Bewertung der Wirksamkeit und Sicherheit von Selumetinib in Kombination mit Docetaxel bei Patienten, die eine Zweitlinienbehandlung für v-Ki-ras2 erhalten Kirsten Rat Sarcoma Viral Oncogen Homolog (KRAS) Positives NSCLC (SELECT-1)
Eine doppelblinde, randomisierte, Placebo-kontrollierte Phase-III-Studie zur Bewertung der Wirksamkeit und Sicherheit von Selumetinib (AZD6244; ARRY-142886) (Hyd-Sulfat) in Kombination mit Docetaxel bei Patienten, die eine Zweitlinienbehandlung für KRAS-Mutation-positiv erhalten Lokal fortgeschrittener oder metastasierter nicht-kleinzelliger Lungenkrebs (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
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
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)
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 3
Kontakte und Standorte
Studienorte
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Buenos Aires, Argentinien, 1426
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Ciudad de Buenos Aires, Argentinien, C1025ABI
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Ciudad de Buenos Aires, Argentinien, 1180
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Córdoba, Argentinien, 5000
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Rosario, Argentinien, 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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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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Augsburg, Deutschland, 86156
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Bad Berka, Deutschland, 99437
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Cologne, Deutschland, 50937
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Dortmund, Deutschland, 44309
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Gerlingen, Deutschland, 70839
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Großhansdorf, Deutschland, 22927
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Halle, Deutschland, 06120
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Heidelberg, Deutschland, 69126
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Homburg, Deutschland, 66424
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Löwenstein, Deutschland, 74245
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Moers, Deutschland, 47441
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München, Deutschland, 81925
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Ulm, Deutschland, 89081
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Wiesbaden, Deutschland, 65199
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Würzburg, Deutschland, 97080
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Brest, Frankreich, 29609
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Caen, Frankreich, F-14033
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Clermont-Ferrand, Frankreich, 63003
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Dijon, Frankreich, 21079
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Lille, Frankreich, 59000
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Marseille, Frankreich, 13915
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Paris, Frankreich, 75020
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Pierre-Bénite, Frankreich, 69310
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Rennes, Frankreich, 35033
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Toulouse, Frankreich, 31059
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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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Alberta
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Edmonton, Alberta, Kanada, T6G 1Z2
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British Columbia
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Kelowna, British Columbia, Kanada, V1Y 5L3
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Surrey, British Columbia, Kanada, V3V 1Z2
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Nova Scotia
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Halifax, Nova Scotia, Kanada, B3H 1V7
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Ontario
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Oshawa, Ontario, Kanada, L1G 2B9
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Toronto, Ontario, Kanada, M5G 2M9
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Quebec
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Montreal, Quebec, Kanada, H4A 3J1
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Québec, Quebec, Kanada, G1V 4G5
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Saskatchewan
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Regina, Saskatchewan, Kanada, S4T 7T1
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Saskatoon, Saskatchewan, Kanada, S7N 4H4
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Monterrey, Mexiko, 64460
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México, Mexiko, 14080
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's-Hertogenbosch, Niederlande, 5223 GZ
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Amsterdam, Niederlande, 1066 CX
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Amsterdam, Niederlande, 1081 HV
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Bergen op Zoom, Niederlande, 4624 VT
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Maastricht, Niederlande, 6202 AZ
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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, Rumänien, 400015
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Cluj-Napoca, Rumänien, 400058
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Kazan', Russland, 420012
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Moscow, Russland, 115478
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Moscow, Russland, 105229
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Saint Petersburg, Russland, 197758
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Saint Petersburg, Russland, 194291
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Saint Petersburg, Russland, 197342
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Volgograd, Russland, 400138
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Linköping, Schweden, 581 85
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Uppsala, Schweden, SE-751 85
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Örebro, Schweden, 701 85
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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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Ankara, Türkei (türkiye), 06230
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Ankara, Türkei (türkiye), 06280
