Assess Efficacy and Safety of AZD6244 in Combination With Docetaxel in Patients Receiving Second Line Non Small Cell Lung Cancer Treatment.

NCT ID: NCT01750281

Last Updated: 2023-10-24

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

212 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-18

Study Completion Date

2022-10-31

Brief Summary

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The purpose of this study is to treat patients with locally advanced or metastatic NSCLC with a combination therapy of selumetinib and two different doses of docetaxel 75mg/m2 or 60 mg/m2 vs placebo and compare how well each dose affects how their cancer responds. It will also help us to understand the tolerability profile of the different dosing regimens in these patients

Detailed Description

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A Phase II, Double-Blind, Randomised, Placebo-Controlled Study to Assess the Efficacy and Safety of Selumetinib (AZD6244; ARRY-142886) (Hyd-Sulfate) in Combination with Docetaxel, Compared with Placebo in Combination with Docetaxel, in Patients receiving second line treatment for Locally Advanced or Metastatic Non Small Cell Lung Cancer (Stage IIIB - IV)

Conditions

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Locally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Selumetinib 75 mg twice daily +Docetaxel 75 mg/m2

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.

Group Type EXPERIMENTAL

Selumetinib 75 mg

Intervention Type DRUG

Three selumetinib capsules (Hyd-Sulfate) 25 mg will be administered orally, twice daily, (75 mg dose bd) on an uninterrupted schedule.

Docetaxel 75 mg/m2

Intervention Type DRUG

Docetaxel 75 mg/m2 will be administered intravenously on day 1 of each 21 day cycle.

Selumetinib 75 mg twice daily + Docetaxel 60 mg/m2

Selumetinib 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.

Group Type EXPERIMENTAL

Selumetinib 75 mg

Intervention Type DRUG

Three selumetinib capsules (Hyd-Sulfate) 25 mg will be administered orally, twice daily, (75 mg dose bd) on an uninterrupted schedule.

Docetaxel 60 mg/m2

Intervention Type DRUG

Docetaxel 60 mg/m2 will be administered intravenously on day 1 of each 21 day cycle.

Placebo twice daily + Docetaxel 75 mg/m2

Three 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.

Group Type EXPERIMENTAL

Docetaxel 75 mg/m2

Intervention Type DRUG

Docetaxel 75 mg/m2 will be administered intravenously on day 1 of each 21 day cycle.

Placebo

Intervention Type DRUG

Three placebo capsules will be administered orally uninterrupted twice daily.

Interventions

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Selumetinib 75 mg

Three selumetinib capsules (Hyd-Sulfate) 25 mg will be administered orally, twice daily, (75 mg dose bd) on an uninterrupted schedule.

Intervention Type DRUG

Docetaxel 75 mg/m2

Docetaxel 75 mg/m2 will be administered intravenously on day 1 of each 21 day cycle.

Intervention Type DRUG

Docetaxel 60 mg/m2

Docetaxel 60 mg/m2 will be administered intravenously on day 1 of each 21 day cycle.

Intervention Type DRUG

Placebo

Three placebo capsules will be administered orally uninterrupted twice daily.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Provision of signed, written and dated informed 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)
* Prospective confirmation of KRAS mutation negative status as determined via an AZ approved laboratory
* Failure of 1st line anti-cancer therapy due to radiological documentation of disease progression in advanced disease or subsequent relapse of disease following 1st line therapy

Exclusion Criteria

* Mixed small cell and non-small cell lung cancer histology
* Received \>1 prior anti-cancer drug regimen for advanced or metastatic NSCLC. Patients who develop disease progression while on switch maintenance therapy (maintenance using an agent not in the first-line regimen) will not be eligible.
* Other concomitant anti-cancer therapy agents except steroids
* Prior treatment with a MEK (Mitogen-Activated Protein Kinase) inhibitor or any docetaxel-containing regimen (prior treatment with paclitaxel is acceptable)
* The last radiation therapy within 4 weeks prior to starting study treatment, or limited field of radiation for palliation within 7 days of the first dose of study treatment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

130 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gabriella Mariani, MD

Role: STUDY_CHAIR

AstraZeneca UK, MSD

Pasi Janne, MD

Role: PRINCIPAL_INVESTIGATOR

Dana-Farber Cancer Institute, USA

Jean-Charles Soria, MD

Role: PRINCIPAL_INVESTIGATOR

Institut de Cancerology Gustave Roussy, France

Locations

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Research Site

Santa Monica, California, United States

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Aurora, Colorado, United States

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Hollywood, Florida, United States

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Atlanta, Georgia, United States

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Chicago, Illinois, United States

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Marrero, Louisiana, United States

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Boston, Massachusetts, United States

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Mineola, New York, United States

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New York, New York, United States

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New York, New York, United States

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Hershey, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Nashville, Tennessee, United States

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Barretos, , Brazil

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Brasília, , Brazil

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Ijuí, , Brazil

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Porto Alegre, , Brazil

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Porto Alegre, , Brazil

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Porto Alegre, , Brazil

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Santo André, , Brazil

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São José do Rio Preto, , Brazil

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São Paulo, , Brazil

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São Paulo, , Brazil

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São Paulo, , Brazil

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Plovdiv, , Bulgaria

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Plovdiv, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Varna, , Bulgaria

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Vratsa, , Bulgaria

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Brest, , France

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Caen, , France

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Clermont-Ferrand, , France

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Lille, , France

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Pierre-Bénite, , France

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Villejuif, , France

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Essen, , Germany

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Esslingen am Neckar, , Germany

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Großhansdorf, , Germany

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Karlsruhe, , Germany

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Löwenstein, , Germany

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Moers, , Germany

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Wiesbaden, , Germany

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Würzburg, , Germany

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Edelény, , Hungary

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Győr, , Hungary

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Kaposvár, , Hungary

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Miskolc, , Hungary

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Nyíregyháza, , Hungary

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Székesfehérvár, , Hungary

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Törökbálint, , Hungary

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's-Hertogenbosch, , Netherlands

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Amsterdam, , Netherlands

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Amsterdam, , Netherlands

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Bergen op Zoom, , Netherlands

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Maastricht, , Netherlands

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Gdansk, , Poland

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Grudziądz, , Poland

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Krakow, , Poland

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Olsztyn, , Poland

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Poznan, , Poland

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Sucha Beskidzka, , Poland

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Szczecin, , Poland

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Countries

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United States Brazil Bulgaria France Germany Hungary Netherlands Poland

References

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Soria JC, Fulop A, Maciel C, Fischer JR, Girotto G, Lago S, Smit E, Ostoros G, Eberhardt WEE, Lishkovska P, Lovick S, Mariani G, McKeown A, Kilgour E, Smith P, Bowen K, Kohlmann A, Carlile DJ, Janne PA. SELECT-2: a phase II, double-blind, randomized, placebo-controlled study to assess the efficacy of selumetinib plus docetaxel as a second-line treatment of patients with advanced or metastatic non-small-cell lung cancer. Ann Oncol. 2017 Dec 1;28(12):3028-3036. doi: 10.1093/annonc/mdx628.

Reference Type DERIVED
PMID: 29045535 (View on PubMed)

Other Identifiers

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2012-003622-25

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D1532C00064

Identifier Type: -

Identifier Source: org_study_id

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