- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT01933932
Avaliar a eficácia e a segurança do selumetinibe em combinação com docetaxel em pacientes recebendo tratamento de 2ª linha para v-Ki-ras2 Sarcoma de Kirsten Rat Oncogene Homólogo Viral (KRAS) NSCLC positivo (SELECT-1)
Um estudo de Fase III, duplo-cego, randomizado, controlado por placebo para avaliar a eficácia e a segurança de Selumetinibe (AZD6244; ARRY-142886) (Hyd-Sulfate) em combinação com docetaxel, em pacientes recebendo tratamento de segunda linha para mutação KRAS positiva Câncer de Pulmão de Células Não Pequenas Localmente Avançado ou Metastático (Estágio IIIB - IV) (SELECIONE 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
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
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)
Tipo de estudo
Inscrição (Real)
Estágio
- Fase 3
Contactos e Locais
Locais de estudo
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Augsburg, Alemanha, 86156
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Bad Berka, Alemanha, 99437
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Cologne, Alemanha, 50937
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Dortmund, Alemanha, 44309
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Gerlingen, Alemanha, 70839
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Großhansdorf, Alemanha, 22927
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Halle, Alemanha, 06120
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Heidelberg, Alemanha, 69126
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Homburg, Alemanha, 66424
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Löwenstein, Alemanha, 74245
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Moers, Alemanha, 47441
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München, Alemanha, 81925
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Ulm, Alemanha, 89081
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Wiesbaden, Alemanha, 65199
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Würzburg, Alemanha, 97080
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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, Austrália, 2050
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Chermside, Austrália, 4032
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Darlinghurst, Austrália, 2010
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Fitzroy, Austrália, 3065
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Kogarah, Austrália, 2217
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Kurralta Park, Austrália, 5037
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Malvern, Austrália, 3144
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Wendouree, Austrália, 3355
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Woodville South, Austrália, 5011
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Barretos, Brasil, 14784-400
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Ijuí, Brasil, 98700-000
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Pelotas, Brasil, 096015-280
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Porto Alegre, Brasil, 90035-003
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Porto Alegre, Brasil, 90610-000
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São José do Rio Preto, Brasil, 15090-000
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São Paulo, Brasil
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São Paulo, Brasil, 01209-000
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São Paulo, Brasil, 01246-000
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Plovdiv, Bulgária, 4000
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Sofia, Bulgária, 1233
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Sofia, Bulgária, 1330
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Sofia, Bulgária, 1303
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Varna, Bulgária, 9010
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Vratsa, Bulgária, 3000
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Brussels, Bélgica, 1000
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Brussels, Bélgica, 1090
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Brussels, Bélgica, 1200
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Ghent, Bélgica, 9000
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Leuven, Bélgica, 3000
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Roeselare, Bélgica, 8800
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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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Barcelona, Espanha, 08003
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Madrid, Espanha, 28034
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Madrid, Espanha, 28041
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Madrid, Espanha, 08035
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Málaga, Espanha, 29010
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Seville, Espanha, 41013
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Vigo(Pontevedra), Espanha, 36204
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Zaragoza, Espanha, 50009
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Aurora, Colorado, Estados Unidos, 80045
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Pembroke Pines, Florida, Estados Unidos, 33028
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Atlanta, Georgia, Estados Unidos, 30318
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Chicago, Illinois, Estados Unidos, 60637
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Metairie, Louisiana, Estados Unidos, 70006
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Boston, Massachusetts, Estados Unidos, 02114
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Boston, Massachusetts, Estados Unidos, 02215
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Danvers, Massachusetts, Estados Unidos, 01923
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New York, New York, Estados Unidos, 10032
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New York, New York, Estados Unidos, 10011
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Durham, North Carolina, Estados Unidos, 27710
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Hershey, Pennsylvania, Estados Unidos, 17033
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Philadelphia, Pennsylvania, Estados Unidos, 19107
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Nashville, Tennessee, Estados Unidos, 37203
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Nashville, Tennessee, Estados Unidos, 37232
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Seattle, Washington, Estados Unidos, 98104
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Morgantown, West Virginia, Estados Unidos, 26506
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Brest, França, 29609
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Caen, França, F-14033
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Clermont-Ferrand, França, 63003
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Dijon, França, 21079
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Lille, França, 59000
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Marseille, França, 13915
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Paris, França, 75020
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Pierre-Bénite, França, 69310
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Rennes, França, 35033
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Toulouse, França, 31059
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Amsterdam, Holanda, 1066 CX
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Amsterdam, Holanda, 1081 HV
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Bergen op Zoom, Holanda, 4624 VT
