Study on Daily Oral Paltusotine for Treating Carcinoid Syndrome

Sponsor: Crinetics Pharmaceuticals Inc.

Sponsor score: 0

ClinicalTrials ID:NCT07087054

This clinical trial is testing the effectiveness and safety of a daily oral medication called paltusotine for adults with carcinoid syndrome, a condition caused by certain types of tumors. The study will compare paltusotine to a placebo and also look at its long-term safety.

Patient Parameters

Program Overview

The study aims to find out if paltusotine, taken as a daily pill, can help manage symptoms of carcinoid syndrome in adults with specific types of neuroendocrine tumors. It will compare the effects of paltusotine to a placebo and assess its safety over a long period.

Description

This global study is designed to test the effectiveness and safety of paltusotine, a daily oral medication, in adults with carcinoid syndrome. The study is divided into several phases: an initial screening period of up to 11 weeks, a 16-week period where participants are randomly assigned to receive either paltusotine or a placebo without knowing which one they are taking, a longer open-label phase lasting 104 weeks where all participants receive paltusotine, and a final follow-up period of 4 weeks. The goal is to see if paltusotine can effectively manage symptoms like flushing and bowel movement changes in people with carcinoid syndrome.

Eligibility Criteria

Inclusion Criteria

  • Adults aged 18 or older.
  • Willing to follow study procedures, including keeping a study diary.
  • Diagnosed with carcinoid syndrome and needing medical treatment, showing symptoms like flushing.
    • If not currently on certain treatments, must have more than one flushing episode per day over 14 days.
    • If stopping certain treatments, must show an increase in flushing episodes during a washout period.
  • Have confirmed neuroendocrine tumors that are locally advanced or have spread.
  • No significant worsening of the disease in the last 6 months.

Exclusion Criteria

  • Diarrhea caused by conditions other than carcinoid syndrome.
  • Severe diarrhea causing dehydration or low blood pressure.
  • Need for additional treatments for carcinoid syndrome symptoms.
  • Recent treatment with specific cancer therapies or major surgery.
  • History of another cancer within the last 3 years, except for certain skin or in situ cancers.
  • Diabetes treated with insulin for less than 6 weeks or poorly controlled diabetes.
  • Inability to use certain injections or lack of response to similar treatments.
  • Other significant health issues not related to carcinoid syndrome.

Locations

FACILITYZIPCITYSTATE
Hoag Memorial Hospital Presbyterian92663Newport BeachCalifornia
Yale University - New Haven Hospital - Yale Cancer Center06510New HavenConnecticut
Winshop Cancer Institute - Emory University30322AtlantaGeorgia
University of Kentucky Medical Center40536LexingtonKentucky
Louisiana State University Health Sciences70006MetairieLouisiana
Henry Ford Cancer - Detroit48202DetroitMichigan
Mayo Clinic55905RochesterNew York
University Hospitals Cleveland Medical Center44106ClevelandOhio
Hospital of the University of Pennsylvania19104PhiladelphiaPennsylvania
University of Virginia Comprehensive Cancer Center22903CharlottesvilleVirginia

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