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Telotristat Etiprate

FDA-approved product (tablet, oral), marketed as Xermelo.

Registered studies
27
Lab records
0
Pathogens at ≥40%
3 of 4

Chemical structure

Chemical structure of Telotristat Etiprate
A drawing shows what the molecule is, not what it does.

Existing / approved use

Documented · FDA, WHO, ChEMBL

Approved for

  • Carcinoid tumor
  • Diarrhea
  • Neuroendocrine neoplasm

Indications ChEMBL records as approved, from FDA and DailyMed labels. Label ↗

WHO therapeutic group
Various alimentary tract and metabolism products
Anti-infective classification
Not classified as an anti-infective.

Repurposing investigation

This medicine is being investigated here for AI-predicted antimicrobial activity against E. coli, MRSA and M. tuberculosis. It was surfaced computationally for further investigation; it is not an established treatment for these infections.

AI-predicted activity

AI prediction · nothing measured
  • MRSA54.0% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.
  • E. coli54.9% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.
  • K. pneumoniae34.7% AI-predicted activityBelow the ≥40% mark this site uses to surface candidates.
  • M. tuberculosis60.0% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.

A model’s estimate of laboratory activity against each pathogen species. It is not clinical effectiveness.

Evidence

Clinical and experimental

Documented evidence

Clinical

27registered studies name this medicine, for any condition. See them below.

Experimental

No evidence found

No laboratory measurement against the four pathogens in the ChEMBL records loaded here.

Docking

Computational · nothing measured

Dihydrofolate reductase ↗ (E. coli)

Not yet docked: queued in the docking rundetails

KPC-2 carbapenemase ↗ (K. pneumoniae)

Not yet docked: queued in the docking rundetails

Enoyl-ACP reductase (InhA) ↗ (M. tuberculosis)

Not yet docked: queued in the docking rundetails

Dihydrofolate reductase ↗ (MRSA)

Not yet docked: queued in the docking rundetails

AutoDock Vina, one experimentally solved protein per pathogen. This project’s screening target is -7.0 kcal/mol, its own mark rather than a universal cutoff. A docking score is a structural hypothesis, not proof of binding, and requires experimental validation.

Other medicines to investigate

AI prediction · nothing measured

Other repurposing candidates: approved medicines besides Telotristat Etiprate with AI-predicted activity ≥40% against the chosen pathogen, leaving out existing antimicrobials. They are computational candidates for further investigation, not alternatives and not recommendations.

Sorted by AI-predicted activity, high to low. The order is not a ranking of which medicine is better.

Registered studies

A registration describes a study; it does not establish a positive result.

  • An Open-Label Drug-Drug Interaction Study of Telotristat Etiprate and Fexofenadine in Healthy Subjects

    NCT02157558 · start 2014-07

    Registered record
    Registry ID
    NCT02157558
    Conditions
    Drug Interactions
    Interventions
    Fexofenadine; Telotristat etiprate
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2014-07
    Completion
    Not recorded
    Enrolment
    24

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionDrug Interactions
    InterventionFexofenadine; Telotristat etiprate
    PhasePhase 1
    Registry statusCompleted
  • Phase 1, Open-label, Drug-drug Interaction Study With Octreotide Acetate Injection and Telotristat Etiprate in Healthy Subjects

    NCT02195635 · start 2014-07

    Registered record
    Registry ID
    NCT02195635
    Conditions
    Drug Interactions
    Interventions
    Telotristat etiprate; Octreotide acetate
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2014-07
    Completion
    Not recorded
    Enrolment
    24

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionDrug Interactions
    InterventionTelotristat etiprate; Octreotide acetate
    PhasePhase 1
    Registry statusCompleted
  • An Open-Label Food Effect Study of Telotristat Etiprate

    NCT02157584 · start 2014-06

    Registered record
    Registry ID
    NCT02157584
    Conditions
    Healthy
    Interventions
    Telotristat etiprate; Telotristat etiprate
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2014-06
    Completion
    Not recorded
    Enrolment
    22

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionHealthy
    InterventionTelotristat etiprate; Telotristat etiprate
    PhasePhase 1
    Registry statusCompleted
  • A Open-Label Drug-Drug Interaction Study of Telotristat Etiprate and Midazolam in Healthy Subjects

    NCT02147808 · start 2014-05

    Registered record
    Registry ID
    NCT02147808
    Conditions
    Drug Interactions
    Interventions
    Telotristat etiprate; Midazolam
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2014-05
    Completion
    Not recorded
    Enrolment
    24

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionDrug Interactions
    InterventionTelotristat etiprate; Midazolam
    PhasePhase 1
    Registry statusCompleted
  • A Thorough QT Study of Telotristat Etiprate