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Maastricht, Holanda, 6202 AZ
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Budapest, Hungria, 1121
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Budapest, Hungria, 1122
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Edelény, Hungria, 3780
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Győr, Hungria, 9024
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Kaposvár, Hungria, 7400
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Miskolc, Hungria, 3529
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Nyíregyháza, Hungria, 4400
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Törökbálint, Hungria, 2045
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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, Itália, 70124
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Genova, Itália, 16100
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Livorno, Itália, 57100
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Milan, Itália, 20132
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Naples, Itália, 80131
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Orbassano, Itália, 10043
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Parma, Itália, 43126
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Perugia, Itália, 06132
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Roma, Itália, 00128
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Roma, Itália, 00144
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Monterrey, México, 64460
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México, México, 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, Polônia, 36-200
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Bydgoszcz, Polônia, 85-796
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Gdansk, Polônia, 80-952
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Gdansk, Polônia, 80-219
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Grudziądz, Polônia, 86-300
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Krakow, Polônia, 31-202
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Lubin, Polônia, 59-301
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Olsztyn, Polônia, 10-357
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Opole, Polônia, 45-061
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Sucha Beskidzka, Polônia, 34-200
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Szczecin, Polônia, 70-891
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Warsaw, Polônia, 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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Aberdeen, Reino Unido, AB2 2ZB
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London, Reino Unido, SW3 6JJ
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Manchester, Reino Unido, M20 4BX
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Nottingham, Reino Unido, NG5 1PB
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Sutton, Reino Unido, SM2 5PT
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Wolverhampton, Reino Unido, WV10 0QP
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Cluj-Napoca, Romênia, 400015
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Cluj-Napoca, Romênia, 400058
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Kazan', Rússia, 420012
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Moscow, Rússia, 115478
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Moscow, Rússia, 105229
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Saint Petersburg, Rússia, 197758
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Saint Petersburg, Rússia, 194291
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Saint Petersburg, Rússia, 197342
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Volgograd, Rússia, 400138
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Linköping, Suécia, 581 85
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Uppsala, Suécia, SE-751 85
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Örebro, Suécia, 701 85
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Ankara, Turquia (Türkiye), 06230
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Ankara, Turquia (Türkiye), 06280
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Istanbul, Turquia (Türkiye), 34662
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Istanbul, Turquia (Türkiye), 34844
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Izmir, Turquia (Türkiye), 35100
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Izmir, Turquia (Türkiye), 35110
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Manisa, Turquia (Türkiye), 45030
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Chernivtsі, Ucrânia, 58013
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Dnipro, Ucrânia, 49102
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Kharkiv Region, Ucrânia, 61070
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Kryvyi Rih, Ucrânia, 50048
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Kyiv, Ucrânia, 03115
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Sumy, Ucrânia, 40022
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Uzhhorod, Ucrânia, 88000
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Zaporizhzhya, Ucrânia, 69040
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Innsbruck, Áustria, 6020
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Linz, Áustria, 4020
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Salzburg, Áustria, 5020
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Vienna, Áustria, 1160
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Vienna, Áustria, 1100
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Quadruplicar
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
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.
Outros nomes:
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.
Outros nomes:
|
|
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.
Outros nomes:
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. |
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Progression-Free Survival (PFS)
Prazo: 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)
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Overall Survival (OS)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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)
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Pasi Jänne, MD, Dana-Faber Cancer Institute, USA
- Cadeira de estudo: Gabriella Mariani, MD, AstraZeneca UK, MSD
Publicações e links úteis
Publicações Gerais
- 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.
Links úteis
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimado)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
- Processos Patológicos
- Neoplasias por local
- Neoplasias
- Doenças Respiratórias
- Doenças pulmonares
- Neoplasias do Trato Respiratório
- Neoplasias Torácicas
- Processos Neoplásicos
- Neoplasias Pulmonares
- Carcinoma Broncogênico
- Neoplasias Brônquicas
- Condições Patológicas, Sinais e Sintomas
- Neoplasia Metástase
- Carcinoma pulmonar de células não pequenas
- Produtos químicos orgânicos
- Hidrocarbonetos
- Cicloparaffinas
- Hidrocarbonetos, aliciclicos
- Hidrocarbonetos, cíclicos
- Terpenos
- Taxóides
- Ciclodecanos
- Diterpenos
- Docetaxel
- AZD 6244
- pegfilgrastim
Outros números de identificação do estudo
- D1532C00079
- 2013-001676-38 (Número EudraCT)
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
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
Prazo de Compartilhamento de IPD
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
Critérios de acesso de compartilhamento IPD
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
Tipo de informação de suporte de compartilhamento de IPD
- PROTOCOLO DE ESTUDO
- SEIVA
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