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AZD6244

Phase 4

Colorectal Cancer | Small molecule | Oncology |AstraZeneca PLC|Trials Updated: Oct 13, 2026

AZD6244 development status

Highest phase Phase 4 run by Beijing Chest Hospital (NCT02901288)
Phase scored for AZNPhase 2
Registered trials 87 across 35 sponsors since Aug 2002

AZD6244 target and mechanism

ModalitySmall molecule

Also known as Selumetinib (AZD6244), Selumetinib, ARRY-142886, rifampicin, selumetinib (oral)

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials31
Total Enrollment2,817

FDA Designations

No designations recorded

AZD6244 clinical trials

AZD6244 · 31 trials · 44 indications

Phase 3 3Phase 2 9Phase 1 19
NCT04924608Efficacy and Safety of Selumetinib in Adults With NF1 Who Have Symptomatic, Inoperable Plexiform NeurofibromasNeurofibromatosis 1
ACTIVE NOT_RECRUITING145 Analytics
NCT01974752Selumetinib (AZD6244: ARRY-142886) (Hyd-Sulfate) in Metastatic Uveal Melanoma (SUMIT)Metastatic
COMPLETED152 Analytics
NCT01933932Assess Efficacy & Safety of Selumetinib in Combination With Docetaxel in Patients Receiving 2nd Line Treatment for v-Ki-ras2 Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS) Positive NSCLCLocally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IV
ACTIVE NOT_RECRUITING510 Analytics
PHASE3ACTIVE NOT_RECRUITING
Efficacy and Safety of Selumetinib in Adults With NF1 Who Have Symptomatic, Inoperable Plexiform Neurofibromas
Neurofibromatosis 1Unlock trial analytics
PHASE3COMPLETED
Selumetinib (AZD6244: ARRY-142886) (Hyd-Sulfate) in Metastatic Uveal Melanoma (SUMIT)
MetastaticUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Assess Efficacy & Safety of Selumetinib in Combination With Docetaxel in Patients Receiving 2nd Line Treatment for v-Ki-ras2 Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS) Positive NSCLC
Locally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IVUnlock trial analytics

Study Endpoints

Primary Endpoints

Confirmed Partial and Complete Response Rate (ORR) by End of Cycle 16 Using Volumetric MRI Analysis as Determined by ICR (Per REiNS Criteria) in Participants With NF1 Who Have Symptomatic, Inoperable PN.
From first dose up until progression (if it occurs prior to the end of Cycle 16), or the last evaluable assessment up to and including the end of Cycle 16, excluding MRI during prolonged study intervention interruption (defined as interruption >= 28 days)

Objective response rate is defined as the proportion of participants who have a confirmed CR (defined as disappearance of the target PN, confirmed by a consecutive scan within 3 to 6 months after the first response) or confirmed PR (defined as a target PN volume decrease ≥ 20%, compared to baseline, confirmed by a consecutive scan within 3 to 6 months after the first response) by end of Cycle 16 as determined by ICR per REiNS criteria. Increase in the volume of the target PN by 20% or more compared to baseline or the time of best response after documenting a PR is considered as PD.

Assessment of the Efficacy of Selumetinib in Combination With Dacarbazine Compared With Placebo in Combination With Dacarbazine Measured as Progression Free Survival (PFS) Using BICR According to RECIST 1.1.
From Randomization, then every 6 weeks up until progression or death (whichever is sooner) assessed up to 15th May 2015

Progression free survival (PFS) using blinded independent central review (BICR) according to the Response Evaluation Criteria in Solid Tumours version 1.1 (RECIST 1.1). Progression is defined 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.

Progression-Free Survival (PFS)
Measured at baseline until the date of first documented objective disease progression. Estimated final completion : approximately 3 years after first subject in (FSI)

Progression free survival is defined as the time from randomisation until the date of objective disease progression (RECIST 1.1) or death (by any cause in the absence of progression)

Objective Response Rate (ORR)in NF2-related vestibular schwannoma assessed according to the REiNS criteria
12 months

Partial response is defined as the sum volume of VS decrease ≥20% compared to baseline, confirmed by a consecutive scan after 1 to 3 treatment cycles after the first response. Complete response is defined as disappearance of VS, confirmed by a consecutive scan after 1 to 3 treatment cycles after the first response;

Hearing Response Rate Based on Word Recognition Score (WRS) in Target Vestibular Schwannoma
12 months

Percentage of participants with WRS improvement exceeding the 95% critical difference from baseline in the ear associated with the target vestibular schwannoma.

Pure Tone Average (PTA) Response Rate in Target Vestibular Schwannoma
12 months

Percentage of participants with a PTA decrease of at least 10 dB from baseline in the ear associated with the target vestibular schwannoma.

Progression Free Survival (PFS)
Baseline and then every 6 weeks after randomization until objective disease progression, up to 29 months (at the time of the analysis)

Median time from randomisation until the date of objective disease progression or death (by any cause in the absence of progression). Progression is defined using Response Evaluation Criteria in Solid Tumours (RECIST v1.1): \>= 20% increase in the sum of diameters of Target Lesions (TL) and an absolute increase in sum of diameters of \>=5mm (compared to the previous minimum sum) or progression of Non TLs or a new lesion.

