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CompletedNCT01809210SELECT-3Updated Mar 13, 2018Results posted

Assess Safety & Efficacy of Selumetinib When Given in Combination With Standard First Line Treatment for Advanced Non-small Cell Lung Cancer

A Phase 1 interventional study of selumetinib and gemcitabine in Locally Advanced or Metastatic NSCL Cancer Stage IIIB IV, sponsored by AstraZeneca. Completed at 4 sites in United Kingdom. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2018-03-13.

Sponsored by AstraZeneca · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
55
Allocation
Not applicable
Ages
18 Years to 99 Years
Sex
All
01

Study summary

This is a Phase I, open label multicentre study of selumetinib administered orally in combination with first line chemotherapy regimens to patients with advanced/metastatic NSCLC. The study has been designed to allow an investigation of the optimal dose of selumetinib in combination with various standard first line double-platinum chemotherapy regimens. Initial assessment will be based on tolerability of selumetinib in combination with one or more selected regimens that are considered to be tolerated also being assessed for preliminary evidence of activity.

This study is a dose finding and optional cohort expansion; In addition all patients will be assessed for anti-cancer efficacy of the combination of selumetinib and chemotherapy.

Read the detailed description

A Phase I, Open Label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of Selumetinib (AZD6244; ARRY-142886) in Combination with First Line Chemotherapy Regimens in Patients with Non-Small Cell Lung Cancer (NSCLC)

02

Conditions studied

  • Locally Advanced or Metastatic NSCL Cancer Stage IIIB IV

Keywords

  • MEK1/2 inhibitor,
  • Non Small Cell Lung Cancer,
  • metastatic,
  • first line treatment for Non Small Cell Lung Cancer
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's enrollment of 55 is close to the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Provision of signed, written and dated consent prior to any study specific procedures
  • Male or female, aged 18 years or older
  • Histological or cytological confirmation of locally advanced or metastatic NSCLC (IIIB-IV)
  • Female patients must not be breast-feeding and have a negative pregnancy test prior to start of dosing or must have evidence of non-child-bearing potential
  • Patients must be eligible to receive treatment with the platinum doublet combination with which selumetinib is being combined and in accordance with the local product information

Exclusion criteria

Exclusion Criteria:

  • Prior chemotherapy or other systemic anti-cancer treatment for advanced NSCLC.
  • Prior surgery or radiotherapy within 6 months or palliative radiotherapy within 4 weeks of start of study treatment.
  • Female patients who are breast-feeding or male or female patients of reproductive potential who are not employing an effective method of birth control
  • Another primary malignancy within 5 years of starting study treatment, except for adequately treated basal or squamous cell carcinoma of the skin or cancer of the cervix in situ.
  • As judged by the Investigator, any evidence of severe or uncontrolled systemic diseases, active bleeding diatheses, renal transplant, or active infection
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
55 participants (actual)

Study arms

  • Experimental
    Selumetinib+standard chemotherapy

    Selumetinib plus gemcitabine; or pemetrexed and cisplatin or carboplatin

    Drug: selumetinib · Drug: gemcitabine · Drug: cisplatin · Drug: carboplatin · Drug: pemetrexed

Interventions

  • Drugselumetinib

    2 x 25mg capsules bd continuously in cohort 1 (with gemcitabine and cisplatin). If tolerated - next cohort 3 x 25mg capsules bd continuously. if higher doses are explored, required number of capsules will be provided. Option to administer on D2-19 of each 21 day cycle if required to assess tolerability of combinations with chemotherapy

  • Druggemcitabine

    1250 mg/m2 iv on Day 1 and 8 of each 21 day cycle. If combination not tolerated, option to give 1000 mg/m2 iv on Day 1 and Day 8 of each 21 day cycle

  • Drugcisplatin

    75 mg/m2 iv on Day 1 of each 21 day cycle. If combination not tolerated, option to give 50 mg/m2 iv on Day 1 or 25mg/m2 iv on Day 1 and Day 8 of each 21 day cycle

  • Drugcarboplatin

    If it is not possible to identify a tolerable combination of selumetinib, gemcitabine and cisplatin, cisplatin may be replaced with carboplatin (AUC5) iv on Day 1 of each 21 day cycle

  • Drugpemetrexed

    Gemcitabine may be replaced with pemetrexed 500 mg/m2 iv on Day 1 of each 21 day cycle.

