecule | Endocrine |Rezolute, Inc.|Trials Updated: Sep 28, 2026

Ersodetug development status

Highest phase Phase 3
Registered trials 1 across 1 sponsor since Mar 2025

Ersodetug target and mechanism

Molecular targetinsulin receptor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment72

FDA Designations

BREAKTHROUGH_THERAPYORPHAN_DRUG

Ersodetug clinical trials

Ersodetug · 2 trials · 2 indications

Phase 3 2
NCT06881992A Phase 3 Study of Ersodetug in Patients With Tumor HyperinsulinismTumor Hyperinsulinism (Tumor HI)
RECRUITING16 Analytics
NCT06208215RZ358 Treatment for Congenital HyperinsulinismCongenital Hyperinsulinism
ACTIVE NOT_RECRUITING56 Analytics
PHASE3RECRUITING
A Phase 3 Study of Ersodetug in Patients With Tumor Hyperinsulinism
Tumor Hyperinsulinism (Tumor HI)Unlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
RZ358 Treatment for Congenital Hyperinsulinism
Congenital HyperinsulinismUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of participants with clinically meaningful reduction in IV glucose infusion rate from baseline.
8 weeks
Glycemic efficacy: Target glucose control
24 weeks

Change in average weekly hypoglycemia events from baseline by point-of-care Self-Monitoring Blood Glucose (SMBG)

Secondary Endpoints

Change from baseline in average daily IV glucose/dextrose infusion rate (GIR).
8 weeks
Change from baseline in average daily total IV glucose delivery (g)
8 weeks
Time to complete weaning off IV glucose administration after initiating ersodetug.
8 weeks
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Participants with a diagnosis of Tumor HI (insulin- or IGF-producing tumors)OTHER -
SoC (Standard-of-Care) + RZ358 (5 mg/kg) or PlaceboPLACEBO_COMPARATORParticipants ≥1 year old who receive SOC therapy and 5 mg/kg of RZ358 or placebo
SoC + RZ358 (10 mg/kg) or PlaceboPLACEBO_COMPARATORParticipants ≥1 year old who receive SOC therapy and 10 mg/kg of RZ358 or placebo
Open Label Arm, SoC + RZ358 (start 5mg/kg and increase to 10 mg/kg per protocol scheduleEXPERIMENTALInfant participants from ≥3 months to \<1 year old who receive SOC therapy + RZ358 starting at 5 mg/kg and increasing to 10 mg/kg of RZ358, as needed, per the protocol schedule

Interventions

NameTypeDescription
ErsodetugDRUGErsodetug (9 mg/kg) + SOC
RZ358 (5 mg/kg) + SOC (Standard-of-Care) or Placebo + SOCDRUGParticipants ≥1 year old who receive SOC therapy and 5 mg/kg of RZ358 or placebo
RZ358 (10 mg/kg) or Placebo + SOCDRUGParticipants ≥1 year old who receive SOC therapy and 10 mg/kg of RZ358 or placebo
RZ358 (5-10 mg/kg) + SOCDRUGInfant participants from ≥3 months to \<1 year old who receive SOC therapy + RZ358 starting at 5 mg/kg and increasing to 10 mg/kg of RZ358, as needed, per the protocol schedule
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria: * The eligibility criteria of all participants must be evaluated by a multidisciplinary team led by the PI, which must include an oncologist * Male or female participants of ≥18 years of age who provide written informed consent. * Clinical diagnosis of neuroendocrine tumor (NET)...

Countries:United StatesFranceNetherlandsSwitzerlandUnited KingdomBulgariaDenmarkGeorgiaGermanyGreeceOmanQatarSpainTurkey (Türkiye)Vietnam
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Recent Changes (Last 90 Days)

LOWSep 28, 2026NCT06881992lastUpdatePostDate: changed
LOWSep 28, 2026NCT06881992lastUpdatePostDate: changed
LOWAug 17, 2026NCT06881992lastUpdatePostDate: changed
LOWAug 17, 2026NCT06881992lastUpdatePostDate: changed

Frequently asked questions about Ersodetug

What is Ersodetug used for?

Ersodetug is an investigational small molecule being developed for congenital hyperinsulinism and tumor hyperinsulinism (Tumor HI), two conditions marked by excessive insulin release. It is in Phase 3 clinical development and has received FDA Breakthrough Therapy and Orphan Drug designations for these indications.

What does Ersodetug target?

Ersodetug targets the insulin receptor. By acting on this receptor, the small molecule is designed to reduce the excessive insulin signaling that drives the low blood sugar episodes characteristic of congenital hyperinsulinism and tumor hyperinsulinism. It is administered alongside standard-of-care treatment in the ongoing Phase 3 studies.

Who is developing Ersodetug?

Ersodetug is being developed by Rezolute, Inc., which trades under the ticker RZLT. The company is running Phase 3 clinical trials of the drug in congenital hyperinsulinism and tumor hyperinsulinism, and holds FDA Breakthrough Therapy and Orphan Drug designations for the asset.

What phase is Ersodetug in?

Ersodetug is in Phase 3 clinical development. It is investigational and has not been approved by the FDA. Two Phase 3 trials are underway: one in congenital hyperinsulinism that is active but not recruiting, and one in tumor hyperinsulinism that is currently recruiting participants.

What clinical trials is Ersodetug in?

Ersodetug is being studied in two Phase 3 trials. NCT06208215 is a Phase 3 study of RZ358 in congenital hyperinsulinism with 56 participants, now active and not recruiting. NCT06881992 is a Phase 3 study in tumor hyperinsulinism with 16 participants, currently recruiting across the United States, France, Netherlands, Switzerland, and the United Kingdom.

Is Ersodetug the same as RZ358?

Yes, Ersodetug is also known as RZ358. The names appear interchangeably in trial listings, including arms such as RZ358 plus standard-of-care or placebo plus standard-of-care in the Phase 3 congenital hyperinsulinism and tumor hyperinsulinism studies. Ersodetug is the international nonproprietary name for the same investigational compound.