Dose Finding will be calculated based upon toxicity screening and dose modification guidelines within protocol.
AEs will be assessed at each cycle visit, discontinuation treatment visit, and 30 days post last day of study treatment
Objective Response Rate will be assessed by the RECIST guideline documented in the European Journal of Cancer, 2009.
Tumor evaluation via RECIST guidelines will be done on screening visit, day 22 of every other cycle, and treatment discontinuation visit
Overall Survival
From date of randomization until death, withdrawal of consent or the end of the study. The end of the study was defined as the date all AZD6244 patients had been followed for a minimum of 12 months, or the date of final analysis, whichever was later

Following progression survival data was collected until documentation of death, withdrawal of consent, loss to follow-up or the final data cut-off, whichever occurred first.

Progression event count
assessed after each visit
Assess tumor growth
assessed every 12 weeks
Median time to death (TTD)
Data cut off for this analysis was 5th April 2008.

The TTD (days) was calculated as the interval from date of randomisation to date of patient death (from any cause). Patients who had not died at the time of the final analysis were censored at the last date the patient was known to be alive. Median TTD in days is presented here.

To compare the efficacy of AZD6244 vs temozolomide in patients with unresectable AJCC stage 3 or 4 malignant melanoma by assessing progression free survival (PFS)
From date of randomisation until 6 months after first dose or study withdrawal (whichever is the earliest)
Time to death
From date of randomisation until 6 months after first dose or to date of death (whichever is the earliest)
Objective Response Rate
RECIST data collected as per institutional standard practise
Duration of response
RECIST data collected as per institutional standard practise
Maximum dose tolerability of Selumetinib in patients
24 months

Determination of the maximum administered dose and the recommended phase II dose

Selumetinib AUC0-12 Derived After Single Dose Administration
Pre-dose and 1, 2, 3, 4, 6, 8 and 10-12 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1) (each cycle is 28 days)

To determine the pharmacokinetics of selumetinib after administration of the selumetinib granule formulation

Adverse Events Graded by CTCAE Ver 5.0
from screening until 30 days after last dose

To assess the safety and tolerability of the selumetinib granule formulation.

Selumetinib area under the plasma concentration-time curve from zero to 12 hours post-dose (AUC0-12)
At pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12 hours post-dose (Cycle 1 Day 8 of each treatment period 1, 2 and 3); Each treatment period 1 and 2 has 1 cycle (Each cycle is 28 days). If needed, treatment period 3 will be started approximately 5 cycles later.

To compare the AUC0-12, SS of the fed (same dose and dose adjustment if necessary) versus fasted state

Gastrointestinal Adverse Events graded by CTCAE Ver 5.0 (Grade 1 to 5)
from screening until 30 days after last dose

To investigate the gastrointestinal toxicities of selumetinib capsules after multiple doses

Assessing change of Gastrointestinal toxicity diary: Modified Bristol Stool Form Scale for Children (mBSFS-C)
At screening (at least 14 days), Cycle 1 of each treatment period 1, 2 and 3 (1 cycle is 28 days)

To investigate the gastrointestinal toxicities of selumetinib capsules after multiple doses

Assessing change of Gastrointestinal toxicity diary: Nausea and Vomiting Symptom Rating Scale (adapted from the Children's Cancer and Leukaemia Group)
At screening (at least 14 days), Cycle 1 of each treatment period 1, 2 and 3 (1 cycle is 28 days)

To investigate the gastrointestinal toxicities of selumetinib capsules after multiple doses

Number of patients who take each gastrointestinal medication
From screening until 30 days after last dose

Collecting gastrointestinal concomitant medications taken including, but not restricted to, medications used to treat diarrhoea, nausea and vomiting.

Proportion of patients who take each gastrointestinal medication
From screening until 30 days after last dose

Collecting gastrointestinal concomitant medications taken including, but not restricted to, medications used to treat diarrhoea, nausea and vomiting.

Adverse events
For paediatric cohort: from signing the informed consent form until up to 3 years after last subject dosed; For adult cohort: from signing the informed consent form until up to 2 years+30 days after last subject dosed.

* Occurrence/frequency. * Relationship to IP as assessed by investigator. * Common Terminology Criteria for Adverse Events (CTCAE) grade. * Seriousness. * Death. * Adverse events leading to discontinuation of IP. * Adverse events of special interest.

Area under the concentration-time curve from zero to the last measurable concentration (AUC0-t) of selumetinib and its metabolite (N-desmethyl selumetinib) in Chinese paediatric and adult subjects with NF 1 and inoperable Plexiform Neurofibromas
From the first consent patient first dose to last patient steady state PK collection. Expected duration is approximately 1 year.