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Istanbul, Türkei (türkiye), 34662
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Istanbul, Türkei (türkiye), 34844
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Izmir, Türkei (türkiye), 35100
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Izmir, Türkei (türkiye), 35110
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Manisa, Türkei (türkiye), 45030
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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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Budapest, Ungarn, 1121
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Budapest, Ungarn, 1122
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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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Nyíregyháza, Ungarn, 4400
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Törökbálint, Ungarn, 2045
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Colorado
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Aurora, Colorado, Vereinigte Staaten, 80045
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Florida
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Pembroke Pines, Florida, Vereinigte Staaten, 33028
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Georgia
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Atlanta, Georgia, Vereinigte Staaten, 30318
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Illinois
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Chicago, Illinois, Vereinigte Staaten, 60637
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Louisiana
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Metairie, Louisiana, Vereinigte Staaten, 70006
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Massachusetts
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Boston, Massachusetts, Vereinigte Staaten, 02114
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Boston, Massachusetts, Vereinigte Staaten, 02215
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Danvers, Massachusetts, Vereinigte Staaten, 01923
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New York
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New York, New York, Vereinigte Staaten, 10032
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New York, New York, Vereinigte Staaten, 10011
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North Carolina
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Durham, North Carolina, Vereinigte Staaten, 27710
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Pennsylvania
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Hershey, Pennsylvania, Vereinigte Staaten, 17033
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Philadelphia, Pennsylvania, Vereinigte Staaten, 19107
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Tennessee
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Nashville, Tennessee, Vereinigte Staaten, 37203
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Nashville, Tennessee, Vereinigte Staaten, 37232
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Washington
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Seattle, Washington, Vereinigte Staaten, 98104
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West Virginia
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Morgantown, West Virginia, Vereinigte Staaten, 26506
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Aberdeen, Vereinigtes Königreich, AB2 2ZB
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London, Vereinigtes Königreich, SW3 6JJ
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Manchester, Vereinigtes Königreich, M20 4BX
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Nottingham, Vereinigtes Königreich, NG5 1PB
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Sutton, Vereinigtes Königreich, SM2 5PT
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Wolverhampton, Vereinigtes Königreich, WV10 0QP
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Innsbruck, Österreich, 6020
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Linz, Österreich, 4020
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Salzburg, Österreich, 5020
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Vienna, Österreich, 1160
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Vienna, Österreich, 1100
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
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
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Vervierfachen
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: 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.
Andere Namen:
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.
Andere Namen:
|
|
Experimental: 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.
Andere Namen:
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. |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Progression-Free Survival (PFS)
Zeitfenster: 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)
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Overall Survival (OS)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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)
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Pasi Jänne, MD, Dana-Faber Cancer Institute, USA
- Studienstuhl: Gabriella Mariani, MD, AstraZeneca UK, MSD
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- 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.
Nützliche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Geschätzt)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
- Pathologische Prozesse
- Neubildungen nach Standort
- Neubildungen
- Erkrankungen der Atemwege
- Lungenkrankheit
- Neubildungen der Atemwege
- Thoraxneoplasmen
- Neoplastische Prozesse
- Lungentumoren
- Karzinom, bronchogen
- Bronchiale Neubildungen
- Pathologische Zustände, Anzeichen und Symptome
- Neoplasma Metastasierung
- Karzinom, nicht-kleinzellige Lunge
- Organische Chemikalien
- Kohlenwasserstoffe
- Cycloparaffine
- Kohlenwasserstoffe, alicyclisch
- Kohlenwasserstoffe, zyklisch
- Terpene
- Taxoid
- Cyclodececane
- Diterpene
- Docetaxel
- AZD 6244
- Pegfilgrastim
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- D1532C00079
- 2013-001676-38 (EudraCT-Nummer)
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
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-Sharing-Zeitrahmen
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-Sharing-Zugriffskriterien
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
Art der unterstützenden IPD-Freigabeinformationen
- STUDIENPROTOKOLL
- SAFT
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .