Trial Outcomes & Findings for Selumetinib (AZD6244, ARRY-142886) J-BTC Phase 1 Study (NCT NCT01949870)

NCT ID: NCT01949870

Last Updated: 2016-05-13

Results Overview

The number of dose-limiting toxicities in selumetinib in combination with cisplatin and gemcitabine

Recruitment status

TERMINATED

Study phase

PHASE1

Target enrollment

6 participants

Primary outcome timeframe

The first cycle with selumetinib until Day 1 of Cycle 2 of combination dosing

Results posted on

2016-05-13

Participant Flow

The study was conducted at 2 study centres in Japan between October 2013 and August 2014.

Participant milestones

Participant milestones
Measure
Selumetinib+ Cisplatin + Gemcitabine
Selumetinib (25 mg bd) For each 21-day cycle: Cisplatin (25 mg/m2) Days 1 and 8 Gemcitabine (1000 mg/m2) Days 1 and 8
Overall Study
STARTED
6
Overall Study
Received Treatment
4
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Selumetinib+ Cisplatin + Gemcitabine
Selumetinib (25 mg bd) For each 21-day cycle: Cisplatin (25 mg/m2) Days 1 and 8 Gemcitabine (1000 mg/m2) Days 1 and 8
Overall Study
Lack of Efficacy
2
Overall Study
Adverse Event
1
Overall Study
Study termination
1
Overall Study
Eligibility requirements not fulfilled
2

Baseline Characteristics

Selumetinib (AZD6244, ARRY-142886) J-BTC Phase 1 Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Selumetinib+ Cisplatin + Gemcitabine
n=4 Participants
Selumetinib (25 mg bd) For each 21-day cycle: Cisplatin (25 mg/m2) Days 1 and 8 Gemcitabine (1000 mg/m2) Days 1 and 8
Age, Customized
<50 years
1 Participants
n=5 Participants
Age, Customized
>=50 to < 65 years
0 Participants
n=5 Participants
Age, Customized
>=65 years
3 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: The first cycle with selumetinib until Day 1 of Cycle 2 of combination dosing

Population: Evaluable = completed at least 75% of planned daily doses of selumetinib at least 50% of planned dose of cisplatin/gemcitabine planned on Cycle 1 Day 8 (therefore, in total with Cycle 1 Day 1, at least 75 % of planned dose is given in Cycle 1) and has enough information to be assessed for the combination regimen dose escalation.

The number of dose-limiting toxicities in selumetinib in combination with cisplatin and gemcitabine

Outcome measures

Outcome measures
Measure
Selumetinib+ Cisplatin + Gemcitabine
n=3 Participants
Selumetinib (25 mg bd) For each 21-day cycle: Cisplatin (25 mg/m2) Days 1 and 8 Gemcitabine (1000 mg/m2) Days 1 and 8
The Number of Dose-limiting Toxicities
Yes
0 Participants
The Number of Dose-limiting Toxicities
No
3 Participants

Adverse Events

Selumetinib+ Cisplatin + Gemcitabine

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Selumetinib+ Cisplatin + Gemcitabine
n=4 participants at risk
Selumetinib (25 mg bd) For each 21-day cycle: Cisplatin (25 mg/m2) Days 1 and 8 Gemcitabine (1000 mg/m2) Days 1 and 8
Hepatobiliary disorders
Cholangitis
25.0%
1/4 • Number of events 1 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).

Other adverse events

Other adverse events
Measure
Selumetinib+ Cisplatin + Gemcitabine
n=4 participants at risk
Selumetinib (25 mg bd) For each 21-day cycle: Cisplatin (25 mg/m2) Days 1 and 8 Gemcitabine (1000 mg/m2) Days 1 and 8
Blood and lymphatic system disorders
Anaemia
50.0%
2/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Metabolism and nutrition disorders
Hypomagnesaemia
50.0%
2/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Metabolism and nutrition disorders
Decreased appetite
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Metabolism and nutrition disorders
Hypophosphataemia
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Nervous system disorders
Headache
50.0%
2/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Nervous system disorders
Peripheral sensory neuropathy
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Ear and labyrinth disorders
Tinnitus
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Respiratory, thoracic and mediastinal disorders
Hiccups
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Gastrointestinal disorders
Constipation
50.0%
2/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Gastrointestinal disorders
Nausea
50.0%
2/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Gastrointestinal disorders
Abdominal distension
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Gastrointestinal disorders
Diarrhoea
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Gastrointestinal disorders
Vomiting
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Hepatobiliary disorders
Hepatic function abnormal
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Skin and subcutaneous tissue disorders
Dermatitis acneiform
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Skin and subcutaneous tissue disorders
Dry skin
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
General disorders
Fatigue
50.0%
2/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
General disorders
Pyrexia
50.0%
2/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
General disorders
Oedema
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Investigations
Platelet count decreased
100.0%
4/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Investigations
Neutrophil count decreased
75.0%
3/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Investigations
White blood cell count decreased
75.0%
3/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Investigations
Lymphocyte count decreased
50.0%
2/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Investigations
Alanine aminotransferase increased
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Investigations
Aspartate aminotransferase increased
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).
Investigations
Blood creatinine increased
25.0%
1/4 • AEs were collected throughout the study, from informed consent until the end of the followup period (28 days after last dose).

Additional Information

Dr Gabriella Mariani

AstraZeneca

Phone: +44 7818 523 899

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60