- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01933932
Vurder effektivitet og sikkerhed af selumetinib i kombination med docetaxel hos patienter, der modtager 2. linje behandling for v-Ki-ras2 Kirsten Rat Sarcoma Viral Onkogen Homolog (KRAS) Positiv NSCLC (SELECT-1)
En fase III, dobbeltblind, randomiseret, placebokontrolleret undersøgelse for at vurdere effektiviteten og sikkerheden af Selumetinib (AZD6244; ARRY-142886) (Hyd-sulfat) i kombination med docetaxel hos patienter, der modtager andenlinjebehandling for KRAS-mutation-Positiv Lokalt avanceret eller metastatisk ikke-småcellet lungekræft (stadium IIIB - IV) (SELECT 1)
The purpose of this study is to assess the efficacy of selumetinib in combination with docetaxel (75mg/m2) vs placebo in combination with docetaxel (75mg/m2) in patients with locally advance or metastatic NSCLCs that harbor mutations of KRAS. This study will also assess the PK, safety, patient reported outcomes (PRO) and tolerability profile of the selumetinib/docetaxel combination, compared to placebo in combination with docetaxel
Studieoversigt
Status
Intervention / Behandling
Detaljeret beskrivelse
A Phase III, Double-Blind, Randomised, Placebo-Controlled Study to Assess the Efficacy and Safety of Selumetinib (AZD6244; ARRY-142886) (Hyd-Sulfate) in Combination with Docetaxel, in Patients receiving second line treatment for KRAS Mutation-Positive Locally Advanced or Metastatic Non Small Cell Lung Cancer (Stage IIIB - IV) (SELECT-1)
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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Buenos Aires, Argentina, 1426
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Ciudad de Buenos Aires, Argentina, C1025ABI
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Ciudad de Buenos Aires, Argentina, 1180
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Córdoba, Argentina, 5000
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Rosario, Argentina, S2000KZE
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Camperdown, Australien, 2050
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Chermside, Australien, 4032
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Darlinghurst, Australien, 2010
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Fitzroy, Australien, 3065
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Kogarah, Australien, 2217
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Kurralta Park, Australien, 5037
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Malvern, Australien, 3144
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Wendouree, Australien, 3355
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Woodville South, Australien, 5011
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Brussels, Belgien, 1000
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Brussels, Belgien, 1090
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Brussels, Belgien, 1200
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Ghent, Belgien, 9000
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Leuven, Belgien, 3000
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Roeselare, Belgien, 8800
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Barretos, Brasilien, 14784-400
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Ijuí, Brasilien, 98700-000
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Pelotas, Brasilien, 096015-280
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Porto Alegre, Brasilien, 90035-003
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Porto Alegre, Brasilien, 90610-000
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São José do Rio Preto, Brasilien, 15090-000
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São Paulo, Brasilien
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São Paulo, Brasilien, 01209-000
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São Paulo, Brasilien, 01246-000
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Plovdiv, Bulgarien, 4000
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Sofia, Bulgarien, 1233
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Sofia, Bulgarien, 1330
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Sofia, Bulgarien, 1303
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Varna, Bulgarien, 9010
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Vratsa, Bulgarien, 3000
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Montreal, Quebec, Canada, H4A 3J1
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Regina, Saskatchewan, Canada, S4T 7T1
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Santiago, Chile, 7520349
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Santiago, Chile, 8360160
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Santiago, Chile, 7500921
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Santiago, Chile, 8380456
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Santiago, Chile, 8420383
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Santiago, Chile, 7630370
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London, Det Forenede Kongerige, SW3 6JJ
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Nottingham, Det Forenede Kongerige, NG5 1PB
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Boston, Massachusetts, Forenede Stater, 02215
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Danvers, Massachusetts, Forenede Stater, 01923
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New York, New York, Forenede Stater, 10032
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Durham, North Carolina, Forenede Stater, 27710
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Hershey, Pennsylvania, Forenede Stater, 17033
