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Beoordeel de werkzaamheid en veiligheid van Selumetinib in combinatie met docetaxel bij patiënten die tweedelijnsbehandeling krijgen voor v-Ki-ras2 Kirsten Rat Sarcoom Viral Oncogene Homolog (KRAS) Positieve NSCLC (SELECT-1)

6 november 2026 bijgewerkt door: AstraZeneca

Een dubbelblinde, gerandomiseerde, placebogecontroleerde fase III-studie om de werkzaamheid en veiligheid van Selumetinib (AZD6244; ARRY-142886) (Hyd-Sulfate) in combinatie met docetaxel te beoordelen bij patiënten die tweedelijnsbehandeling krijgen voor KRAS-mutatie-positief Lokaal gevorderde of gemetastaseerde niet-kleincellige longkanker (stadium IIIB - IV) (KIES 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

Studie Overzicht

Gedetailleerde beschrijving

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)

Studietype

Ingrijpend

Inschrijving (Werkelijk)

510

Fase

  • Fase 3

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

      • Buenos Aires, Argentinië, 1426
        • Research Site
      • Ciudad de Buenos Aires, Argentinië, C1025ABI
        • Research Site
      • Ciudad de Buenos Aires, Argentinië, 1180
        • Research Site
      • Córdoba, Argentinië, 5000
        • Research Site
      • Rosario, Argentinië, S2000KZE
        • Research Site
      • Camperdown, Australië, 2050
        • Research Site
      • Chermside, Australië, 4032
        • Research Site
      • Darlinghurst, Australië, 2010
        • Research Site
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        • Research Site
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        • Research Site
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        • Research Site
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        • Research Site
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        • Research Site
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        • Research Site
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      • Leuven, België, 3000
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        • Research Site
      • Barretos, Brazilië, 14784-400
        • Research Site
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        • Research Site
      • Pelotas, Brazilië, 096015-280
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      • Vienna, Oostenrijk, 1160
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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, 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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      • Lubin, Polen, 59-301
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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
        • Research Site
      • Amadora, Portugal, 2720-276
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      • Coimbra, Portugal, 3040-316
        • Research Site
      • 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
        • Research Site
      • Vila Nova de Gaia, Portugal, 4434-502
        • Research Site
      • Cluj-Napoca, Roemenië, 400015
        • Research Site
      • Cluj-Napoca, Roemenië, 400058
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      • Kazan', Rusland, 420012
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      • Moscow, Rusland, 115478
        • Research Site
      • Moscow, Rusland, 105229
        • Research Site
      • Saint Petersburg, Rusland, 197758
        • Research Site
      • Saint Petersburg, Rusland, 194291
        • Research Site
      • Saint Petersburg, Rusland, 197342
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      • Volgograd, Rusland, 400138
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      • Barcelona, Spanje, 08003
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      • Madrid, Spanje, 28034
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      • Málaga, Spanje, 29010
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      • Vigo(Pontevedra), Spanje, 36204
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      • Zaragoza, Spanje, 50009
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      • Ankara, Turkije (Türkiye), 06230
        • Research Site
      • Ankara, Turkije (Türkiye), 06280
        • Research Site
      • Istanbul, Turkije (Türkiye), 34662
        • Research Site
      • Istanbul, Turkije (Türkiye), 34844
        • Research Site
      • Izmir, Turkije (Türkiye), 35100
        • Research Site
      • Izmir, Turkije (Türkiye), 35110
        • Research Site
      • Manisa, Turkije (Türkiye), 45030
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      • Aberdeen, Verenigd Koninkrijk, AB2 2ZB
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      • London, Verenigd Koninkrijk, SW3 6JJ
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      • Manchester, Verenigd Koninkrijk, M20 4BX
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      • Nottingham, Verenigd Koninkrijk, NG5 1PB
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      • Sutton, Verenigd Koninkrijk, SM2 5PT
        • Research Site
      • Wolverhampton, Verenigd Koninkrijk, WV10 0QP
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    • Colorado
      • Aurora, Colorado, Verenigde Staten, 80045
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    • Florida
      • Pembroke Pines, Florida, Verenigde Staten, 33028
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    • Georgia
      • Atlanta, Georgia, Verenigde Staten, 30318
        • Research Site
    • Illinois
      • Chicago, Illinois, Verenigde Staten, 60637
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    • Louisiana
      • Metairie, Louisiana, Verenigde Staten, 70006
        • Research Site
    • Massachusetts
      • Boston, Massachusetts, Verenigde Staten, 02114
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      • Boston, Massachusetts, Verenigde Staten, 02215
        • Research Site
      • Danvers, Massachusetts, Verenigde Staten, 01923
        • Research Site
    • New York
      • New York, New York, Verenigde Staten, 10032
        • Research Site
      • New York, New York, Verenigde Staten, 10011
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    • North Carolina
      • Durham, North Carolina, Verenigde Staten, 27710
        • Research Site
    • Pennsylvania
      • Hershey, Pennsylvania, Verenigde Staten, 17033
        • Research Site
      • Philadelphia, Pennsylvania, Verenigde Staten, 19107
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    • Tennessee
      • Nashville, Tennessee, Verenigde Staten, 37203
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      • Nashville, Tennessee, Verenigde Staten, 37232
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    • Washington
      • Seattle, Washington, Verenigde Staten, 98104
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    • West Virginia
      • Morgantown, West Virginia, Verenigde Staten, 26506
        • Research Site
      • Linköping, Zweden, 581 85
        • Research Site
      • Uppsala, Zweden, SE-751 85
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      • Örebro, Zweden, 701 85
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Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar tot 130 jaar (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

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

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Verviervoudigen

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: 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:
  • AZD6244; ARRY-142886

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:
  • Pegfilgrastim 6 mg
Experimenteel: 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:
  • Pegfilgrastim 6 mg

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.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Progression-Free Survival (PFS)
Tijdsspanne: 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)

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Overall Survival (OS)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Onderzoekers

  • Hoofdonderzoeker: Pasi Jänne, MD, Dana-Faber Cancer Institute, USA
  • Studie stoel: Gabriella Mariani, MD, AstraZeneca UK, MSD

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Nuttige links

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

25 september 2013

Primaire voltooiing (Werkelijk)

7 juni 2016

Studie voltooiing (Geschat)

31 december 2026

Studieregistratiedata

Eerst ingediend

29 augustus 2013

Eerst ingediend dat voldeed aan de QC-criteria

29 augustus 2013

Eerst geplaatst (Geschat)

2 september 2013

Updates van studierecords

Laatste update geplaatst (Werkelijk)

9 november 2026

Laatste update ingediend die voldeed aan QC-criteria

6 november 2026

Laatst geverifieerd

1 november 2026

Meer informatie

Termen gerelateerd aan deze studie

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

JA

Beschrijving IPD-plan

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-tijdsbestek voor delen

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-toegangscriteria voor delen

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 delen Ondersteunend informatietype

  • LEERPROTOCOOL
  • SAP

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

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