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Biliary Tract Cancer (BTC)Phase 2TELE-ABCNCT03790111

A Safety and Efficacy Study of XERMELO® + First-line Chemotherapy in Patients With Advanced Biliary Tract Cancer

A Phase 2 study testing telotristat ethyl in people with Biliary Tract Cancer (BTC), run by TerSera Therapeutics LLC at 14 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

A Phase 2, multicenter, open-label, 2-stage study to assess the safety, tolerability, and efficacy of XERMELO in combination with first-line (1L) therapy (cisplatin [cis] plus gemcitabine [gem]) Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Biliary Tract Cancer (BTC)
What is being tested?
telotristat ethyl
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
53 participants
Where
14 sitesUnited States
Study dates
13 Mar 2019to 13 Jan 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female adults, ≥18 years of age. Patients of childbearing potential must agree to use an adequate method of contraception during the study and for 30 days after the last dose of XERMELO
  • Histopathologically or cytologically-confirmed, unresectable, locally advanced, recurrent, or metastatic biliary tract cancer (BTC)
  • Naïve to tumor-directed therapy in locally advanced, unresectable, or metastatic setting
  • Measurable disease
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • Plans to initiate treatment with 1L therapy (cisplatin plus gemcitabine)
  • Ability to provide written informed consent prior to participation in any study-related procedure

Who cannot join

  • Prior exposure to XERMELO, telotristat ethyl, telotristat etiprate, LX1032, or LX1606
  • Primary tumor site in the ampulla of Vater
  • Treatment with photodynamic therapy for localized disease or to relieve biliary obstruction in the presence of metastatic disease within the past 30 days
  • Hematology laboratory values of: a. Absolute neutrophil count (ANC) ≤1,500 cells/mm^3; or b. Platelets ≤100,000 cells/mm^3; or c. Hemoglobin (Hgb) ≤9 g/dL; or d. White blood count (WBC) ≤3,000 cells/mm^3
  • Hepatic laboratory values of aspartate aminotransferase (AST) or alanine aminotransferase (ALT): a. >5 x upper limit of normal (ULN) if patient has documented history of hepatic metastases; or b. >2.5 x ULN if no liver metastases are present
  • Serum albumin <2.8 g/dL
Show all 31Show fewer
  • Total bilirubin >1.5 x ULN or >1.5 mg/dL
  • Prothrombin time (PT) or international normalized ratio (INR) >1.5 x ULN
  • Serum creatinine or serum urea >1.5 x ULN
  • Estimated glomerular filtration rate (eGFR) <50 mL/min
  • Positive pregnancy test, pregnant, or breastfeeding
  • Any other clinically significant laboratory abnormality that would compromise patient safety or the outcome of the study
  • Any clinically significant and/or uncontrolled cardiac-related abnormality that would compromise patient safety or the outcome of the study
  • Myocardial infarction within the past 6 months
  • Active bleeding diathesis
  • Life expectancy ≤3 months
  • Current complaints of persistent constipation or history of chronic constipation, bowel obstruction or fecaloma within the past 6 months
  • Receiving chronic treatment with corticosteroids ≥5 mg of prednisone per day (or equivalent) or other immunosuppressive agent(s)
  • History and/or uncontrolled hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV Ab), or human immunodeficiency virus (HIV)-1 or HIV-2
  • History of substance or alcohol abuse within the past 2 years
  • History of galactose intolerance, deficiency of Lapp lactase, or glucose-galactose malabsorption
  • History of malignancy or active treatment for malignancy within 5 years
  • Receipt of live, attenuated vaccine or close contact with someone who has received a live, attenuated vaccine within the past 1 month
  • Receipt of any investigational agent or study treatment (ie, any treatment or therapy not approved by the FDA for the treatment of BTC) within the past 30 days
  • Receipt of any protein or antibody-based therapeutic agents within the past 3 months
  • Treatment with any tumor-directed therapy within the past 6 months with curative intent
  • Existence of any surgical or medical condition that, in the judgment of the Investigator, might compromise patient safety or the outcome of the study
  • Presence of any clinically significant findings (relative to the patient population) during review of medical history or upon physical exam that, in the Investigator's or Medical Monitor's opinion, would compromise patient safety or the outcome of the study
  • Evidence of brain metastases
  • Unable or unwilling to communicate or cooperate with the Investigator for any reason
  • Employee of Sponsor or clinical site, or relative of any member of a clinical site's staff

Trial locations and contacts

14 sites in 1 country.