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Philadelphia, Pennsylvania, Forenede Stater, 19107
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Nashville, Tennessee, Forenede Stater, 37203
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Nashville, Tennessee, Forenede Stater, 37232
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Seattle, Washington, Forenede Stater, 98104
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Morgantown, West Virginia, Forenede Stater, 26506
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Brest, Frankrig, 29609
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Caen, Frankrig, F-14033
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Clermont-Ferrand, Frankrig, 63003
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Dijon, Frankrig, 21079
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Lille, Frankrig, 59000
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Marseille, Frankrig, 13915
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Paris, Frankrig, 75020
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Pierre-Bénite, Frankrig, 69310
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Rennes, Frankrig, 35033
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Toulouse, Frankrig, 31059
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's-Hertogenbosch, Holland, 5223 GZ
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Amsterdam, Holland, 1066 CX
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Amsterdam, Holland, 1081 HV
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Bergen op Zoom, Holland, 4624 VT
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Maastricht, Holland, 6202 AZ
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Beersheba, Israel, 8410101
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Haifa, Israel, 31096
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Kfar Saba, Israel, 4428164
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Petah Tikva, Israel, 49100
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Tel Aviv, Israel, 64239
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Tel HaShomer, Israel, 52621
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Bari, Italien, 70124
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Genova, Italien, 16100
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Livorno, Italien, 57100
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Milan, Italien, 20132
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Naples, Italien, 80131
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Orbassano, Italien, 10043
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Parma, Italien, 43126
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Perugia, Italien, 06132
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Roma, Italien, 00128
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Roma, Italien, 00144
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Monterrey, Mexico, 64460
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México, Mexico, 14080
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Lima, Peru, 15033
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Lima, Peru, L27
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Lima, Peru, LIMA 34
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Lima, Peru, LIMA 01
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Lima, Peru, LIMA 29
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Lima, Peru, LIMA 11
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Lima, Peru, 15073
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Miraflores, Peru, 15046
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Brzozów, Polen, 36-200
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Bydgoszcz, Polen, 85-796
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Gdansk, Polen, 80-952
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Gdansk, Polen, 80-219
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Grudziądz, Polen, 86-300
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Krakow, Polen, 31-202
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Lubin, Polen, 59-301
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Olsztyn, Polen, 10-357
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Opole, Polen, 45-061
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Sucha Beskidzka, Polen, 34-200
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Szczecin, Polen, 70-891
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Warsaw, Polen, 02-781
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Amadora, Portugal, 2720-276
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Coimbra, Portugal, 3040-316
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Lisbon, Portugal, 1769-001
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Lisbon, Portugal, 1099-023
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Porto, Portugal, 4200-319
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Porto, Portugal, 4100-180
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Vila Nova de Gaia, Portugal, 4434-502
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Cluj-Napoca, Rumænien, 400015
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Cluj-Napoca, Rumænien, 400058
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Kazan', Rusland, 420012
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Moscow, Rusland, 115478
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Moscow, Rusland, 105229
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Saint Petersburg, Rusland, 197758
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Saint Petersburg, Rusland, 194291
