Skip to content

Study to Evaluate the Safety and Efficacy of Paltusotine in Subjects with Acromegaly

A Randomized, Controlled, Multi-Center Study to Evaluate the Safety and Efficacy of Paltusotine in Subjects with Acromegaly Treated with Long-acting Somatostatin Receptor Ligands - PATHFNDR-1

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2020-005431-70-BE
Enrollment
52
Registered
2021-05-12
Start date
2022-03-04
Completion date
Unknown
Last updated
2024-09-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acromegaly MedDRA version: 20.0 Level: PT Classification code 10000599 Term: Acromegaly System Organ Class: 10014698 - Endocrine disorders

Interventions

Product Name: Paltusotine Product Code: CRN00808 Pharmaceutical Form: Tablet INN or Proposed INN: Paltusotine (Free base) CAS Number: 2172870-89-0 Current Sponsor code: CRN00808 Other descriptive name

Sponsors

Crinetics Pharmaceuticals, Inc.
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1.Male and female subjects =18 years of age 2.Confirmed diagnosis of acromegaly and controlled (as measured by IGF-1 =1.0xULN) via stable monotherapy dose of protocol defined somatostatin receptor ligand therapy. (Upper limit of eligibility is mean IGF-1 of 1.04 rounded to 2 decimal places.) 3.Females must be non-pregnant and non-lactating, and either surgically sterile, post-menopausal, or using effective method(s) of birth control. 4-Willing to provide signed informed consent. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 42 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 10

Exclusion criteria

Exclusion criteria: 1.Treatment naïve acromegaly subjects 2.Prior treatment with paltusotine. 3.History of pituitary radiation therapy. 4.History or presence of malignancy except adequately treated basal cell and squamous cell carcinomas of the skin within the past 5 years 5.Use of any investigational drug within the past 30 days or 5 half-lives, whichever is longer. 6.Known history of HIV, hepatitis B, or active hepatitis C. 7.History of alcohol or substance abuse in the past 12 months. 8.Cardiovascular conditions or medications associated with prolonged QT or those which predispose subjects to heart rhythm abnormalities. 9.Subjects with symptomatic cholelithiasis. 10.Subjects with clinically significant abnormal findings during the Screening Period, or any other medical condition(s) or laboratory findings that, in the opinion of the Investigator, might jeopardize the subject's safety or ability to complete the study 11.Subjects currently taking pasireotide LAR (within 24 weeks prior to Screening) or pegvisomant, dopamine agonists, or short acting somatostatin analogs (with 12 weeks prior to Screening)

Design outcomes

Primary

MeasureTime frame
Main Objective: To evaluate the effect of paltusotine versus placebo on IGF-1 response;Secondary Objective: To evaluate the effect of paltusotine versus placebo on IGF-1 level To evaluate the effect of paltusotine versus placebo on GH response To evaluate the effect of paltusotine versus placebo on acromegaly symptoms.;Primary end point(s): •Proportion of subjects who maintain biochemical response in IGF-1 (=1.0×the upper limit of normal [ULN]) at the End of the Randomized Control Phase (EOR);Timepoint(s) of evaluation of this end point: 36 weeks for the primary endpoint.

Secondary

MeasureTime frame
Secondary end point(s): •Change from baseline in IGF-1, in units of ULN, to EOR •Proportion of subjects with GH <1.0 ng/mL at Week 34, out of those who had GH <1.0 ng/mL at baseline •Change from baseline in Total Acromegaly Symptoms Diary (ASD) score to EOR.;Timepoint(s) of evaluation of this end point: 36 weeks for the secondary endpoint.

Countries

Argentina, Austria, Belgium, Brazil, Bulgaria, France, Germany, Hungary, Israel, Italy, Peru, Poland, Russian Federation, Serbia, Spain, United Kingdom, United States

Contacts

Public ContactCrinetics Clinical Trials

Crinetics Pharmaceuticals, Inc.

clinicaltrials@crinetics.com

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026