AUC0-t after single dose and multiple doses administration

Maximum plasma concentration (Cmax) of selumetinib and its metabolite (N-desmethyl selumetinib) in Chinese paediatric and adult subjects with NF 1 and inoperable Plexiform Neurofibromas
From the first consent patient first dose to last patient steady state PK collection. Expected duration is approximately 1 year.

Cmax after single dose and multiple doses administration

Terminal half-life (t1/2) of selumetinib and its metabolite (N-desmethyl selumetinib) in Chinese paediatric and adult subjects with NF 1 and inoperable Plexiform Neurofibromas
From the first consent patient first dose to last patient steady state PK collection. Expected duration is approximately 1 year.

t1/2 after single dose and multiple doses administration

Safety and tolerability in terms of adverse events
From obtaining the first informed consent until 30 days after the last dose (Selumetinib). Expected duration is approximately 2 years.

Number of subjects with adverse events as a measure of safety and tolerability including changes in vital signs, electrocardiograms, safety laboratory parameters, echocardiogram and ophthalmologic assessment.

Maximum Tolerated Dose (MTD) for Combination of Selumetinib and Olaparib in Participants with Advanced or Recurrent Solid Tumors
28 days

MTD defined by dose limiting toxicities (DLTs) that occur during the first 4 weeks of therapy and are related to the study medications. Grading of DLTs follow the guidelines provided in the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.

Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of Adverse Events
From screening until approximately 30 days after last dose of study drug at disease progression
Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of safety laboratory tests
From screening until approximately 30 days after last dose of study drug at disease progression
Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of blood pressure (BP)
From screening until approximately 30 days after last dose of study drug at disease progression
Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of Electrocardiogram (ECG)
From screening until approximately 30 days after last dose of study drug at disease progression
Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of physical examinations
From screening until approximately 30 days after last dose of study drug at disease progression
Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of Echocardiogram (ECHO)
From screening until approximately 30 days after last dose of study drug at disease progression
Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of pulse
From screening until approximately 30 days after last dose of study drug at disease progression
Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of body temperature
From screening until approximately 30 days after last dose of study drug at disease progression
Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of respiratory rate
From screening until approximately 30 days after last dose of study drug at disease progression
Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of Multigated Acquisition (MUGA)
From screening until approximately 30 days after last dose of study drug at disease progression
Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of Ophthalmic examination (best corrected visual acuity)
From screening until approximately 30 days after last dose of study drug at disease progression
Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of Ophthalmic examination (Intraocular pressure)
From screening until approximately 30 days after last dose of study drug at disease progression
Safety and tolerability of Selumetinib in combination with MEDI4736, and in combination with MEDI4736+ tremelimumab by assessment of Ophthalmic examination (slit lamp fundoscopy)
From screening until approximately 30 days after last dose of study drug at disease progression
Pharmacokinetics of selumetinib and N-desmethyl selumetinib by assessment of area under the plasma concentration-time curve from time zero extrapolated to infinity (AUC)
Blood samples are collected pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36, 48, 72 and 96 hours post dose

Samples taken during each of the 6 treatments

Change From Baseline in QTcF
30 min

Change from baseline in QTcF at 30 minutes (msec)

Description of the pharmacokinetic(PK) profile in terms of maximum observed plasma concentration (Cmax)
Samples taken at predose, 30min, 1h, 1h30min, 2h, 2h 30min, 3h, 3h 30min, 4h, 5h,6h,7h,8h,12h,18h,24h,36h,48h and 76h

This will be taken at visit 2 for Healthy volunteers and at visit 2 and 3 for patients with end stage renal disease

Description of PK profile in terms of area under plasma concentration-time curve from zero extrapolated to infinity (AUC)
Samples taken at predose, 30min, 1h, 1h30min, 2h, 2h 30min, 3h, 3h 30min, 4h, 5h,6h,7h,8h,12h,18h,24h,36h,48h and 76h

This will be taken at visit 2 for Healthy volunteers and at visit 2 and 3 for patients with end stage renal disease

Description of PK profile in terms of area under plasma concentration-time curve to time of last measurable concentration (AUC[0-t]) for selumetinib if AUC is not reportable in more than 80% of subjects
Samples taken at predose, 30min, 1h, 1h30min, 2h, 2h 30min, 3h, 3h 30min, 4h, 5h,6h,7h,8h,12h,18h,24h,36h,48h and 76h

This will be taken at visit 2 for Healthy volunteers and at visit 2 and 3 for patients with end stage renal disease

AUC (0 to Infinity) of Total Selumetinib
0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose
Cmax of Total Selumetinib
0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose
Dose Normalized AUC, Total Selumetinib
0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose
Dose Normalized Cmax, Total Selumetinib
0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose
Dose Normalized AUC, Unbound Selumetinib
0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose
Dose Normalized Cmax, Unbound Selumetinib
0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose
Pharmacokinetics of selumetinib by assessment of area under the plasma concentration-time curve from time zero to infinity (AUC)
Blood samples are collected pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, 36, 48 and 72 hours post dose

Samples taken during each of the 3 treatments

Pharmacokinetics of selumetinib and N desmethyl selumetinib, by assessment of maximum plasma concentration (Cmax)
Blood samples are collected pre dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36, and 48 hours postdose

