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Trial · NCT05361668

Study to Evaluate the Safety, PK, and Dose Response of Paltusotine in Subjects With Carcinoid Syndrome

NCT05361668, Phase 2, Completed, Crinetics Pharmaceuticals Inc.; results first posted 2025-10-31

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study to Evaluate the Safety, PK, and Dose Response of Paltusotine in Subjects With Carcinoid Syndrome. Trials, record NCT05361668. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05361668

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study to Evaluate the Safety, PK, and Dose Response of Paltusotine in Subjects With Carcinoid Syndrome
NCT number
NCT05361668
Status
Completed
Phases
Phase 2
Enrollment
36 participants, actual
Lead sponsor
Crinetics Pharmaceuticals Inc.
Conditions
Carcinoid Syndrome, Carcinoid, Carcinoid Tumor, Carcinoid Tumor of Ileum, Carcinoid Tumor of Cecum, Carcinoid Syndrome Diarrhea, Carcinoid Intestine Tumor, Carcinoid Tumor of Liver, Carcinoid Tumor of Pancreas
Interventions
Randomized: 40 mg Paltusotine, Randomized: 80 mg Paltusotine
First posted
2022-05-05
Last updated
2026-03-19
Results first posted
2025-10-31

Source ClinicalTrials.gov

Registered outcomes2

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimarySafety - Incidence of Treatment-emergent Adverse Events (TEAEs)First dose of investigational medicine to End of Randomized Treatment Phase (8 weeks)
Incidence of TEAEs, including serious TEAEs and TEAEs leading to discontinuation; change from baseline to the EOR in safety parameters: clinical laboratory tests, physical exam findings, vital signs, 12-lead ECG, and 24-hour continuous cardiac monitoring (only for subjects on 120 mg dose). In addition to all-cause mortality, deaths were categorized by primary cause (e.g., cardiovascular) based on medical adjudication. Events were coded using MedDRA and summarized by treatment group, system organ class, and preferred term. TEAEs were reported per randomized arm. There were 2 randomized arms (40 mg and 80 mg paltusotine, with up-or down-dose titration permitted for symptom control). Results are analyzed based on the initially assigned randomization arm, regardless of the actual dose received.
SecondaryPharmacokinetics (PK) of PaltusotineMeasured at each visit (pre and post dose) up to Week 8 (i.e., End of Randomized Treatment Phase [EOR])
Steady state trough levels by dose and visit for Randomized Treatment Phase (RTP). The "Overall Number of Participants Analyzed" displayed at the top of the PK summary table represents the total number of participants who received each dose at any point during the trial, factoring in dose titrations. PK results are summarized by actual dose taken right before the time of sample collection, rather than by randomized dose. Participants may be included in different dose groups for different visits due to dose titration.

Outcomes2

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYSafety - Incidence of Treatment-emergent Adverse Events (TEAEs)First dose of investigational medicine to End of Randomized Treatment Phase (8 weeks)
Safety Analysis Set included all randomized participants receiving ≥1 dose. TEAEs (reported per randomized arm) are defined as AEs from first to last dose date (end of RTP, or early term), plus 28 days (Safety follow up). Dose changes at Weeks 2 or 4 were allowed for symptom control (increase) or poor tolerability (decrease). Results are provided by randomized arms (40 mg and 80 mg paltusotine).
participantsNUMBER
SECONDARYPharmacokinetics (PK) of PaltusotineMeasured at each visit (pre and post dose) up to Week 8 (i.e., End of Randomized Treatment Phase [EOR])
The PK Analysis Set included all randomized participants with ≥1 paltusotine dose and ≥1 plasma measurement. Post-dose samples were taken 1-3 hrs after dosing, and steady-state troughs were assessed pre and post dose, through Week 8. Primary PK summaries were based on the RTP. Dose adjustments at Weeks 2 or 4 were allowed for symptom control (dose increase) or tolerability (dose decrease).
ng/mLGEOMETRIC_MEAN

Results by group52

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Safety - Incidence of Treatment-emergent Adverse Events (TEAEs)40 mg PaltusotineTreatment-Emergent Adverse Events (TEAE)16participants
Safety - Incidence of Treatment-emergent Adverse Events (TEAEs)80 mg PaltusotineTreatment-Emergent Adverse Events (TEAE)15participants
Safety - Incidence of Treatment-emergent Adverse Events (TEAEs)40 mg PaltusotineTEAE Related to CS Symptoms10participants
Safety - Incidence of Treatment-emergent Adverse Events (TEAEs)80 mg PaltusotineTEAE Related to CS Symptoms9participants
Safety - Incidence of Treatment-emergent Adverse Events (TEAEs)40 mg PaltusotineHighest Severity of TEAE: Severe TEAE3participants
Safety - Incidence of Treatment-emergent Adverse Events (TEAEs)80 mg PaltusotineHighest Severity of TEAE: Severe TEAE1participants
Safety - Incidence of Treatment-emergent Adverse Events (TEAEs)40 mg PaltusotineHighest Severity of TEAE: Moderate TEAE6participants
Safety - Incidence of Treatment-emergent Adverse Events (TEAEs)80 mg PaltusotineHighest Severity of TEAE: Moderate TEAE7participants
Safety - Incidence of Treatment-emergent Adverse Events (TEAEs)40 mg PaltusotineHighest Severity of TEAE: Mild TEAE7participants
Safety - Incidence of Treatment-emergent Adverse Events (TEAEs)80 mg PaltusotineHighest Severity of TEAE: Mild TEAE7participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTED40 mg Paltusotine18
Overall StudySTARTED80 mg Paltusotine18
Overall StudyAdverse Event40 mg Paltusotine1
Overall StudyAdverse Event80 mg Paltusotine1
Overall StudyPhysician Decision40 mg Paltusotine0
Overall StudyPhysician Decision80 mg Paltusotine3
Overall StudyWithdrawal by Subject40 mg Paltusotine0
Overall StudyWithdrawal by Subject80 mg Paltusotine1
Overall StudyCOMPLETED40 mg Paltusotine17
Overall StudyCOMPLETED80 mg Paltusotine13

Adverse events50

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disorders40 mg Paltusotine618
otherDiarrhoeaGastrointestinal disorders80 mg Paltusotine918
otherAbdominal painGastrointestinal disorders40 mg Paltusotine318
otherAbdominal painGastrointestinal disorders80 mg Paltusotine618
otherHeadacheNervous system disorders40 mg Paltusotine518
otherHeadacheNervous system disorders80 mg Paltusotine318
otherNauseaGastrointestinal disorders40 mg Paltusotine218
otherNauseaGastrointestinal disorders80 mg Paltusotine518
otherFlushingVascular disorders40 mg Paltusotine318
otherFlushingVascular disorders80 mg Paltusotine218

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortality40 mg Paltusotine018
Total, all-cause mortality80 mg Paltusotine118
Total, other adverse events40 mg Paltusotine1618
Total, other adverse events80 mg Paltusotine1518
Total, serious adverse events40 mg Paltusotine218
Total, serious adverse events80 mg Paltusotine218

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
40 mg Paltusotine vs 80 mg Paltusotine: deaths from any causeTrial comparisons
40 mg Paltusotine vs 80 mg Paltusotine: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05361668

GET https://conductscience.org/api/trials/v1/NCT05361668/results?page=2