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Carcinoid Syndrome Efficacy Study Featuring an Oral Daily Paltusotine Regimen

Eligible age

18+ yrs

Accepts

All genders

Locations

16 states

Healthy volunteers

No

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About this study

A Phase 3, randomized, double-blinded, placebo-controlled study to evaluate the efficacy and safety of paltusotine treatment vs placebo as well as the long-term safety of paltusotine in adults with carcinoid syndrome due to well-differentiated neuroendocrine tumors. The purpose of this study is to continue the evaluation of the safety, efficacy, and pharmacokinetics (PK) of paltusotine in participants with carcinoid syndrome.

Sponsor: Crinetics Pharmaceuticals Inc.

You may qualify if…

  • Male or female ≥18 years of age, at the time of Screening.
  • Willing and able to comply with the study procedures as specified in the protocol, including at least 70% compliance with the study diary for the 2-week period.
  • Documented carcinoid syndrome requiring medical therapy. Participants must exhibit symptoms of flushing with or without frequent BMs as follows:
  • For participants who are naïve/not currently treated with somatostatin receptors ligands (SRL), they must exhibit an average of \>1 flushing episode/day over a period of 14 days
  • For participants who will wash out from SRL treatment, they must exhibit an increase in daily average flushing episodes and an average of \>1 flushing episode/day over a period of 14 days during the Washout Period.
  • Evaluable documentation of locally advanced or metastatic histopathologically confirmed well-differentiated neuroendocrine tumor(s) \[NETs\].
  • No significant disease progression as assessed by the Investigator within the last 6 months before randomization.

You may not qualify if…

  • Diarrhea attributed to any condition(s) other than carcinoid syndrome.
  • Uncontrolled/severe diarrhea associated with significant volume contraction, dehydration, or hypotension.
  • Requires second line treatments (eg, telotristat) for control of carcinoid syndrome symptoms in the opinion of the Investigator.
  • Treatment with specific NET therapy \<4 weeks before Screening (such as everolimus or sunitinib) or hepatic embolization, radiotherapy, peptide receptor radionuclide therapy (PRRT), and/or tumor debulking \<12 weeks before Screening.
  • Major surgery within 8 weeks before Screening.
  • History of another primary malignancy \<3 years prior to the date of randomization, except for adequately treated basal or squamous cell carcinoma of the skin, cancer of the breast or cervix in situ, previously treated malignancy, if all treatment for that malignancy was completed at least 3 years prior to first dose of study treatment, and no current evidence of disease, concurrent malignancy determined to be clinically stable and not requiring treatment.
  • Diabetes mellitus treated with insulin for less than 6 weeks prior to the study entry.
  • Poorly controlled diabetes mellitus defined as having a hemoglobin A1c (HbA1c) ≥8.5%

Where it's recruiting

Arizona

Gilbert

California

Newport Beach

Connecticut

New Haven

Florida

Miami · Tampa

Georgia

Atlanta

Iowa

Iowa City

Kentucky

Lexington

Louisiana

Metairie

Michigan

Detroit

Minnesota

Rochester

New York

New York

Ohio

Cleveland

Source: ClinicalTrials.gov · NCT07087054 · last updated 2026-04-30

Carcinoid Syndrome Efficacy Study Featuring an Oral Daily Paltusotine · TrialPath