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Saint Petersburg, Rusland, 197342
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Volgograd, Rusland, 400138
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Barcelona, Spanien, 08003
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Madrid, Spanien, 28034
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Madrid, Spanien, 28041
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Madrid, Spanien, 08035
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Málaga, Spanien, 29010
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Seville, Spanien, 41013
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Vigo(Pontevedra), Spanien, 36204
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Zaragoza, Spanien, 50009
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Linköping, Sverige, 581 85
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Uppsala, Sverige, SE-751 85
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Örebro, Sverige, 701 85
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Ankara, Tyrkiet (Türkiye), 06230
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Ankara, Tyrkiet (Türkiye), 06280
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Istanbul, Tyrkiet (Türkiye), 34662
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Istanbul, Tyrkiet (Türkiye), 34844
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Izmir, Tyrkiet (Türkiye), 35100
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Izmir, Tyrkiet (Türkiye), 35110
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Manisa, Tyrkiet (Türkiye), 45030
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Augsburg, Tyskland, 86156
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Bad Berka, Tyskland, 99437
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Cologne, Tyskland, 50937
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Dortmund, Tyskland, 44309
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Gerlingen, Tyskland, 70839
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Großhansdorf, Tyskland, 22927
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Halle, Tyskland, 06120
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Heidelberg, Tyskland, 69126
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Homburg, Tyskland, 66424
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Löwenstein, Tyskland, 74245
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Moers, Tyskland, 47441
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München, Tyskland, 81925
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Ulm, Tyskland, 89081
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Wiesbaden, Tyskland, 65199
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Würzburg, Tyskland, 97080
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Chernivtsі, Ukraine, 58013
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Dnipro, Ukraine, 49102
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Kharkiv Region, Ukraine, 61070
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Kryvyi Rih, Ukraine, 50048
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Kyiv, Ukraine, 03115
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Sumy, Ukraine, 40022
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Uzhhorod, Ukraine, 88000
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Zaporizhzhya, Ukraine, 69040
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Edelény, Ungarn, 3780
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Győr, Ungarn, 9024
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Kaposvár, Ungarn, 7400
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Miskolc, Ungarn, 3529
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Vienna, Østrig, 1160
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Vienna, Østrig, 1100
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
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)
- KRAS mutation positive tumour sample as determined by the designated testing 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.
- Receiving or have received systemic anti-cancer therapy within 30 days prior to starting study treatment
- Other concomitant anti-cancer therapy agents excepts steroids
- Prior treatment with a Mitogen-Activated protein Kinase (MEK) inhibitor or any docetaxel-containing regimen (prior treatment with paclitaxel is acceptable).
- Last radiation therapy within 4 weeks prior starting study treatment, or limited field of radiation for palliation within 7 days of the first dose of study treatment
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Selumetinib + Docetaxel
Three 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 |
Three 25 mg selumetinib capsules (Hyd-Sulfate) be administered orally, twice daily, (total dose 75 mg dose bd) on an uninterrupted schedule.
Andre navne:
Docetaxel 75 mg/m2 will be administered intravenously on day 1 of each 21 day cycle. All 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.
Andre navne:
|
|
Eksperimentel: Placebo + Docetaxel
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. |
Docetaxel 75 mg/m2 will be administered intravenously on day 1 of each 21 day cycle. All 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.
Andre navne:
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. |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Progression-Free Survival (PFS)
Tidsramme: 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) |
Measured at baseline until the date of first documented objective disease progression. Estimated final completion : approximately 3 years after first subject in (FSI)
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Overall Survival (OS)