06

What researchers measure

Primary outcomes

  1. Dose Limiting Toxicity (DLT) Events in Chemotherapy in Combination With Selumetinib

    Any toxicity not attributable to the disease or disease-related processess under investigation, considered related to the combination of chemotherapy plus selumetinib, which occurs within the timeframe and is dose limiting

    Time frame: The first dose on Cycle 1 Day 1 up to the time before dosing on Cycle 2 Day 1, assessed up to 3 weeks

Secondary outcomes

  1. Best Objective Response

    The best response a patient has had during their time in the study up until RECIST progression or last valuable assessment in the absence of RECIST progression. Per Response Evaluation Criteria In Solid Tumours (RECIST version 1.1) for target lesions (TL) and assessed by MRI or CT: Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for a Partial Response nor sufficient increase to qualify for Progressive Disease (PD); Progressive Disease (PD), \>=20% increase in the sum of the longest diameter of target lesions, the sum must also demonstrate an absolute increase of \>=5mm; Complete Response (CR), disappearance of all target lesions, any pathological lymph nodes selected as TLs must have a reduction in short axis to \<10mm

    Time frame: Screening, week 6 and week 12

  2. Percentage Change From Baseline at 6 Weeks in Target Lesion Size

    The percentage change in the sum of the diameters of target lesions

    Time frame: Week 6

  3. Best Percentage Change From Baseline in Target Lesion Size

    The best percentage change in tumour size a patient has had during their time in the study up until RECIST progression or last valuable assessment in the absence of RECIST progression. Percentage change was derived at each visit by the percentage change in the sum of the diameters of target lesions

    Time frame: Screening, week 6 and week 12

  4. Objective Response Rate (ORR)

    The number of patients who had at least 1 confirmed visit response of Complete Response (CR) or Partial Response (PR) prior to any evidence of progression. Per Response Evaluation Criteria In Solid Tumours (RECIST version 1.1) for target lesions (TL) and assessed by MRI or CT: Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Complete Response (CR), disappearance of all target lesions, any pathological lymph nodes selected as TLs must have a reduction in short axis to \<10mm; Objective Response Rate (ORR) = CR + PR

    Time frame: Up until progression or last evaluable assessment in the absence of progression, up to 9 months

  5. AUC (0-tau)

    Area under the concentration time curve (AUC) over a dosing interval at steady state (0-tau)

    Time frame: Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose

  6. Cmax,ss

    Maximum plasma concentration at steady state

    Time frame: Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose

  7. Tmax,ss

    Time to reach maximum plasma concentration at steady state

    Time frame: Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose

  8. CL/F

    Apparent oral plasma clearance

    Time frame: Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose

07

Results

Posted Mar 13, 2018

Participant flow

Patients were enrolled into dose-finding cohorts to evaluate escalating doses of selumetinib (AZD6244; ARRY-142886) to determine the maximum tolerated dose in combination with standard first-line chemotherapy regimens. Chemotherapy was administered on Day 1 (and Day 8 for gemcitabine) of each 3-week cycle.

Participant flow — Overall Study
MilestoneCohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, Carb
Started397361512
Completed28424127
Not completed1131235
Withdrew: Withdrawal by subject0011104
Withdrew: Death1120131

Outcome measures

PrimaryDose Limiting Toxicity (DLT) Events in Chemotherapy in Combination With Selumetinib

Any toxicity not attributable to the disease or disease-related processess under investigation, considered related to the combination of chemotherapy plus selumetinib, which occurs within the timeframe and is dose limiting

Time frame:
The first dose on Cycle 1 Day 1 up to the time before dosing on Cycle 2 Day 1, assessed up to 3 weeks
Reported as:
Number · participants
Dose Limiting Toxicity (DLT) Events in Chemotherapy in Combination With Selumetinib
participantsCohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, Carb
Evaluable patients37436126
Evaluable patients with a DLT Event0210011
SecondaryBest Objective Response

The best response a patient has had during their time in the study up until RECIST progression or last valuable assessment in the absence of RECIST progression. Per Response Evaluation Criteria In Solid Tumours (RECIST version 1.1) for target lesions (TL) and assessed by MRI or CT: Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for a Partial Response nor sufficient increase to qualify for Progressive Disease (PD); Progressive Disease (PD), \>=20% increase in the sum of the longest diameter of target lesions, the sum must also demonstrate an absolute increase of \>=5mm; Complete Response (CR), disappearance of all target lesions, any pathological lymph nodes selected as TLs must have a reduction in short axis to \<10mm

