Telotristat Etiprate for Carcinoid Syndrome Therapy
TELECAST
A Phase 3, Randomized, Placebo-controlled, Multicenter, Double-blind Study to Evaluate the Safety and Efficacy of Telotristat Etiprate (LX1606) in Patients With Carcinoid Syndrome
TELECAST
A Phase 3, Randomized, Placebo-controlled, Multicenter, Double-blind Study to Evaluate the Safety and Efficacy of Telotristat Etiprate (LX1606) in Patients With Carcinoid Syndrome
Sponsor study identifier
Secondary identifiers
OTHER · Lexicon Pharmaceuticals, Inc.
EUDRACT_NUMBER
interventional
76
11 countries
50
Study Start
March 11, 2014
Actual (reported)Primary Completion
March 29, 2016
Actual (reported)Study Completion
March 29, 2016
Actual (reported)The purpose of the study is to evaluate the effect of telotristat etiprate versus placebo on the incidence of treatment-emergent adverse events and on 5-hydroxyindoleacetic acid (5-HIAA) levels.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
March 29, 2016
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
February 12, 2014
Actual (reported)February 14, 2014
Actual (reported)March 11, 2014
Actual (reported)March 29, 2016
Actual (reported)March 29, 2016
Actual (reported)September 25, 2017
Actual (reported)Number of Participants With Treatment-Emergent Adverse Events (TEAEs) in the Double-Blind Treatment Period
An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A TEAE was an AE reported after the first dose of randomized treatment on Day 1.
First dose of study drug to within 30 days of last dose of study drug in the Double-Blind Treatment Period (Up to 17.1 Weeks)
Primary: Percent Change From Baseline in Urinary 5-hydroxyindoleacetic Acid (u5-HIAA) Levels
u5-HIAA is a standard test used in clinical practice to assess neuroendocrine tumor (NET) activity and is collected as a 24-hour urine specimen. A negative change from Baseline indicates improvement.
Baseline and 12 Weeks
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) in the Open-Label Extension Period
An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A TEAE was an AE reported after the first dose of randomized treatment on Day 1.
First dose of study drug to within 30 days of last dose of study drug in the Open-Label Extension Period (Up to 52.6 Weeks)
Change From Baseline in the Number of Bowel Movements (BMs) Per Day Averaged Over 12 Weeks
Baseline and 12 weeks
Change From Baseline in Stool Form/Consistency Averaged Across All Time-Points
Baseline and 12 Weeks
Change From Baseline in the Number of Daily Cutaneous Flushing Episodes Averaged Across All Time-Points
Baseline and 12 Weeks
Change From Baseline in Abdominal Pain Averaged Across All Time-Points
Baseline and 12 Weeks
Change in the Frequency of Rescue Short-acting, Somatostatin Analog (SSA) Used to Treat Carcinoid Syndrome Symptoms Averaged Across All Time-Points
Baseline and 12 weeks
Following a 3 to 4-week run-in period, participants were randomized to receive one 250 mg telotristat etiprate tablet and one placebo-matching telotristat etiprate tablet administered three times daily for 12 weeks, followed by a 36 week open-label extension period.
Following a 3 to 4-week run-in period, participants were randomized to receive one 250 mg telotristat etiprate tablet and one placebo-matching telotristat etiprate tablet administered three times daily for one week, followed by two 250 mg telotristat etiprate tablets administered three times daily for 11 weeks in the 12 week double-blind treatment period, followed by a 36 week open-label extension period.
Telotristat etiprate tablets
Placebo-matching telotristat etiprate tablets
Lexicon Investigational Site
Stanford, California, 94305, United States
Lexicon Investigational Site
Orlando, Florida, 32806, United States
Lexicon Investigational Site
Iowa City, Iowa, 52242, United States
Lexicon Investigational Site
Lexington, Kentucky, 40536, United States
Lexicon Investigational Site
Boston, Massachusetts, 02215, United States
Lexicon Investigational Site
Buffalo, New York, 14263, United States
Lexicon Investigational Site
New York, New York, 10029, United States
Srirajaskanthan R, Pavel M, Kulke M, Clement D, Houchard A, Keeber L, Weickert MO. Weight Maintenance up to 48 Weeks in Patients With Carcinoid Syndrome Treated With Telotristat Ethyl: Pooled Data From the Open-Label Extensions of the Phase III Clinical Trials TELESTAR and TELECAST. Clin Ther. 2021 Oct;43(10):1779-1785. doi: 10.1016/j.clinthera.2021.08.014. Epub 2021 Sep 28.