Tidsramme: Measured at baseline until date of death due to any cause. Estimated final completion : approximately 3.5 years after FSI
|
Overall Survival is defined as the time from the date of randomisation until death due to any cause. |
Measured at baseline until date of death due to any cause. Estimated final completion : approximately 3.5 years after FSI
|
|
Objective Response Rate (ORR)
Tidsramme: Measured at baseline until the date of first documented objective disease progression. Estimated final completion : approximately 3 years after first subject in (FSI)
|
ORR is defined as the number (%) of subjects with at least one overall visit response of complete response (CR) or partial response (PR). Per RECIST v1.1 for target lesions and assessed by CT/MRI: CR - disappearance of all target lesions; PR - >=30% decrease in the sum of the longest diameter of target lesion. (Non-target lesion and new lesion results are also taken into account for the overall visit result) |
Measured at baseline until the date of first documented objective disease progression. Estimated final completion : approximately 3 years after first subject in (FSI)
|
|
Duration of Response (DoR)
Tidsramme: Measured at baseline until the date of first documented objective disease progression. Estimated final completion : approximately 3 years after first subject in (FSI)
|
Duration of response is defined as the time from the date of first documented response until the date of objective disease progression (RECIST 1.1) or death (by any cause in the absence of progression) |
Measured at baseline until the date of first documented objective disease progression. Estimated final completion : approximately 3 years after first subject in (FSI)
|
|
Symptom Improvement Rate Using Average Symptom Burden Index (ASBI) of the Lung Cancer Symptom Scale (LCSS)
Tidsramme: Measured from date of randomisation until 30 days post treatment discontinuation or 30 days post progression (if study treatment is discontinued before progression). Estimated final completion : approximately 3 years after first subject in (FSI)
|
The symptom improvement rate will be defined as the number (%) of patients with two consecutive assessments at least 18 days apart (ie 21 days allowing a visit window of 3 days) which showed a clinically meaningful improvement in symptoms from baseline (defined as a decrease in the ASBI from baseline ≥10). LCSS-Lung Cancer Symptom Scale; ASBI-Average symptom burden index. |
Measured from date of randomisation until 30 days post treatment discontinuation or 30 days post progression (if study treatment is discontinued before progression). Estimated final completion : approximately 3 years after first subject in (FSI)
|
|
Time to Symptom Progression Using Average Symptom Burden Index (ASBI) of the Lung Cancer Symptom Scale (LCSS)
Tidsramme: Measured from date of randomisation until 30 days post treatment discontinuation or 30 days post progression (if study treatment is discontinued before progression). Estimated final completion : approximately 3 years after first subject in (FSI)
|
Time to symptom progression will be defined as the time from randomization until the date of first clinically meaningful symptom deterioration (defined as an increase in the ASBI from baseline ≥10), or death (by any cause). LCSS-Lung Cancer Symptom Scale; ASBI-Average symptom burden index. |
Measured from date of randomisation until 30 days post treatment discontinuation or 30 days post progression (if study treatment is discontinued before progression). Estimated final completion : approximately 3 years after first subject in (FSI)
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Pasi Jänne, MD, Dana-Faber Cancer Institute, USA
- Studiestol: Gabriella Mariani, MD, AstraZeneca UK, MSD
Publikationer og nyttige links
Generelle publikationer
- Janne PA, van den Heuvel MM, Barlesi F, Cobo M, Mazieres J, Crino L, Orlov S, Blackhall F, Wolf J, Garrido P, Poltoratskiy A, Mariani G, Ghiorghiu D, Kilgour E, Smith P, Kohlmann A, Carlile DJ, Lawrence D, Bowen K, Vansteenkiste J. Selumetinib Plus Docetaxel Compared With Docetaxel Alone and Progression-Free Survival in Patients With KRAS-Mutant Advanced Non-Small Cell Lung Cancer: The SELECT-1 Randomized Clinical Trial. JAMA. 2017 May 9;317(18):1844-1853. doi: 10.1001/jama.2017.3438.
- Janne PA, Mann H, Ghiorghiu D. Study Design and Rationale for a Randomized, Placebo-Controlled, Double-Blind Study to Assess the Efficacy and Safety of Selumetinib in Combination With Docetaxel as Second-Line Treatment in Patients With KRAS-Mutant Advanced Non-Small Cell Lung Cancer (SELECT-1). Clin Lung Cancer. 2016 Mar;17(2):e1-4. doi: 10.1016/j.cllc.2015.12.010. Epub 2015 Dec 30.
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Anslået)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Patologiske processer
- Neoplasmer efter sted
- Neoplasmer
- Luftvejssygdomme
- Lungesygdomme
- Neoplasmer i luftvejene
- Thoracale neoplasmer
- Neoplastiske processer
- Lungeneoplasmer
- Karcinom, bronkogent
- Bronkiale neoplasmer
- Patologiske tilstande, tegn og symptomer
- Neoplasma Metastase
- Karcinom, ikke-småcellet lunge
- Organiske kemikalier
- Kulbrinter
- Cycloparaffiner
- Kulbrinter, alicyklisk
- Kulbrinter, cyklisk
- Terpenes
- Taxoider
- Cyclodecanes
- Diterpenes
- Docetaxel
- AZD 6244
- Pegfilgrastim
Andre undersøgelses-id-numre
- D1532C00079
- 2013-001676-38 (EudraCT nummer)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
IPD-delingstidsramme
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
IPD-delingsadgangskriterier
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
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