Curve taken during each of the 2 treatments

Concentration of total radioactivity in blood and plasma and percentage of radioactive dose in urine and faeces and total balance
Samples collected prior to treatment, during treatment and follow-up for a maximum of 14 days
Dose Limiting Toxicity (DLT) Events in Chemotherapy in Combination With Selumetinib
The first dose on Cycle 1 Day 1 up to the time before dosing on Cycle 2 Day 1, assessed up to 3 weeks

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

Cmax of Selumetinib After Single Dose
Day 1: 0, 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose

Pharmacokinetic parameter (Cmax: maximum plasma concentration) of Selumetinib following single oral dose of Selumetinib

Tmax of Selumetinib After Single Dose
Day 1: 0, 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose

Pharmacokinetic parameter (tmax: time to reach the maximum plasma concentration) of Selumetinib following single oral dose of Selumetinib

AUC(0-12) of Selumetinib After Single Dose
Day 1: 0, 0.5, 1, 1.5, 2, 4, 8, 12 hours post-dose

Pharmacokinetic parameter (AUC(0-12): area under the plasma concentration-time curve from zero to 12 hours post-dosey) of Selumetinib following single oral dose of Selumetinib

Cmax of N-desmethyl Selumetinib After Single Dose
Day 1: 0, 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose

Pharmacokinetic parameter (Cmax: maximum plasma concentration) of N-desmethyl Selumetinib following single oral dose of Selumetinib

Tmax of N-desmethyl Selumetinib After Single Dose
Day 1: 0, 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose

Pharmacokinetic parameter (tmax: time to reach the maximum plasma concentration) of N-desmethyl Selumetinib following single oral dose of Selumetinib

AUC(0-12) of N-desmethyl Selumetinib After Single Dose
Day 1: 0, 0.5, 1, 1.5, 2, 4, 8, 12 hours post-dose

Pharmacokinetic parameter (AUC(0-12): area under the plasma concentration-time curve from zero to 12 hours post-dose) of N-desmethyl Selumetinib following single oral dose of Selumetinib

Cmax of Selumetinib During Oral Twice Daily Dose of Selumetinib
Day 8: 0, 0.5, 1, 1.5, 2, 4, 8, 12 hours post-dose

Pharmacokinetic parameter (Cmax: maximum plasma concentration) of Selumetinib during oral twice daily dose of Selumetinib

Tmax of Selumetinib During Oral Twice Daily Dose of Selumetinib
Day 8: 0, 0.5, 1, 1.5, 2, 4, 8, 12 hours post-dose

Pharmacokinetic parameter (tmax: time to reach the maximum plasma concentration) of Selumetinib during oral twice daily dose of Selumetinib

AUC(0-12) of Selumetinib During Oral Twice Daily Dose of Selumetinib
Day 8: 0, 0.5, 1, 1.5, 2, 4, 8, 12 hours post-dose

Pharmacokinetic parameter (AUC(0-12): area under the plasma concentration-time curve from zero to 12 hours post-dose) of Selumetinib during oral twice daily dose of Selumetinib

Cmax of N-desmethyl Selumetinib During Oral Twice Daily Dose of Selumetinib
Day 8: 0, 0.5, 1, 1.5, 2, 4, 8, 12 hours post-dose

Pharmacokinetic parameter (Cmax: maximum plasma concentration) of N-desmethyl Selumetinib during oral twice daily dose of Selumetinib

Tmax of N-desmethyl Selumetinib During Oral Twice Daily Dose of Selumetinib
Day 8: 0, 0.5, 1, 1.5, 2, 4, 8, 12 hours post-dose

Pharmacokinetic parameter (tmax: time to reach the maximum plasma concentration) of N-desmethyl Selumetinib during oral twice daily dose of Selumetinib

AUC(0-12) of N-desmethyl Selumetinib During Oral Twice Daily Dose of Selumetinib
Day 8: 0, 0.5, 1, 1.5, 2, 4, 8, 12 hours post-dose

Pharmacokinetic parameter (AUC(0-12): area under the plasma concentration-time curve from zero to 12 hours post-dose) of N-desmethyl Selumetinib during oral twice daily dose of Selumetinib

To assess whether food influences the rate and extent of AZD6244 absorption
Day 1 and Day 10
Safety and tolerability of twice daily oral doses of AZD6244 when administered in combination with standard doses of selected chemotherapies.
28 days +

Incidence and intensity of adverse events as graded by CTCAE (version 3.0), physical examinations, vital signs (including weight, blood pressure and pulse rate), ECG parameters, MUGA scan and echocardiography, clinical chemistry (including liver function tests), Brain Natriuretic Peptide (BNP), Troponin I, hematology, urinalysis, and ophthalmologic examinations.

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) in Part A and Part B
Day 1 through 11.8 months (maximum observed duration)

An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs in Part A and Part B
Day 1 through 11.8 months (maximum observed duration)

Number of participants with abnormal clinical laboratory parameters reported as TEAEs are reported. Abnormal clinical laboratory parameters defined as any abnormal finding during analysis of hematology, clinical chemistry, and urinalysis.