    NCT02155205 · start 2014-05

    Registered record
    Registry ID
    NCT02155205
    Conditions
    QT Interval
    Interventions
    Telotristat etiprate; Placebo; Moxifloxacin
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2014-05
    Completion
    Not recorded
    Enrolment
    48

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionQT Interval
    InterventionTelotristat etiprate; Placebo; Moxifloxacin
    PhasePhase 1
    Registry statusCompleted
  • Telotristat Etiprate for Carcinoid Syndrome Therapy

    NCT02063659 · start 2014-03-11

    Registered record
    Registry ID
    NCT02063659
    Conditions
    Carcinoid Syndrome
    Interventions
    Telotristat etiprate; Placebo
    Study type
    INTERVENTIONAL
    Phase
    Phase 3
    Registry status
    Completed
    Start
    2014-03-11
    Completion
    2016-03-29
    Enrolment
    76

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionCarcinoid Syndrome
    InterventionTelotristat etiprate; Placebo
    PhasePhase 3
    Registry statusCompleted
  • Telotristat Etiprate - Expanded Treatment for Patients With Carcinoid Syndrome Symptoms

    NCT02026063 · start 2014-01-14

    Registered record
    Registry ID
    NCT02026063
    Conditions
    Carcinoid Syndrome
    Interventions
    Telotristat etiprate
    Study type
    INTERVENTIONAL
    Phase
    Phase 3
    Registry status
    Completed
    Start
    2014-01-14
    Completion
    2018-09-12
    Enrolment
    124

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionCarcinoid Syndrome
    InterventionTelotristat etiprate
    PhasePhase 3
    Registry statusCompleted
  • An Open-label Study to Evaluate the Absorption, Metabolism, and Excretion of [14C]-Telotristat Etiprate in Males

    NCT01932528 · start 2013-08

    Registered record
    Registry ID
    NCT01932528
    Conditions
    Carcinoid Syndrome
    Interventions
    500 mg [14C]-LX1606
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2013-08
    Completion
    Not recorded
    Enrolment
    8

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionCarcinoid Syndrome
    Intervention500 mg [14C]-LX1606
    PhasePhase 1
    Registry statusCompleted
  • TELESTAR (Telotristat Etiprate for Somatostatin Analogue Not Adequately Controlled Carcinoid Syndrome)

    NCT01677910 · start 2013-01-08

    Registered record
    Registry ID
    NCT01677910
    Conditions
    Carcinoid Syndrome
    Interventions
    Telotristat etiprate; Placebo-matching telotristat etiprate
    Study type
    INTERVENTIONAL
    Phase
    Phase 3
    Registry status
    Completed
    Start
    2013-01-08
    Completion
    2016-03-21
    Enrolment
    135

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionCarcinoid Syndrome
    InterventionTelotristat etiprate; Placebo-matching telotristat etiprate
    PhasePhase 3
    Registry statusCompleted
  • A Study to Evaluate Safety and Efficacy of Telotristat Etiprate (LX1606) in Participants With Acute, Mild to Moderate Ulcerative Colitis

    NCT01456052 · start 2012-01-30

    Registered record
    Registry ID
    NCT01456052
    Conditions
    Ulcerative Colitis
    Interventions
    Telotristat Etiprate; Placebo
    Study type
    INTERVENTIONAL
    Phase
    Phase 2
    Registry status
    Completed
    Start
    2012-01-30
    Completion
    2013-09-03
    Enrolment
    59

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionUlcerative Colitis
    InterventionTelotristat Etiprate; Placebo
    PhasePhase 2
    Registry statusCompleted
  • Study of Telotristat Etiprate (LX1606) in Participants With Symptomatic Carcinoid Syndrome

    NCT01104415 · start 2010-06-15

    Registered record
    Registry ID
    NCT01104415
    Conditions
    Carcinoid Syndrome
    Interventions
    Telotristat etiprate
    Study type
    INTERVENTIONAL
    Phase
    Phase 2
    Registry status
    Completed
    Start
    2010-06-15
    Completion
    2014-02-12
    Enrolment
    15

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionCarcinoid Syndrome
    InterventionTelotristat etiprate
    PhasePhase 2
    Registry statusCompleted
  • Study of Telotristat Etiprate (LX1606) in Participants With Symptomatic Carcinoid Syndrome Not Managed by Stable-Dose Octreotide Therapy

    NCT00853047 · start 2009-03

    Registered record
    Registry ID
    NCT00853047
    Conditions
    Carcinoid Syndrome
    Interventions
    Telotristat etiprate; Octreotide LAR Depot; Placebo
    Study type
    INTERVENTIONAL
    Phase
    Phase 2
    Registry status
    Completed
    Start
    2009-03
    Completion
    2014-06
    Enrolment
    23

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionCarcinoid Syndrome
    InterventionTelotristat etiprate; Octreotide LAR Depot; Placebo
    PhasePhase 2
    Registry statusCompleted