Connecting Twilio_Voice to Rasa - Hangs Up Immediately

I have connected Twilio to my basic Rasa chatbot using CALM. The call connects but immediately hangs up. When I inspect ngrok, the call is received by Rasa, the session_start message is triggered but there appears to be no content and Rasa returns a 200OK with an empty body.

I am been searching documentation and using the basic Text tutorial to keep it simple. Rasa seems to be working fine with text based communication.

I have attached details from inspector and debug log.

Any ideas how to fix this would be much appreciated.

James