Dillon JS, Kulke MH, Horsch D, Anthony LB, Warner RRP, Bergsland E, Welin S, O'Dorisio TM, Kunz PL, McKee C, Lapuerta P, Banks P, Pavel M. Time to Sustained Improvement in Bowel Movement Frequency with Telotristat Ethyl: Analyses of Phase III Studies in Carcinoid Syndrome. J Gastrointest Cancer. 2021 Mar;52(1):212-221. doi: 10.1007/s12029-020-00375-2.
Pablo Lapuerta, MD
Lexicon Pharmaceuticals, Inc.
76 participants (actual enrollment reported by the registry).
First Submitted
February 12, 2014
First Posted
February 14, 2014
Study Start
March 11, 2014
Actual (reported)Following a 3 to 4-week run-in period, participants were randomized to receive two placebo-matching telotristat etiprate tablets administered three times daily for 12 weeks, followed by a 36 week open-label extension period.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Contact the study team to confirm eligibility.
Lexicon Investigational Site
Philadelphia, Pennsylvania, 19104, United States
Lexicon Investigational Site
Kogara, New South Wales, 2217, Australia
Lexicon Investigational Site
St Leonards, New South Wales, 2065, Australia
Lexicon Investigational Site
Herston, Queensland, 4029, Australia
Lexicon Investigational Site
East Melbourne, Victoria, 3002, Australia
Lexicon Investigational Site
Edegem, B-2650, Belgium
Lexicon Investigational Site
Ghent, 9000, Belgium
Lexicon Investigational Site
Yvoir, 5530, Belgium
Lexicon Investigational Site
Calgary, Alberta, T2N4N2, Canada
Lexicon Investigational Site
Halifax, Nova Scotia, B0J1N0, Canada
Lexicon Investigational Site
Clichy, 92118, France
Lexicon Investigational Site
Lille, 59037, France
Lexicon Investigational Site
Lyon, 69347, France
Lexicon Investigational Site
Marseille, 13385, France
Lexicon Investigational Site
Strasbourg, 67098, France
Lexicon Investigational Site
Villejuif, 94805, France
Lexicon Investigational Site
Bad Berka, 99437, Germany
Lexicon Investigational Site
Berlin, 13353, Germany
Lexicon Investigational Site
Hamburg, 20246, Germany
Lexicon Investigational Site
Heidelberg, 69120, Germany
Lexicon Investigational Site
Lübeck, 23538, Germany
Lexicon Investigational Site
Mainz, 55131, Germany
Lexicon Investigational Site
Marburg, 35043, Germany
Lexicon Investigational Site
Munich, 81377, Germany
Lexicon Investigational Site
Neuss, 41464, Germany
Lexicon Investigational Site
Jerusalem, 91120, Israel
Lexicon Investigational Site
Amsterdam, North Holland, 1066X, Netherlands
Lexicon Investigational Site
Amsterdam, North Holland, 1105 AZ, Netherlands
Lexicon Investigational Site
Noord Brahant, 5631BM, Netherlands
Lexicon Investigative Site
Rotterdam, 3015 CE, Netherlands
Lexicon Investigational Site
Barcelona, 08035, Spain
Lexicon Investigational Site
Barcelona, 08907, Spain
Lexicon Investigational Site
Madrid, 28034, Spain
Lexicon Investigational Site
Madrid, 28040, Spain
Lexicon Investigational Site
Seville, 41013, Spain
Lexicon Investigational Site
Uppsala, 75185, Sweden
Lexicon Investigational Site
Basingstoke Hampshire, RG249NA, United Kingdom
Lexicon Investigational Site
Coventry, CV22DX, United Kingdom
Lexicon Investigational Site
London, NW3 2QG, United Kingdom
Lexicon Investigational Site
London, SE59RS, United Kingdom
Lexicon Investigational Site
London, W12 OHS, United Kingdom
Lexicon Investigational Site
Manchester, M204BX, United Kingdom
Lexicon Investigational Site
Newcastle upon Tyne, NE1 4LP, United Kingdom
Pavel M, Gross DJ, Benavent M, Perros P, Srirajaskanthan R, Warner RRP, Kulke MH, Anthony LB, Kunz PL, Horsch D, Weickert MO, Lapuerta P, Jiang W, Kassler-Taub K, Wason S, Fleming R, Fleming D, Garcia-Carbonero R. Telotristat ethyl in carcinoid syndrome: safety and efficacy in the TELECAST phase 3 trial. Endocr Relat Cancer. 2018 Mar;25(3):309-322. doi: 10.1530/ERC-17-0455. Epub 2018 Jan 12.
Primary Completion
March 29, 2016
Actual (reported)Study Completion
March 29, 2016
Actual (reported)Last Updated
February 26, 2018
Results First Posted
September 25, 2017
Record last verified: 2018-01
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Source: ClinicalTrials.gov.
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