14 sites in 1 country

United States14 sites
  • TerSera Investigational Site

    Boston, Massachusetts, 02118

  • TerSera Investigational Site

    Buffalo, New York, 14263

  • TerSera Investigational Site

    Charlotte, North Carolina, 28204

  • TerSera Investigational Site

    Chicago, Illinois, 60637

  • TerSera Investigational Site

    Fullerton, California, 92835

  • TerSera Investigational Site

    Gainesville, Florida, 32610

  • TerSera Investigational Site

    Gilbert, Arizona, 85234

  • TerSera Investigational Site

    Grand Rapids, Michigan, 49503

  • TerSera Investigational Site

    Lake Success, New York, 11042

  • TerSera Investigational Site

    Lexington, Kentucky, 40536

  • TerSera Investigational Site

    Oklahoma City, Oklahoma, 73104

  • TerSera Investigational Site

    San Antonio, Texas, 78229

  • TerSera Investigational Site

    Tampa, Florida, 33612

  • TerSera Investigational Site

    Westwood, Kansas, 66205

Other trials in United States

About this study

Official title: A Phase 2, Multicenter, Open-label, Safety and Efficacy Study of XERMELO® (Telotristat Ethyl) Plus First-line Chemotherapy in Patients With Locally Advanced, Unresectable, Recurrent or Metastatic Biliary Tract Cancer (BTC)

A Phase 2, multicenter, open-label, 2-stage study to assess the safety, tolerability, and efficacy of XERMELO in combination with first-line (1L) therapy (cisplatin [cis] plus gemcitabine [gem])

Read the detailed description

A Phase 2, multicenter, open-label, 2-stage study to assess the safety, tolerability, and efficacy of XERMELO in combination with first-line (1L) therapy cis plus gem in patients with unresectable, locally advanced, recurrent or metastatic biliary tract cancer (intrahepatic or extrahepatic cholangiocarcinoma, gallbladder cancer), who are naïve to tumor-directed therapy in the locally advanced or metastatic setting, and for which treatment with 1L therapy (defined as a combination of cis plus gem) is planned.

Being tested
telotristat ethyl
Medical subject headings
Biliary Tract Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • telotristat ethylDrug

    Also called telotristat ethyl + (cisplatin [cis] plus gemcitabine [gem])

    XERMELO (telotristat ethyl) tablets administered as 250 mg (1 x 250-mg tablet) three times a day plus first line therapy for 7 days, then XERMELO (telotristat ethyl) tablets administered as 500 mg (2 x 250-mg tablets) three times a day plus first line therapy for the duration of the study

Study groups in NCT03790111
Study groupRoleWhat they receive
Xermelo 250mg plus first line therapy for a week, then Xermelo 500mgExperimentalXermelo 250 milligram (mg) plus first line therapy for a week, then Xermelo 500mg plus first line therapy for the duration of the study
Receives: Drug: telotristat ethyl

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Progression-free Survival (PFS) as Evaluated by Central Radiologist's Assessment

    Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions", or similar definition as accurate and appropriate.

    Measured: Month 6

  2. Project Overall Survival Rate at Month 6

    Overall Survival (OS) was defined as the time from the frist dose of study treatment until the date of death due to any cause. Duration of Overall Survival (OS) in days is defined as (Date of event/censoring- date of First dose +1). Use Kaplan Meier method to project survival rate at month 6.

