@Marvin I'm not a VAPI employee - but I'll try and provide some context on the above. From the trace you sent, it would appear that the final ACK message is missing from the trace, causing the 200 OK to repeat, but then drop the call after 30 seconds.
This can be related to one of the following:
1. Improper NAT configuration of your Jambonz setup - most likely a mis-configuration somewhere
2. A restrictive firewall at your carrier - they way Jambonz/VAPI perform load balancing is by "jumping" calls between application servers. This can cause an issue where the final ACK comes from a totally different server which isn't whitelisted with your carrier - causing the ACK to drop.