Evidence map›Paper›PMID 27041406›Full record

Trial reportClinical therapeutics2016

Patient-reported Symptom Experiences in Patients With Carcinoid Syndrome After Participation in a Study of Telotristat Etiprate: A Qualitative Interview Approach.

Heather L Gelhorn, Matthew H Kulke, Thomas O'Dorisio, Qi M Yang, Jessica Jackson, Shanna Jackson, Kristi A Boehm, Linda Law, Jacqueline Kostelec, Priscilla Auguste and 1 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Clinical therapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00853047 (A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled, Ascending, Multidose Study To Determine Safety and Tolerability of Orally Administered LX1606 in Subjects With Symptomatic Carcinoid Syndrome Refractory to Stable-Dose Octreotide Long-Acting Release Depot Therapy), which is not on this map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00853047 phase2completednot on this map

A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled, Ascending, Multidose Study To Determine Safety and Tolerability of Orally Administered LX1606 in Subjects With Symptomatic Carcinoid Syndrome Refractory to Stable-Dose Octreotide Long-Acting Release Depot Therapy

TypeinterventionalSponsorLexicon PharmaceuticalsRan2009 to 2014Enrolled23ConditionsCarcinoid SyndromeArmsTelotristat etiprate, Octreotide LAR Depot, Placebo
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Exit Interviews Examining Patient Experiences with Tirzepatide and Dulaglutide for Treatment of Type 2 Diabetes in the SURPASS-CVOT Trial.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Using qualitative methods to establish the clinically meaningful threshold for treatment success in alopecia areata.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  12. Review
  13. Article
  14. Review
  15. Article
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  17. Observational
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Heather L GelhornEvidera, Bethesda, Maryland.
Matthew H KulkeDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Thomas O'DorisioDepartment of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Qi M YangLexicon Pharmaceuticals, Inc. The Woodlands, Texas.
Jessica JacksonLexicon Pharmaceuticals, Inc. The Woodlands, Texas.
Shanna JacksonLexicon Pharmaceuticals, Inc. The Woodlands, Texas.
Kristi A BoehmLexicon Pharmaceuticals, Inc. The Woodlands, Texas.
Linda LawLexicon Pharmaceuticals, Inc. The Woodlands, Texas.
Jacqueline KostelecEvidera, Bethesda, Maryland.
Priscilla AugusteEvidera, Bethesda, Maryland.
Pablo LapuertaLexicon Pharmaceuticals, Inc. The Woodlands, Texas. Electronic address: PLapuerta@lexpharma.com.
Lexicon Pharmaceuticals (United States) · USIthaka Harbors · USDana-Farber Cancer Institute · USUniversity of Iowa Hospitals and Clinics · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
Project 4: New Approaches to Improving the Effectiveness of Radionuclide Targeted Treatments in Neuroendocrine TumorsP50CA174521 · NCI · UNIVERSITY OF IOWA · PI ODORISIO, THOMAS · 2015 to 2021
$13.2M
NCI NIH HHS P30 CA086862NCI NIH HHS P50 CA174521
6 · The paper itself

Abstract

purposeTelotristat etiprate, a tryptophan hydroxylase inhibitor, was previously evaluated in a Phase II randomized, placebo-controlled clinical trial in patients with carcinoid syndrome (CS) and diarrhea not adequately controlled by octreotide. The objective of the current study was to characterize the symptom experiences of patients participating in that trial.

methodsConsenting patients participated in one-on-one, qualitative interviews focused on eliciting symptoms they had experienced in association with their CS diagnosis and recollection of symptom changes they experienced while participating in the Phase II trial.

findingsAmong the 23 patients who participated in the previous 4-week dose-escalation study, 16 were eligible for interviews and 11 participated in the present study. The median time from study completion to the interview was 31 months; 4 of 11 patients were receiving telotristat etiprate in a follow-up, open-label trial at the time of interview. All of the patients (100%) described diarrhea as a symptom of CS, with effects on the emotional, social, and physical aspects of their lives. Improvement in diarrhea during the study was described by 82% of participants, and was very impactful in several patients. Results led to the design and implementation of a larger interview program in Phase III and helped to establish a definition of clinically meaningful change for the clinical development program. IMPLICATIONS: The diarrhea associated with CS can have a large impact on daily lives, and patient interviews can characterize and capture clinically meaningful improvements with treatment. ClinicalTrials.gov Identifier: NCT00853047.

Indexed as

DiarrheaMalignant Carcinoid SyndromeAgedAntineoplastic AgentsFemaleHumansInterviews as TopicMaleMiddle AgedPhenylalaninePyrimidinesTreatment OutcomeAntineoplastic AgentsPhenylalaninePyrimidinestelotristatcarcinoid syndromepatient-reportedqualitativetelotristat etiprate

Identifiers

PMID27041406
PMCPMC9047308
OpenAlexW2317210650

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.