    Measured: 6 Months

Secondary outcomes (30)
  1. Overall Survival (OS)

    Overall Survival (OS) was defined as the time from first dose of study treatment until the date of death due to any cause.

    Measured: First dose of study treatment until the date of death due to any cause, whichever came first, a median of approximately 17.67 months

  2. Project Overall Survival Rate at Month 12

    Overall Survival (OS) was defined as the time from the first dose of study treatment until the date of death due to any cause. Duration of Overall Survival (OS) in days is defined as (Date of event/censoring - date of first dose +1). Use Kaplan Meier method to project survival rate at month 12.

    Measured: 12 Months

  3. Median Progression Free Survival

    Scheduled disease assessment at Cycle 19 Day 1 was used to determine PFS response rate at Month 12.

    Measured: Month 12

  4. Disease Control Rate (DCR), Central Radiologist's Assessment

    Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.".

    Measured: Month 6

  5. Disease Control Rate (DCR), Central Radiologist's Assessment

    Disease control rate (DCR) was defined as the proportion of patients with best overall response of SD longer than 6 weeks from first dosing, confirmed PR, or confirmed CR.

    Measured: Month 12

  6. Disease Control Rate (DCR), Central Radiologist's Assessment

    Disease control rate (DCR) was defined as the proportion of patients with best overall response of SD longer than 6 weeks from first dosing, confirmed PR, or confirmed CR.

    Measured: End of Study up to 24 months

  7. Overall (Objective) Response Rate (ORR), Central Radiologist's Assessment

    Overall response rate (ORR) was defined as the proportion of patients with best overall response of confirmed PR or confirmed CR. The best overall response was the best overall response recorded from the start of study treatment until the EOS considering any requirement for confirmation.

    (CR) + partial response (PR) at Months 6

    Measured: Month 6

  8. Overall (Objective) Response Rate (ORR), Central Radiologist's Assessment

    Overall response rate (ORR) was defined as the proportion of patients (Number of Responders) with best overall response of confirmed PR or confirmed CR. The best overall response was the best overall response recorded from the start of study treatment until Month 12.

    Measured: Month 12

  9. Overall (Objective) Response Rate, Central Radiologist's Assessment

    Overall response rate (ORR) was defined as the proportion of patients with best overall response of confirmed PR or confirmed CR. The best overall response was the best overall response recorded from the start of study treatment until the EOS considering any requirement for confirmation.

    Measured: End of Study as defined up to 24 months

  10. Summary of Duration of Progression Free Survival, Local Radiologist's Assessment

    Summary of Duration of Median Progression Free Survival, Local Radiologist's Assessment. Patient progression was defined from date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 7 months.

    Measured: up to 7 months

  11. Progression Free Survival, Local Radiologist's Assessment

    Summary of Median Progression Free Survival, Local Radiologist's Assessment. Defined as the time from first dose of study treatment until the first date of either disease progression or death due to any cause. Scheduled disease assessment at Cycle 19 Day 1 was used to determine PFS response rate at Month 12.

    Measured: Month 12

  12. Progression Free Survival, Local Radiologist's Assessment

    Summary of Median Progression Free Survival, Local Radiologist's Assessment, End of Study

    Measured: End of Study as defined up to 24 months

  13. Overall (Objective) Response Rate, Local Read

    Overall response rate (ORR) was defined as the proportion of patients with best overall response of confirmed PR or confirmed CR. The best overall response was the best overall response recorded from the start of study treatment at Month 6.

    Measured: 6 Months

  14. Overall (Objective) Response Rate, Local Reader's Assessment

    Overall response rate (ORR) was defined as the proportion of patients with best overall response of confirmed PR or confirmed CR. The best overall response was the best overall response recorded from the start of study treatment at Month 12.

    Measured: 12 Months

  15. Overall (Objective) Response Rate (ORR), Local Reader's Assessment

    Overall response rate (ORR) was defined as the proportion of patients with best overall response of confirmed PR or confirmed CR. The best overall response was the best overall response recorded from the start of study treatment until the EOS considering any requirement for confirmation.