Time frame:
Screening, week 6 and week 12
Reported as:
Number · participants
Best Objective Response
participantsCohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, Carb
Complete response0000000
Partial response1221122
Unconfirmed complete or partial response0300222
Stable disease0122376
RECIST progression2010011
Death0000010
Incomplete post-baseline assessments0320021
SecondaryPercentage Change From Baseline at 6 Weeks in Target Lesion Size

The percentage change in the sum of the diameters of target lesions

Time frame:
Week 6
Reported as:
Mean · % change
Percentage Change From Baseline at 6 Weeks in Target Lesion Size
% changeCohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, Carb
Percentage Change From Baseline at 6 Weeks in Target Lesion Size-7.5 ± 19.79-29.3 ± 11.15-10.4 ± 24.45-14.7 ± 1.91-24.4 ± 32.60-18.9 ± 10.55-18.4 ± 19.58
SecondaryBest Percentage Change From Baseline in Target Lesion Size

The best percentage change in tumour size a patient has had during their time in the study up until RECIST progression or last valuable assessment in the absence of RECIST progression. Percentage change was derived at each visit by the percentage change in the sum of the diameters of target lesions

Time frame:
Screening, week 6 and week 12
Reported as:
Mean · % change
Best Percentage Change From Baseline in Target Lesion Size
% changeCohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, Carb
Best Percentage Change From Baseline in Target Lesion Size-11.9 ± 26.52-34.6 ± 8.11-41.3 ± 21.25-28.3 ± 15.25-34.7 ± 33.30-24.4 ± 14.71-25.4 ± 20.51
SecondaryObjective Response Rate (ORR)

The number of patients who had at least 1 confirmed visit response of Complete Response (CR) or Partial Response (PR) prior to any evidence of progression. Per Response Evaluation Criteria In Solid Tumours (RECIST version 1.1) for target lesions (TL) and assessed by MRI or CT: Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Complete Response (CR), disappearance of all target lesions, any pathological lymph nodes selected as TLs must have a reduction in short axis to \<10mm; Objective Response Rate (ORR) = CR + PR

Time frame:
Up until progression or last evaluable assessment in the absence of progression, up to 9 months
Reported as:
Number · participants
Objective Response Rate (ORR)
participantsCohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, Carb
Objective Response Rate (ORR)1 ± 26.522 ± 8.112 ± 21.251 ± 15.251 ± 33.302 ± 14.712 ± 20.51
SecondaryAUC (0-tau)

Area under the concentration time curve (AUC) over a dosing interval at steady state (0-tau)

Time frame:
Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose
Reported as:
Geometric mean · h*ng/mL
AUC (0-tau)
h*ng/mLCohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, Carb
AUC (0-tau)NA ± NA3571 ± 42.133339 ± 15.084813 ± 30.934366 ± 48.144116 ± 33.925202 ± 52.94
SecondaryCmax,ss

Maximum plasma concentration at steady state

Time frame:
Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose
Reported as:
Geometric mean · ng/mL
Cmax,ss
ng/mLCohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, Carb
Cmax,ss476.7 ± 51.121222 ± 59.861487 ± 23.091615 ± 27.711375 ± 40.211364 ± 57.782309 ± 35.99
SecondaryTmax,ss

Time to reach maximum plasma concentration at steady state

Time frame:
Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose
Reported as:
Median · h
Tmax,ss
hCohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, Carb
Tmax,ss1.00 ± 51.121.25 ± 23.091.00 ± 57.781.00 ± 59.861.75 ± 27.711.48 ± 40.211.50 ± 35.99
SecondaryCL/F

Apparent oral plasma clearance

Time frame:
Cycle 2 Day1, pre-dose, 0.5, 1, 1.5, 2, 4, 8, 10 hours post dose
Reported as:
Mean · L/h
CL/F
L/hCohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, Carb
CL/FNA ± NA14.72 ± 5.15622.64 ± 3.52110.72 ± 3.32818.82 ± 9.77719.08 ± 5.88121.02 ± 9.857

