Paltusotine for Acromegaly

Not currently recruiting at 40 trial locations
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called paltusotine for individuals with acromegaly, a condition characterized by excessive growth hormone production, resulting in enlarged hands, feet, and facial features. The trial aims to assess the long-term safety and effectiveness of paltusotine. Participants from earlier related studies who have acromegaly without other major health issues may be suitable candidates for this trial. As a Phase 2 trial, the research measures the treatment's effectiveness in an initial, smaller group of participants.

Do I have to stop taking my current medications for the trial?

The trial protocol does not specify if you need to stop taking your current medications. However, you cannot use any investigational drugs other than paltusotine within 30 days before screening, and certain cardiovascular medications may not be allowed.

Is there any evidence suggesting that paltusotine is likely to be safe for humans?

Research has shown that paltusotine is generally well-tolerated. One study found its safety comparable to other treatments for similar conditions, indicating it functions like existing therapies. Another study demonstrated that paltusotine was well-tolerated over two years, suggesting promise for long-term use.

These studies have reported no major safety concerns, suggesting that paltusotine might be a safe option for people with acromegaly, although further research is necessary to confirm this. Prospective trial participants may find these findings reassuring.12345

Why do researchers think this study treatment might be promising for acromegaly?

Paltusotine is unique because it offers a new way to treat acromegaly by being taken orally, unlike the standard treatments that often require injections. Most current medications, like somatostatin analogs, need to be injected, which can be inconvenient and uncomfortable for patients. Paltusotine works as a non-peptide somatostatin receptor ligand, potentially offering a similar therapeutic effect without the need for needles. Researchers are excited about this treatment because it could improve patient quality of life by providing an easier and more convenient treatment option.

What evidence suggests that paltusotine might be an effective treatment for acromegaly?

Research shows that paltusotine, the investigational treatment in this trial, effectively treats acromegaly by stabilizing insulin-like growth factor-1 (IGF-1) levels, crucial for managing the condition. Studies have found that patients who switched from injections to paltusotine maintained their IGF-1 levels. In one study, 83.3% of patients using paltusotine achieved the main goal of controlling the disease. Long-term research suggests that paltusotine can keep the body's chemical balance steady over time. Overall, paltusotine has shown positive results in effectively managing acromegaly.12467

Are You a Good Fit for This Trial?

This trial is for individuals with acromegaly who finished a previous paltusotine study, are not pregnant or breastfeeding, and use effective birth control if necessary. Excluded are those with recent investigational drug use, significant health issues that could affect safety or completion of the study, symptomatic gallstones, serious heart disease, kidney or liver conditions, pituitary radiation post-parent studies, certain cancers within 5 years (except some skin cancers), and substance abuse in the past year.

Inclusion Criteria

I am not pregnant or breastfeeding, and I am either unable to have children, past menopause, or using birth control.
Completed one of the parent studies (Acrobat Evolve [CRN00808-02] or Acrobat Edge [CRN00808-03])
Willing to provide signed informed consent

Exclusion Criteria

I have heart conditions or take medications that affect my heart rhythm.
I haven't taken any experimental drugs recently, except paltusotine.
I have not had cancer in the past 5 years, except for certain skin cancers.
See 7 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive paltusotine for the treatment of acromegaly

Long-term

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Paltusotine
Trial Overview The trial is testing the long-term safety and effectiveness of an oral medication called paltusotine for treating acromegaly. It's an open-label phase 2 extension where all participants know they're receiving paltusotine to see how well it works over time and what side effects might occur.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: PaltusotineExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Crinetics Pharmaceuticals Inc.

Lead Sponsor

Trials
13
Recruited
760+

Citations

New Long-Term Safety and Efficacy Data Presented with ...These results show that paltusotine, an investigational compound, lowered and maintained insulin-like growth factor-1 (IGF-1) at levels comparable to prior ...
ACROBAT Edge: Safety and Efficacy of Switching Injected ...These results suggest once-daily oral paltusotine was effective in maintaining IGF-I values in patients with acromegaly who switched from injected SRLs.
Crinetics' Once-Daily Oral Paltusotine Achieved the ...Paltusotine, an oral, once-daily investigational compound, achieved positive results by meeting the primary endpoint and all secondary endpoints of the Phase 3 ...
Acromegaly Disease Control Maintained After Switching From ...In the primary efficacy analysis, 83.3% (25/30) of patients in the paltusotine group met the primary endpoint, compared with 3.6% (1/28) of patients in the ...
Data on Paltusotine for the Treatment of AcromegalyData from a long-term extension study of two phase 3 studies of paltusotine showed the ability of the treatment to stabilize biochemical control ...
An Study to Evaluate the Safety and Efficacy of Paltusotine ...An open label exploratory study designed to evaluate the safety, efficacy, and pharmacokinetics of paltusotine (formerly CRN00808) in subjects with acromegaly ...
Paltusotine, Oral SST2 AgonistThe safety and efficacy of paltusotine have not been established in this patient population. In clinical studies, paltusotine has been well-tolerated and the ...
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