    Measured: End of Study as defined up to 24 months

  16. Disease Control Rate (DCR), Local Reviewer

    Disease control rate (DCR) was defined as the proportion of patients with best overall response of SD longer than 6 weeks from first dosing, confirmed PR, or confirmed CR.

    Measured: Month 12 as defined by 1 year

  17. Disease Control Rate (DCR), Local Reviewer

    Disease control rate (DCR), Local Reviewer, 6 Months

    Measured: Month 6

  18. Disease Control Rate End of Study, Local Reviewer

    Disease control rate (DCR) was defined as the proportion of patients with best overall response of SD longer than 6 weeks from first dosing, confirmed PR, or confirmed CR.

    Measured: End of Study as defined up to 24 months

  19. Mean Change From Baseline in Plasma 5-hydroxyindoleacetic Acid (5-HIAA)

    Mean change from Baseline to Month 6 plasma level 5-hydroxyindoleacetic acid (5-HIAA)

    Measured: Month 6

  20. Mean Change From Baseline in Plasma 5-hydroxyindoleacetic Acid (5-HIAA)

    Mean change from Baseline to Month 12 in plasma level 5-hydroxyindoleacetic Acid (5-HIAA)

    Measured: Month 12

  21. Mean Change From Baseline in Plasma 5-hydroxyindoleacetic Acid (5-HIAA)

    Mean change from Baseline to End of Study in plasma 5-hydroxyindoleacetic acid (5-HIAA)

    Measured: End of Study as defined up to 24 months

  22. Change From Baseline in Carbohydrate Antigen 19-9 (CA 19-9)

    Mean change from Baseline to month 6 in plasma carbohydrate antigen 19-9 (CA 19-9)

    Measured: Month 6

  23. Change From Baseline in Carbohydrate Antigen 19-9 (CA 19-9)

    Mean change from Baseline to Month 12 in plasma carbohydrate antigen 19-9 (CA 19-9)

    Measured: Month 12

  24. Change From Baseline in Plasma Carbohydrate Antigen 19-9 (CA 19-9)

    Mean change from Baseline to End of Study in plasma carbohydrate antigen 19-9 (CA 19-9)

    Measured: End of Study as defined up to 24 months

  25. Weight Change From Baseline

    Mean change in weight at Month 6 from baseline measurement

    Measured: Month 6

  26. Weight Change From Baseline

    Mean change in weight at Month 12 from baseline measurement

    Measured: Month 12

  27. Weight Change From Baseline

    Mean change in weight from baseline to End of Study

    Measured: End of Study as defined up to 24 months

  28. Change From Baseline in Serum Albumin

    Mean change from Baseline to Month 6 serum albumin levels

    Measured: Month 6

  29. Change From Baseline in Serum Albumin

    Mean change from Baseline to Month 12 serum albumin levels

    Measured: Month 12

  30. Change From Baseline in Serum Albumin

    Mean change from Baseline to End of Study serum albumin levels

    Measured: End of Study as defined up to 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Dec 2018
  2. Study start13 Mar 2019
  3. Primary completion13 Jan 2022
  4. Study completion13 Jan 2022

Why it stopped: Did not meet pre-specified Progression-Free Survival at Month 6 for Stage 2 Analysis

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
53 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03790111
Sponsor's protocol ID
LX1606.1-207-BTC
Other IDs
LX1606.207, LX1606.207
Acronym
TELE-ABC
Status last verified
Apr 2023
First submitted
25 Dec 2018
Last updated
19 Apr 2023
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing telotristat ethyl in people with Biliary Tract Cancer (BTC), run by TerSera Therapeutics LLC at 14 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 31 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 19 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Apr 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Progression-free Survival (PFS) as Evaluated by Central Radiologist's Assessment (time frame: Month 6). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Apr 2023.

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