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Randomized: Paltusotine

Phase 2

Carcinoid Syndrome | Small molecule | Oncology |Crinetics Pharmaceuticals, Inc.|Last Updated: Mar 19, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment36
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05361668Study to Evaluate the Safety, PK, and Dose Response of Paltusotine in Subjects With Carcinoid SyndromePHASE2 COMPLETED 36Apr 22, 2022Feb 24, 2026Mar 19, 202635 United States, Argentina +5
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Study Endpoints
Primary Endpoints
Safety - 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.

Secondary Endpoints
Pharmacokinetics (PK) of Paltusotine
Measured at each visit (pre and post dose) up to Week 8 (i.e., End of Randomized Treatment Phase [EOR])
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
40 mg PaltusotineEXPERIMENTALParticipants received paltusotine 40mg, in tablet form, orally, daily, for 8 weeks.
80 mg PaltusotineEXPERIMENTALParticipants received paltusotine 80mg, in tablet form, orally, daily for 8 weeks.
Interventions
NameTypeDescription
Randomized: 40 mg PaltusotineDRUGTwo 20 mg tablets QD (Potential post-randomization dose escalation based on efficacy and acceptable tolerability: up to 80 mg)
Randomized: 80 mg PaltusotineDRUGFour 20 mg tablets QD (Potential post-randomization dose escalation based on efficacy and acceptable tolerability: up to 120 mg)
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites35

Inclusion Criteria: 1\. Male or female subjects ≥18 years of age. 2. Documented carcinoid syndrome requiring medical therapy. 1. Not currently treated with somatostatin receptor ligands agonists for at least 12 weeks prior to screening and actively symptomatic. This can include treatment-naïve sub...

Countries:United StatesArgentinaBrazilCanadaMexicoPeruPoland
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Recent Changes (Last 90 Days)
MEDIUMMay 21, 2026NCT05361668TRIAL_REMOVED: changed
MEDIUMMay 21, 2026NCT05361668TRIAL_REMOVED: changed