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Gastrointestinal

Short Bowel Syndrome (SBS) Clinical Trials and Treatments

Also called SBS, Short Gut Syndrome

Short Bowel Syndrome results from loss of sufficient small intestinal length or function, typically defined as less than 150-200cm of functioning small bowel (normal is 300-600cm). The loss of absorptive surface area leads to malabsorption of water, electrolytes, nutrients, and medications.

In plain words, short bowel syndrome happens when a large part of the small intestine is missing, either from surgery or from birth. The shorter gut cannot absorb enough nutrients from food, which leads to diarrhea, weight loss and poor nutrition.

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Short Bowel Syndrome

Where treatments stand, from ClinicalTrials.gov and FDA labels

Also 11 studies with no phase, like observational studies, and 1 phase 4 study following medicines after approval.

FDA review0

No decision pending. FDA calendar

FDA-approved medicines1

Gattex

Short Bowel Syndrome has 1 FDA-approved medicine, 17 open or active clinical trials (15 recruiting), and no pending FDA decision.

Labels checked October 21, 2026. Corticosteroids and immune globulins count once each.Download the data

Latest for Short Bowel Syndrome

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More about Short Bowel Syndrome

The severity depends on the length and location of remaining bowel (duodenum and jejunum preferentially absorb certain nutrients and are more crucial than ileum), whether the colon is present (colonic presence improves prognosis), and intestinal adaptation.

Keep reading about Short Bowel Syndrome

After resection, the remaining bowel undergoes adaptive changes over months to years, including increased absorptive capacity per unit length through villous elongation and mucosal thickening. However, adaptation has limits.

Most patients become parenteral nutrition-dependent, with associated complications including central line infections, cholestasis (liver disease), and thrombosis. Quality of life is significantly impacted by dependence on intravenous nutrition, dietary restrictions, and chronic diarrhea. Intestinal bacterial overgrowth frequently complicates Short Bowel Syndrome. Some patients can eventually achieve nutritional independence through dietary modifications, medications (antiperislatics), and supportive measures.

What are the symptoms of Short Bowel Syndrome?

These are common symptoms of Short Bowel Syndrome, and how strong they are varies from person to person.

  • Chronic severe diarrhea
  • Malabsorption with nutrient deficiencies
  • Abdominal pain and cramping
  • Nausea and loss of appetite
  • Steatorrhea (fatty, foul-smelling stools)
  • Weight loss and failure to thrive in children

Who gets Short Bowel Syndrome?

Short Bowel Syndrome results from surgical resection (most commonly due to Crohn's disease, mesenteric ischemia, trauma, or surgical complications) or congenital conditions. It can develop at any age, in both children and adults.

In children, congenital short bowel from small intestinal atresia or gastroschisis is the primary cause. In adults, disease-related resection (Crohn's disease) or vascular events (mesenteric infarction) predominate. Long-term outcomes depend on the length and location of remaining bowel.

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Which medicines are FDA-approved for Short Bowel Syndrome?

There is currently 1 FDA-approved medication for Short Bowel Syndrome.

teduglutide
Takeda Pharmaceuticals America, Inc.
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Source: openFDA drug labeling data. This list may not include all treatments. Always consult your doctor.

How to get help paying for Short Bowel Syndrome treatment

Charity funds and drugmaker programs for Short Bowel Syndrome, checked at the source.

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Charity funds
  • From a charity · NORD RareCare
    Short Bowel Syndrome Medical Assistance fund
    Open

    Pays for: Medical and medication costs.

    The foundation says: “Accepting new applications and re-enrollments for current year”
  • From a charity · NORD RareCare
    Short Bowel Syndrome Premium Copay Assistance fund
    Open

    Pays for: Insurance premiums and copays.

    The foundation says: “Accepting new applications and re-enrollments for current year”
  • From a charity · The Assistance Fund
    Short Bowel Syndrome fund
    Open

    Pays for: Copays, coinsurance, deductibles and other health-related expenses.

  • From a charity · TotalAssist (formerly PAN Foundation)
    Short Bowel Syndrome fund
    Open

    Pays for: Out-of-pocket costs for approved medications, up to $6,000 per year. Requires health insurance (any kind).

Status as each foundation showed it on October 26, 2026.
Drugmaker programs
Open a medicine for who qualifies, by insurance type.

Every program and fund for Short Bowel Syndrome, by insurance →

Side effects people have reported to the FDA

Side effects people have reported to the FDA

Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.