Number of Participants With Abnormal Vital Signs Reported as TEAEs in Part A and Part B
Day 1 through 11.8 months (maximum observed duration)

Number of participants with abnormal vital signs reported as TEAEs are reported. Abnormal vital signs are defined as any abnormal finding in the vital sign parameters (blood pressure, oxygen saturation, weight, and pulse rate).

Number of Participants With Abnormal Echocardiogram (ECHO) Parameters Reported as TEAEs in Part A and Part B
Day 1 through 11.8 months (maximum observed duration)

Number of participants with abnormal ECHO parameters reported as TEAEs are reported.

Number of Participants With Abnormal Electrocardiogram (ECG) Parameters Reported as TEAEs in Part A and Part B
Day 1 through 11.8 months (maximum observed duration)

Number of participants with abnormal ECG parameters reported as TEAEs are reported.

Secondary Endpoints

(First Key Secondary) The Difference of the Means in the Change From Baseline in PAINS-pNF Chronic Target PN Pain Intensity Score at Cycle 12 Between Selumetinib and Placebo, Primary Analysis
Baseline and end of cycle 12 of study intervention
(First Key Secondary) The Difference of the Means in the Change From Baseline in PAINS-pNF Chronic Target PN Pain Intensity Score at Cycle 12 Between Selumetinib and Placebo, Supplemental Analysis
Baseline and end of cycle 12 of study intervention
(Second Key Secondary Endpoint) The Difference of the Means in the Change From Baseline in PlexiQoL Total Score at Cycle 12
Baseline and end of Cycle 12 of study intervention
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm AEXPERIMENTALSelumetinib
Arm BPLACEBO_COMPARATORPlacebo
selumetinib 75mg twice dailyEXPERIMENTALselumetinib 75mg twice daily in combination with dacarbazine.
placebo twice dailyPLACEBO_COMPARATORplacebo twice daily in combination with dacarbazine.
Selumetinib + DocetaxelEXPERIMENTALThree 25mg Selumetinib capsules will be administered orally uninterrupted twice daily in combination with docetaxel 75 mg/m2 intravenously administered on day 1 of each 21 day cycle
Placebo + DocetaxelEXPERIMENTALThree placebo capsules will be administered orally uninterrupted twice daily in combination with docetaxel 75 mg/m2 intravenously administered on day 1 of each 21 day cycle.
SelumetinibEXPERIMENTALSelumetinib will be administered at a dose of 25 mg/m²orally twice daily (BID),with a maximum single dose of 50 mg per administration.Doses will be calculated based on body surface area (BSA)and rounded to the nearest 5 mg increment.
Selumetinib 75 mg twice daily +Docetaxel 75 mg/m2EXPERIMENTALSelumetinib capsules will be administered orally uninterrupted twice daily in combination with docetaxel 75 mg/m2 intravenously administered on day 1 of each 21 day cycle.
Selumetinib 75 mg twice daily + Docetaxel 60 mg/m2EXPERIMENTALSelumetinib capsules will be administered orally uninterrupted twice daily in combination with docetaxel 60 mg/m2 intravenously administered on day 1 of each 21 day cycle.
Placebo twice daily + Docetaxel 75 mg/m2EXPERIMENTALThree placebo capsules will be administered orally uninterrupted twice daily in combination with docetaxel 75 mg/m2 intravenously administered on day 1 of each 21 day cycle.
1EXPERIMENTALSelumetinib (AZD6244) in combination with irinotecan
2PLACEBO_COMPARATORPlacebo in combination with dacarbazine
AZD6244 + DocetaxelACTIVE_COMPARATORAZD6244 75 mg bd + Docetaxel 75 mg/m\^2
Paclitaxel and carboplain plus selumetinibEXPERIMENTALCohort 1: Standard Chemotherapy (paclitaxel and carboplatin) plus selumetinib If you are registered to Cohort 1, you will receive two commonly-used chemotherapy drugs called paclitaxel and carboplatin, plus you will be given the experimental drug selumetinib.
pemetrexed and cisplain plus selumetinibEXPERIMENTALCohort 2: Standard Chemotherapy (pemetrexed and cisplatin) plus selumetinib (cohort closed) If you are registered to Cohort 2, you will receive two commonly-used chemotherapy drugs called pemetrexed and cisplatin, plus you will be given the experimental drug selumetinib.
pemetrexed plus selumetinibEXPERIMENTALCohort 3: Standard Chemotherapy (pemetrexed) plus selumetinib (cohort closed) If you are registered to Cohort 3, you will receive one commonly-used chemotherapy drug called pemetrexed, plus you will be given the experimental drug selumetinib.
