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Nab-paclitaxel

Phase 2

Locally Advanced Unresectable Pancreatic Adenocarcinoma | Small molecule | Oncology |Lexicon Pharmaceuticals, Inc.|Last Updated: Dec 16, 2025

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
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment23
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03910387Telotristat Ethyl to Promote Weight Stability in Patients With Advanced Stage Pancreatic CancerPHASE2 COMPLETED 23Apr 17, 2019Jun 29, 2022Dec 16, 20253 United States
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Study Endpoints
Primary Endpoints
Weight Stability
Baseline up to 3 months after study start

Weight stability will be documented as percent weight change at 3 months compared to baseline.

Secondary Endpoints
Change in 24-hr Urine 5-hydroxyindoleacetic Acid (5-HIAA) Levels
Baseline up to 4 months after study start
Mid Arm Circumference (MAC) Measured in cm
Up to 2 years after study start
Quality of Life (QOL)
Up to 2 years after study start
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeSUPPORTIVE_CARE
Treatment Arms
ArmTypeDescription
Group 1 (gemcitabine/nab-paclitaxel and telotristat ethyl)EXPERIMENTALPatients receive gemcitabine/nab-paclitaxel combination chemotherapy on days 1, 8 and 15, and telotristat ethyl PO QD, BID, or TID on days 1 and 8. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Group 2 (gemcitabine/nab-paclitaxel)ACTIVE_COMPARATORPatients receive gemcitabine/nab-paclitaxel chemotherapy (at the discretion of the investigator) on days 1, 8 and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Interventions
NameTypeDescription
GemcitabineDRUGGiven gemcitabine/nab-paclitaxel combination therapy
Nab-paclitaxelDRUGGiven gemcitabine/nab-paclitaxel combination therapy
Telotristat EthylDRUGGiven PO
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * GROUP 1 (Telotristat ethyl treatment group): Written informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization for release of personal health information. NOTE: HIPAA authorization may be included in the informed consent or obtained separat...

Countries:United States
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