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Open Label Study to Analyze the Effect of Telotristat Ethyl on Weight Regulation/Gain

29 december 2020 uppdaterad av: Andrew Hendifar, MD

IIT2018-26 -Hendifar-NETCx: A Descriptive, Multicenter, Single-arm, Open Label Study to Analyze the Effect of Telotristat Ethyl on Weight Regulation/Gain

This single arm study will evaluate whether Xermelo (telotristat ethyl) associated weight gain is affects lean body mass, dietary intake, and physical and cognitive functioning among neuroendocrine tumor (NET) patients with a history of carcinoid syndrome.

Studieöversikt

Status

Indragen

Betingelser

Intervention / Behandling

Detaljerad beskrivning

The purpose of this study is to examine the mechanisms of weight gain associated with the drug telotristat ethyl (Xermelo) among patients with a neuroendocrine tumor (NET) with history of carcinoid syndrome. We want to know if taking Xermelo affects patients' lean body mass, quality of life, dietary intake, and physical and cognitive functioning during treatment. A better understanding of the mechanisms of weight gain from Xermelo may allow us to determine whether this drug may be beneficial for treating carcinoid syndrome, cachexia, or weight loss seen in other diseases.

Studietyp

Observationell

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Testmetod

Icke-sannolikhetsprov

Studera befolkning

Patients will be recruited from Cedars-Sinai Medical Center

Beskrivning

Inclusion Criteria:

  • Age ≥ 18 years.
  • Histopathologically confirmed diagnosis of a metastatic NET.
  • Documented history of carcinoid syndrome.
  • Currently receiving treatment with long-acting SSAs with a plan to initiate therapy with telotristat-ethyl as per standard of care.
  • ECOG performance status 0-1 and/or Karnofsky >60%.
  • Greater than or equal to 3 month life expectancy.
  • Ability to understand and the willingness to sign a written informed consent.

Exclusion Criteria:

  • Patients experiencing more than 12 watery BMs per day associated with volume contraction, dehydration, or hypotension, or showing evidence of enteric infection.
  • History of short bowel syndrome.
  • Clinically important baseline elevation in liver function tests.
  • Patients with known brain metastases should be excluded from this clinical trial because of their poor prognosis and because they often develop progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse events.
  • Malignant ascites requiring paracenteses.
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Bowel obstruction, partial, or total.
  • Pregnancy
  • Patients with unresolved grade 3/4 adverse effects of prior therapy at time of enrollment, other than diarrhea

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Kohorter och interventioner

Grupp / Kohort
Intervention / Behandling
Standard of Care telotristat ethyl (Xermelo) Treatment
Treatment of telotristat ethyl (Xermelo) with DXA scans and bionutritional assessments (24-hour food recall and taste/smell alteration) conducted 3x during telotristat ethyl treatment.
Läkemedel: telotristat ethyl
250 mg tablets of Xermelo (telotristat ethyl) is administered orally 3x daily in combination with somatostatin analogs (SSAs) for approximately 84 days as per standard of care
Andra namn:
  • Xermelo

Vad mäter studien?

Primära resultatmått

Resultatmått
Tidsram
Mean change in lean body mass (measured using DXA Scan) from baseline and after 13 weeks of treatment.
Tidsram: From baseline to 13 weeks after treatment
From baseline to 13 weeks after treatment

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Mean change in patient reported outcomes using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) from baseline up to 3 years post treatment.
Tidsram: From baseline to 3 years post treatment
The summary score (SS) is a mean of 13 QLQ-C30 subscale scores, ranging from 0 to 100, with a higher SS rating reflecting a better health status.
From baseline to 3 years post treatment
Mean change in patient reported outcomes using the Montreal Cognitive Assessment (MOCA) test from baseline up to 3 years post treatment.
Tidsram: From baseline to 3 years post treatment
MOCA scores range between 0 and 30, with higher scores indicating higher cognitive function.
From baseline to 3 years post treatment
Mean change in patient reported outcomes using a stool survey measured from baseline and after 13 weeks of treatment.
Tidsram: From baseline to 13 weeks post-treatment.
The stool survey is a non-validated descriptive measure of gastrointestinal symptoms by taking the mean score on a scale of 0 - 10, where 0 indicates no symptoms and higher scores denote a worsening of symptoms.
From baseline to 13 weeks post-treatment.
Mean change in calories consumed using a 24-hour food diary from baseline and after 13 weeks of treatment.
Tidsram: From baseline to 13 weeks post-treatment
From baseline to 13 weeks post-treatment
Mean change in daily activity levels (steps) as measured using a wrist-worn fitness tracker (e.g., Fitbit) from baseline and for the duration of the 13 weeks of treatment.
Tidsram: From baseline to 13 weeks post-treatment
From baseline to 13 weeks post-treatment
Mean change in daily activity levels [stairs (floors) climbed] as measured using a wrist-worn fitness tracker (e.g., Fitbit) from baseline and for the duration of the 13 weeks of treatment.
Tidsram: From baseline to 13 weeks post-treatment
From baseline to 13 weeks post-treatment
Mean change in daily activity levels (sleep duration) as measured using a wrist-worn fitness tracker (e.g., Fitbit) from baseline and for the duration of the 13 weeks of treatment.
Tidsram: From baseline to 13 weeks post-treatment
From baseline to 13 weeks post-treatment
Mean change in daily activity levels (heart rate) as measured using a wrist-worn fitness tracker (e.g., Fitbit) from baseline and for the duration of the 13 weeks of treatment.
Tidsram: From baseline to 13 weeks post-treatment
From baseline to 13 weeks post-treatment
Mean change in daily activity levels (active minutes) as measured using a wrist-worn fitness tracker (e.g., Fitbit) from baseline and for the duration of the 13 weeks of treatment.
Tidsram: From baseline to 13 weeks post-treatment
From baseline to 13 weeks post-treatment

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Andrew Hendifar, MD

Samarbetspartners

Lexicon Pharmaceuticals

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Förväntat)

1 oktober 2020

Primärt slutförande (Förväntat)

1 november 2022

Avslutad studie (Förväntat)

1 november 2023

Studieregistreringsdatum

Först inskickad

29 juni 2019

Först inskickad som uppfyllde QC-kriterierna

25 juli 2019

Första postat (Faktisk)

26 juli 2019

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

30 december 2020

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

29 december 2020

Senast verifierad

1 december 2020

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • IIT2018-26 -Hendifar-NETCx

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

produkt tillverkad i och exporterad från U.S.A.

Ja

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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