Selumetinib single armEXPERIMENTALThis study consists of a screening period (up to 28 days), a treatment period (25 cycles) and a long term safety follow-up for participants until they are 5 years old or commence an alternative systemic NF1-PN treatment, whichever is the earlier. Participants may continue treatment with selumetinib throughout the long term safety follow-up as long as they are considered to be receiving clinical benefit in the opinion of their Investigator. A safety follow up assessment will be performed 30 days after the last dose of study intervention for all study participants.
Selumetinib + OlaparibEXPERIMENTALDose Escalation Phase: Participants take both Selumetinib and Olaparib by mouth 2 times each day, about 12 hours apart at the Starting Dose Level. Treatment cycle is 28 days. When maximum tolerated dose reached, Dose Expansion Phase begins.
Ovarian Cancer with RPAEXPERIMENTALDose Expansion Phase: Selumetinib + Olaparib taken at the maximum tolerated dose from Dose Escalation Phase.
Endometrial Cancer with RPAEXPERIMENTALDose Expansion Phase: Selumetinib + Olaparib taken at the maximum tolerated dose from Dose Escalation Phase.
Ovarian Cancer-Progression-prior PARP TreatmentEXPERIMENTALDose Expansion Phase: Selumetinib + Olaparib taken at the maximum tolerated dose from Dose Escalation Phase.
Solid Tumors that Harbor Somatic RPAEXPERIMENTALDose Expansion Phase: Selumetinib + Olaparib taken at the maximum tolerated dose from Dose Escalation Phase.
Dose escalation: Selumetinib+MEDI4736EXPERIMENTALAn oral formulation of selumetinib will be administered in combination with an IV dose of MEDI4736. 4 cohorts of double combination (Selumetinib+MEDI4736). The decision to escalate to the next dose level/cohort will be made by the Safety Review Committee (SRC) following the completion of the dose limiting toxicity (DLT) assessment period for at least 3 evaluable patients in each cohort.
Mandatory paired biopsy expansion cohort: Selumetinib+MEDI4736EXPERIMENTALOne or more independent mandatory paired biopsy expansion cohorts for double combination treatment will start after safety and tolerability have been established for the relevant dose. It will be tumour-type specific for double combination, the tumor type will be determined from emerging data.
Dose escalation: Selumetinib+MEDI4736+tremelimumabEXPERIMENTALAn oral formulation of selumetinib will be administered in combination with an IV dose of MEDI4736 and an IV dose of tremelimumab. For triple combination treatment, the starting dose of selumetinib (DL1) will be determined by the SRC based on emerging data from dose escalation cohorts of double combination treatment.
Mandatory paired biopsy expansion cohort: triple combinationEXPERIMENTALOne or more independent mandatory paired biopsy expansion cohorts for triple combination treatment will start after safety and tolerability have been established for the relevant dose. It will be tumour-type specific for triple combination, the tumor type will be determined from emerging data.
selumetinib; itraconazole; selumetinib + itraconazoleEXPERIMENTALVolunteers will receive selumetinib 25mg alone; itraconazole 200mg pre-dosing; selumetinib 25mg and itraconazole 200mg; all adminstered by mouth as a capsule
selumetinib; fluconazole; selumetinib + fluconazoleEXPERIMENTALVolunteers will receive selumetinib 25mg alone administered by mouth as a capsule; fluconazole 400mg and fluconazole 200mg pre-dosing, administered by mouth as a tablet; selumetinib 25mg and fluconazole 200mg.
Selumetinib 75mgEXPERIMENTALVolunteers will receive selumetinib 75mg administered by mouth, as a capsule
Moxifloxacin 400 mgACTIVE_COMPARATORVolunteers will receive moxifloxacin 400mg administered by mouth, as a capsule
Selumetinib 75mg placeboPLACEBO_COMPARATORVolunteers will receive selumetinib 75mg placebo, administered by mouth, as a capsule.
HV selumetinib Stage 1EXPERIMENTALHealthy volunteer (HV)group to receive selumetinib 50mg (2x25mg) orally
ESRD selumetinib Stage 1EXPERIMENTALEnd stage renal disease (ESRD)patients to recieve selumetinib 50mg (2x25mg) orally