Adverse events

Collected over Adverse Events are collected throughout the study, from informed consent until the end of follow-up, which is defined as 28 +/- 7 days after selumetinib is discontinued. Patients were expected to receive up to 6 cycles (18 wks) of chemotherapy.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 1 sel50, Gem, Cis—1/3 (33.3%)3/3 (100%)
Cohort 2 sel50, Gem, Carb—6/9 (66.7%)9/9 (100%)
Cohort 3 sel75, Gem, Cis—3/7 (42.9%)7/7 (100%)
Cohort 4 sel150, Pem, Carb—2/3 (66.7%)3/3 (100%)
Cohort 5 sel75, Pem, Carb—3/6 (50%)6/6 (100%)
Cohort 6 sel75, Pem, Cis—9/15 (60%)15/15 (100%)
Cohort 7 sel100, Pem, Carb—9/12 (75%)12/12 (100%)
Most frequent serious events
Showing 10 of 34
Most frequent serious events
EventCohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, Carb
ThrombocytopeniaBlood and lymphatic system disorders0/34/90/70/30/60/154/12
Large intestine perforationGastrointestinal disorders1/30/91/70/30/60/150/12
Musculoskeletal chest painMusculoskeletal and connective tissue disorders0/30/90/71/30/60/150/12
Pain in extremityMusculoskeletal and connective tissue disorders0/30/90/71/30/60/150/12
Urinary retentionRenal and urinary disorders0/30/90/71/30/60/150/12
Pulmonary embolismRespiratory, thoracic and mediastinal disorders1/30/91/70/30/60/150/12
NauseaGastrointestinal disorders0/30/92/70/30/61/150/12
AnaemiaBlood and lymphatic system disorders0/30/91/70/30/60/152/12
PyrexiaGeneral disorders0/31/90/70/31/60/150/12
Neutropenic sepsisInfections and infestations0/30/90/70/31/60/150/12
Most frequent other events
Showing 10 of 174
Most frequent other events
EventCohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, Carb
NauseaGastrointestinal disorders3/35/95/73/35/68/1510/12
VomitingGastrointestinal disorders3/34/94/71/34/66/157/12
ConstipationGastrointestinal disorders1/35/94/72/32/66/159/12
RashSkin and subcutaneous tissue disorders0/33/95/72/31/68/156/12
Periorbital oedemaEye disorders0/33/92/72/31/62/156/12
DiarrhoeaGastrointestinal disorders2/35/94/71/33/69/156/12
FatigueGeneral disorders2/36/93/71/32/69/157/12
Lower respiratory tract infectionInfections and infestations0/34/91/72/30/62/150/12
HypomagnesaemiaMetabolism and nutrition disorders0/30/90/72/30/60/150/12
AnaemiaBlood and lymphatic system disorders1/35/90/71/31/60/154/12

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Cohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, CarbTotal
Mean58.7 ± 3.7969.2 ± 3.5355.1 ± 8.6564.7 ± 7.2359.5 ± 5.2861.8 ± 5.8660.2 ± 8.3961.5 ± 7.45
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, CarbTotal
Female153145726
Male2442210529
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Cohort 1 sel50, Gem, CisCohort 2 sel50, Gem, CarbCohort 3 sel75, Gem, CisCohort 4 sel150, Pem, CarbCohort 5 sel75, Pem, CarbCohort 6 sel75, Pem, CisCohort 7 sel100, Pem, CarbTotal
Black Or African American10001103
Other00000112
White29735131150
08

Study locations

4 sites
  • Research Site
    Glasgow, G12 0YN, United Kingdom
  • Research Site
    London, W1G 6AD, United Kingdom
  • Research Site
    Manchester, M20 4BX, United Kingdom
  • Research Site
    Newcastle upon Tyne, NE7 7DN, United Kingdom
09

References and documents

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01809210
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Mar 12, 2013
Start date
Apr 4, 2013
Primary completion
Jan 4, 2016
Completion
Jan 4, 2016
Results posted
Mar 13, 2018
Last update
Mar 13, 2018

Study contacts

Gabriella Mariani, MD
study director · AstraZeneca UK, MSD
Emma Dean, BMEDSCI, BM, BS, PHD
principal investigator · The Christie NHS Foundation Trust, UK
Fiona Blackhall, PhD, FRCP
principal investigator · The Christie NHS Foundation Trust Clinical Trials Unit; UK

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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