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Diagnosis and genetic testing

How Short Bowel Syndrome is diagnosed

Almost always follows surgical removal of small intestine (necrotizing enterocolitis or birth defects in infants; Crohn's disease, ischemia or trauma in adults).

Trusted Short Bowel Syndrome resources

Reputable organizations and medical references for learning more about Short Bowel Syndrome, including disease registries, foundation resources, and clinical guidelines.

Active clinical trials for Short Bowel Syndrome

Use this Short Bowel Syndrome clinical trial finder to see the 15 studies recruiting patients and 2 not yet recruiting in the United States and worldwide, with eligibility criteria in plain English. Of these, 13 test a treatment and 4 are observational studies or registries; each card says which. Every trial comes from ClinicalTrials.gov.

Jump to the trial list, the site map or the pipeline timeline.

Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

17 active trials worldwide
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RecruitingPatient registry covering many conditionsRecently updatedNCT01793168

Rare Disease Patient Registry & Natural History Study - Coordination of Rare Diseases at Sanford

Sponsor: Sanford Health

The Coordination of Rare Diseases at Sanford (CoRDS) is an international patient registry that serves as a centralized resource for rare disease research. Individuals affected by rare diseases, undiagnosed conditions, and disorders of unknown prevalence may voluntarily contribute...

Ages not specified1 location
Started Jul 2010Updated 2 weeks agoEst. Dec 2100 (~74y 2m)
RecruitingTreatment trialPhase 3Recently updatedNCT07197944

Efficacy And Safety Evaluation of Glepaglutide in Treatment of SBS

Intervention: Glepaglutide, Placebo

Sponsor: Zealand Pharma

The purpose of the present Phase 3 trial is to confirm the efficacy and safety of glepaglutide 10 mg twice weekly in a patient population with SBS-IF and generate additional long-term safety data.

Ages 18 Years to 90 Years
Started Feb 2026Updated 1 month agoEst. Oct 2028 (~1y 11m)
RecruitingTreatment trialUpdated a few months agoNCT05535361

A Feasibility Study to Evaluate Safety and Probable Benefit of the Eclipse XL1 System for Distraction Enterogenesis in Adult and Pediatric Patients With Short Bowel Syndrome

Intervention: Distraction Enterogenesis in Adult Patients with Short Bowel Syndrome

Sponsor: Eclipse Regenesis, Inc.

A Feasibility Study to Evaluate Safety and Probable Benefit of the Eclipse XL1 System for Distraction Enterogenesis in Adult and Pediatric Patients with Short Bowel Syndrome

Ages 3 Months to 65 Years
Started Sep 2023Updated 3 months agoEst. Mar 2028 (~1y 3m)
RecruitingTreatment trialPhase 2Updated a few months agoNCT04775706

Phase 2 Study to Assess the Safety, PK, and PD of Sonefpeglutide (HM15912) in SBS-IF Subjects

Intervention: HM15912 Active, Placebo

Sponsor: Hanmi Pharmaceutical Company Limited

This is a randomized, double-blind, placebo-controlled, proof-of-concept (PoC), Phase 2 study to assess the safety, PK, and PD of SC administration of HM15912(sonefpeglutide) in adult subjects with SBS-associated intestinal failure (SBS-IF).

Ages 18 Years+
Started Mar 2022Updated 3 months agoEst. Dec 2027 (~1y 1m)
RecruitingTreatment trialPhase 3Updated a few months agoNCT07742735

A Study to Investigate the Efficacy and Safety of Apraglutide Compared With Placebo in Adult Participants With Short Bowel Syndrome Associated With Intestinal Failure (SBS-IF)

Intervention: Apraglutide, Placebo

Sponsor: VectivBio AG · PSI CRO

This Phase 3 placebo-controlled study is planned to further investigate the efficacy, safety, and tolerability of apraglutide in the overall SBS-IF (short bowel syndrome associated with intestinal failure) population during 24 weeks of study treatment. It is expected that approxi...

Ages 18 Years+
Expected to start Aug 2026Updated 3 months agoEst. Oct 2028 (~1y 11m)
Find Short Bowel Syndrome trials near you, ranked by distance →
Active trial locations25 cities in the US
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Trial Pipeline

Jan 2021 to Nov 2031
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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
Always talk to your doctor before considering a clinical trial.

Short Bowel Syndrome patient communities

Facebook groups, Reddit communities and YouTube channels where Short Bowel Syndrome patients, caregivers and advocacy groups talk.

Companies developing Short Bowel Syndrome treatments

Drugmakers that list Short Bowel Syndrome in their rare disease portfolio, 3 in all.

Questions people ask about Short Bowel Syndrome