Selumetinib stage 2EXPERIMENTALIf deemed necessary patients with mild and/or moderate and/or severe renal impairment will recieve selumetinib 50mg(2x25mg) orally
Selumetinib HVEXPERIMENTALHealthy volunteers (HV)
Selumetinib mild impairmentEXPERIMENTALMild (Child Pugh A) hepatic impaired patients
Selumetinib moderate impairmentEXPERIMENTALModerate (Child Pugh B) hepatic impaired patients
Selumetinib severe impairmentEXPERIMENTALSevere (Child Pugh C) hepatic impairment patients
selumetinib 75mg.EXPERIMENTALVolunteers will receive selumetinib 75mg administered by mouth, as a capsule
rifampicin 600mg.OTHERVolunteers will receive rifampicin 600mg administered by mouth, as a capsule
selumetinib 75mg and rifampicin 600mgEXPERIMENTALVolunteers will receive selumetinib 75mg and rifampicin 600mg, by mouth, as a capsule
selumetinib 75mg (oral capsule fasted)EXPERIMENTALVolunteers will recieve selumetinib 75mg administered by mouth, as a capsule, in a fasted state.
selumetinib 75mg (oral capusle fed)EXPERIMENTALVolunteers will receive selumetinib 75mg administered by mouth, as a capsule, in a fed state.
[C14] selumetinib 75mg single doseEXPERIMENTAL\[C14\] selumetinib 75mg single dose
Selumetinib+standard chemotherapyEXPERIMENTALSelumetinib plus gemcitabine; or pemetrexed and cisplatin or carboplatin
Selumetinib (AZD6244) 25 mgEXPERIMENTALmonotherapy
Selumetinib (AZD6244) 50 mgEXPERIMENTALmonotherapy
Selumetinib (AZD6244) 75 mgEXPERIMENTALmonotherapy
Selumetinib (AZD6244) 75 mg + DoceEXPERIMENTALCombination
Selumetinib (AZD6244) 25 mg + DoceEXPERIMENTALcombination
3EXPERIMENTALAZD6244 + Erlotinib
4EXPERIMENTALAZD6244 + Temsirolimus
Part A: Dose Escalation AZD6244 25 mgEXPERIMENTALParticipants will receive a single oral dose of AZD6244 25 mg capsule on Day 1 followed by continuous twice daily (bd) dosing from Day 2 onwards, until disease progression or another protocol-defined discontinuation criterion will be met, whichever will occur first.
Part A: Dose Escalation AZD6244 50 mgEXPERIMENTALParticipants will receive a single oral dose of AZD6244 50 mg capsule on Day 1 followed by continuous dosing from Day 2 onwards, until disease progression or another protocol-defined discontinuation criterion will be met, whichever will occur first.
Part A: Dose Escalation AZD6244 75 mgEXPERIMENTALParticipants will receive a single oral dose of AZD6244 75 mg capsule on Day 1 followed by continuous dosing from Day 2 onwards, until disease progression or another protocol-defined discontinuation criterion will be met, whichever will occur first.
Part A: Dose Escalation AZD6244 100 mgEXPERIMENTALParticipants will receive a single oral dose of AZD6244 100 mg capsule on Day 1 followed by continuous dosing from Day 2 onwards, until disease progression or another protocol-defined discontinuation criterion will be met, whichever will occur first.
Part B: Relative Bioavailability (Sequence 1) and Safety Assessment PhaseEXPERIMENTALParticipants in relative bioavailability phase will receive a single oral dose of AZD6244 100 mg free-base suspension (mix and drink) on Day 1. Following a washout period of 7 days, participants will receive a single oral dose of AZD6244 75 mg capsule on Day 8 (Sequence 1). In the safety assessment phase, participants who will participate in the relative bioavailability phase will receive oral AZD6244 75 mg capsule bd dosing from Day 9 onwards until disease progression or another protocol-defined discontinuation criterion will be met, whichever will occur first.
Part B: Relative Bioavailability (Sequence 2) and Safety Assessment PhaseEXPERIMENTALParticipants in relative bioavailability phase will receive a single oral dose of AZD6244 75 mg capsule on Day 1. Following a washout period of 7 days, participants will receive a single oral dose of AZD6244 100 mg free-base suspension (mix and drink) on Day 8 (Sequence 2). In the safety assessment phase, participants who will participate in the relative bioavailability phase will receive oral AZD6244 75 mg capsule bd dosing from Day 9 onwards until disease progression or another protocol-defined discontinuation criterion will be met, whichever will occur first.

Interventions

NameTypeDescription
SelumetinibDRUGSelumetinib oral capsules (10 mg and 25 mg)
PlaceboOTHERPlacebo oral capsules for Selumetinib masking (10 mg and 25 mg)
75mg selumetinibDRUGselumetinib tablets p.o. twice daily taken in combination with dacarbazine 1000mg/m2 iv on day 1 of every 21-day cycle.
DacarbazineDRUGdacarbazine 1000mg/m2 iv on day 1 of every 21-day cycle taken in combination with either selumetinib or placebo tablets p.o. twice daily.
DocetaxelDRUGDocetaxel 75 mg/m2 will be administered intravenously on day 1 of each 21 day cycle.
Pegylated G-CSFDRUGAll patients will receive pegylated Granulocyte Colony Stimulating Factor (G-CSF) at least 24 hours after administration of every docetaxel dose and not within 14 days prior to the next docetaxel administration.
Selumetinib 75 mgDRUGThree selumetinib capsules (Hyd-Sulfate) 25 mg will be administered orally, twice daily, (75 mg dose bd) on an uninterrupted schedule.
Docetaxel 75 mg/m2DRUGDocetaxel 75 mg/m2 will be administered intravenously on day 1 of each 21 day cycle.
Docetaxel 60 mg/m2DRUGDocetaxel 60 mg/m2 will be administered intravenously on day 1 of each 21 day cycle.
AZD6244DRUG50 or 75mg, capsules, PO, BID, 28 days
IrinotecanDRUG180mg/m2, IV, Day 1\& 15 of each cycle
CapecitabineDRUGoral tablet
PemetrexedDRUGoral
TemozolomideDRUGoral
PaclitaxelDRUG -
CarboplatinDRUG -
CisplatinDRUG -
Selumetinib granule formulationDRUGSelumetinib granule formulation will be administered using BSA-based dosing. The granule formulation dose schema to be used in the study will be established in the dose finding phase. At enrolment participants must have a BSA within the range 0.40 to 1.09 m2; once participants attain a BSA between 1.10 and 1.29 m2 they will be encouraged to transition to the capsule formulation, if feasible, although all participants must remain on the granule formulation until after they have completed their third cycle of treatment.
Selumetinib capsule formulationDRUGSelumetinib capsule formulation will be administered using BSA-based dosing. Once participants attain a BSA between 1.10 and 1.29 m2 they will be encouraged to transition to the capsule formulation, if feasible, although all participants must remain on the granule formulation until after they have completed their third cycle of treatment.
OlaparibDRUGDose Escalation Phase Starting Dose: 150 mg by mouth twice a day on Days 1-28. Dose Expansion Phase Starting Dose: Maximum tolerated dose from Dose Escalation Phase.
MEDI4736DRUGMEDI4736 IV
TremelimumabDRUGTremelimumab, IV
itraconazoleDRUGVolunteers will receive oral doses of itraconazole 200 mg twice daily on Day 1 to Day 7 in sequence 1 treatment B:
fluconazoleDRUGVolunteers will recieve a single dose of 400 mg fluconazole on Day 1 and daily doses of 200 mg fluconazole on Day 2 to Day 7; sequence 2 treatment D.
MoxifloxacinDRUGVolunteers will receive 400 mg Moxifloxacin oral dose (Treatment B)
selumetinib placeboDRUGVolunteers will receive selumetinib placebo oral dose (Treatment C)
Selumetinib 50mgDRUGHV and hepatic impaired patients with mild and moderat severity will recived selumetinib 50mg orally on day 1
Selumetinib 25mgDRUGSevere (Child Pugh C) hepatic impaired patients will receive selumetinib 25mg orally on Day 1
rifampicinDRUGVolunteers will receive single, daily, oral doses of 600 mg rifampicin on Days 4 to 11 (Treatment B).
selumetinib (oral)DRUGVolunteers will receive: 75 mg selumetinib oral dose in a fasted state (Treatment A) followed by a second 75 mg selumetinib oral dose in the fed state (Treatment B) with a washout period of at least 7 days between doses, or: 75 mg selumetinib oral dose in the fed state (Treatment B) followed by a second 75 mg selumetinib oral dose in the fasted state (Treatment A) with a washout period of at least 7 days between doses.
[C14] selumetinib (oral)DRUGSingle oral administration \[C14\] 75mg
gemcitabineDRUG1250 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
ErlotinibDRUGdaily oral dose
TemsirolimusDRUGintravenous infusion
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites34

Key Inclusion Criteria: * Adults ≥ 18 years at enrollment with diagnosis of NF1 with symptomatic, inoperable PN * At least one inoperable target PN measurable by volumetric MRI analysis * Chronic target PN pain score documented for minimum period during screening period * Stable chronic PN pain med...

Countries:United StatesAustraliaBrazilCanadaChinaFranceGermanyItalyJapanPolandRussiaSpainUnited KingdomBelgiumCzechiaFinlandIsraelNetherlandsArgentinaAustriaBulgariaChileHungaryMexicoPeruPortugalRomaniaSwedenTurkey (Türkiye)UkraineNorwaySwitzerlandDenmark
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Frequently asked questions about AZD6244

What is AZD6244 used for?

AZD6244 is an investigational small molecule being studied in oncology for multiple solid tumors, including non-small cell lung cancer, breast cancer, melanoma, pancreatic cancer, metastatic colorectal cancer, and other neoplasms. It is currently in Phase 1 clinical development and has not been approved by the FDA.

What does AZD6244 target?

AZD6244 is a small molecule that targets the MEK pathway, a key signaling route involved in cell growth and proliferation. By inhibiting this pathway, it aims to slow tumor progression in cancers such as non-small cell lung cancer and melanoma.

Who makes AZD6244?

AZD6244 is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker symbol AZN. The drug is currently in Phase 1 clinical trials for oncology indications.

What phase is AZD6244 in?

AZD6244 is currently in Phase 1 clinical development. It has completed several Phase 2 trials, but the most recent studies are Phase 1, and the drug remains investigational and not yet approved for any indication.

What clinical trials is AZD6244 in?

AZD6244 has been studied in several clinical trials, including NCT00372788 in non-small cell lung cancer, NCT00372944 in pancreatic cancer, NCT00514761 in metastatic colorectal cancer, and NCT01605916 in advanced solid malignancies. These trials are all completed.

Is AZD6244 the same as selumetinib?

AZD6244 is also known as selumetinib, a MEK inhibitor developed by AstraZeneca. It has been investigated in various cancers, including non-small cell lung cancer and pancreatic cancer, and remains in clinical development.