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Locally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IVPhase 2SELECT-2NCT01750281

Assess Efficacy and Safety of AZD6244 in Combination With Docetaxel in Patients Receiving Second Line Non Small Cell Lung Cancer Treatment.

A Phase 2 study testing Selumetinib 75 mg, Docetaxel 75 mg/m2 and Docetaxel 60 mg/m2 in people with Locally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IV, run by AstraZeneca at 68 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to treat patients with locally advanced or metastatic NSCLC with a combination therapy of selumetinib and two different doses of docetaxel 75mg/m2 or 60 mg/m2 vs placebo and compare how well each dose affects how their cancer responds. Read more about this study

Who is it for?
Ages 18 to 130 years
What is being tested?
Selumetinib 75 mg, Docetaxel 75 mg/m2 and Docetaxel 60 mg/m2
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
212 participants
Where
68 sitesin 8 countries
Study dates
18 Dec 2012to 31 Oct 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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)
  • Prospective confirmation of KRAS mutation negative status as determined via an AZ approved 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

Who cannot join

  • 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.
  • Other concomitant anti-cancer therapy agents except steroids
  • Prior treatment with a MEK (Mitogen-Activated Protein Kinase) inhibitor or any docetaxel-containing regimen (prior treatment with paclitaxel is acceptable)
  • The last radiation therapy within 4 weeks prior to starting study treatment, or limited field of radiation for palliation within 7 days of the first dose of study treatment.

Trial locations and contacts

68 sites in 8 countries.

68 sites in 8 countries

United States13 sites
  • Research Site

    Atlanta, Georgia, 30318

  • Research Site

    Aurora, Colorado, 80045

  • Research Site

    Boston, Massachusetts, 02215

  • Research Site

    Chicago, Illinois, 60637

  • Research Site

    Hershey, Pennsylvania, 17033-0850

  • Research Site

    Hollywood, Florida, 33028

  • Research Site

    Marrero, Louisiana, 70072

  • Research Site

    Mineola, New York, 11501

  • Research Site

    Nashville, Tennessee, 37203

  • Research Site

    New York, New York, 10011

  • Research Site

    New York, New York, 10032

  • Research Site

    Philadelphia, Pennsylvania, 19107

  • Research Site

    Santa Monica, California, 90404

Other trials in United States

Brazil11 sites
  • Research Site

    Barretos, 14784-400

  • Research Site

    Brasília, 70390-055

  • Research Site

    Ijuí, 98700-000

  • Research Site

    Porto Alegre, 90035-003

  • Research Site

    Porto Alegre, 90619-900

  • Research Site

    Porto Alegre, 91350-200

  • Research Site

    Santo André, 09060-650

  • Research Site

    São José do Rio Preto, 15090-000

  • Research Site

    São Paulo, 01221-020

  • Research Site

    São Paulo, 01246-000

  • Research Site

    São Paulo, 04039-002

Other trials in Brazil

Hungary10 sites
  • Research Site

    Budapest, 1032

  • Research Site

    Budapest, 1121

  • Research Site

    Budapest, 1122

  • Research Site

    Edelény, 3780

  • Research Site

    Győr, 9024

  • Research Site

    Kaposvár, 7400

  • Research Site

    Miskolc, 3529

  • Research Site

    Nyíregyháza, 4400

  • Research Site

    Székesfehérvár, 8000

  • Research Site

    Törökbálint, 2045

Other trials in Hungary

Bulgaria8 sites
  • Research Site

    Plovdiv, 4000

  • Research Site

    Plovdiv, 4004

  • Research Site

    Sofia, 1233

  • Research Site

    Sofia, 1303

  • Research Site

    Sofia, 1330

  • Research Site

    Sofia, 1756

  • Research Site

    Varna, 9010

  • Research Site

    Vratsa, 3000

Other trials in Bulgaria

Germany8 sites
  • Research Site

    Essen, 45122

  • Research Site

    Esslingen am Neckar, 73730

  • Research Site

    Großhansdorf, 22927

  • Research Site

    Karlsruhe, 76137

  • Research Site

    Löwenstein, 74245

  • Research Site

    Moers, 47441

  • Research Site

    Wiesbaden, 65199

  • Research Site

    Würzburg, 97080

Other trials in Germany

Poland7 sites
  • Research Site

    Gdansk, 80-219

  • Research Site

    Grudziądz, 86-300

  • Research Site

    Krakow, 31-202

  • Research Site

    Olsztyn, 10-357

  • Research Site

    Poznan, 61-848

  • Research Site

    Sucha Beskidzka, 34-200

  • Research Site

    Szczecin, 70-891

Other trials in Poland

France6 sites
  • Research Site

    Brest, 29609

  • Research Site

    Caen, F-14033

  • Research Site

    Clermont-Ferrand, 63003

  • Research Site

    Lille, 59000

  • Research Site

    Pierre-Bénite, 69310

  • Research Site

    Villejuif, 94805

Other trials in France

Netherlands5 sites
  • Research Site

    's-Hertogenbosch, 5223 GZ

  • Research Site

    Amsterdam, 1066 CX

  • Research Site

    Amsterdam, 1081 HV

  • Research Site

    Bergen op Zoom, 4624 VT

  • Research Site

    Maastricht, 6202 AZ

Other trials in Netherlands

About this study

Official title: A Phase II, Double-Blind, Randomised, Placebo-Controlled Study to Assess the Efficacy and Safety of Selumetinib (AZD6244; ARRY-142886) (Hyd-Sulfate) in Combination With Docetaxel, Compared With Placebo in Combination With Docetaxel, in Patients Receiving Second Line Treatment for Locally Advanced or Metastatic Non Small Cell Lung Cancer (Stage IIIB - IV)

The purpose of this study is to treat patients with locally advanced or metastatic NSCLC with a combination therapy of selumetinib and two different doses of docetaxel 75mg/m2 or 60 mg/m2 vs placebo and compare how well each dose affects how their cancer responds. It will also help us to understand the tolerability profile of the different dosing regimens in these patients

Read the detailed description

A Phase II, Double-Blind, Randomised, Placebo-Controlled Study to Assess the Efficacy and Safety of Selumetinib (AZD6244; ARRY-142886) (Hyd-Sulfate) in Combination with Docetaxel, Compared with Placebo in Combination with Docetaxel, in Patients receiving second line treatment for Locally Advanced or Metastatic Non Small Cell Lung Cancer (Stage IIIB - IV)

Being tested
Selumetinib 75 mg, Docetaxel 75 mg/m2, Docetaxel 60 mg/m2, Placebo
Keywords
Mitogen-Activated Protein Kinase Kinase inhibitor, Non Small Cell Lung Cancer, Metastatic, Second line treatment for Non Small Cell Lung Cancer
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Neoplasm Metastasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Selumetinib 75 mgDrug

    Three selumetinib capsules (Hyd-Sulfate) 25 mg will be administered orally, twice daily, (75 mg dose bd) on an uninterrupted schedule.

  • Docetaxel 75 mg/m2Drug

    Docetaxel 75 mg/m2 will be administered intravenously on day 1 of each 21 day cycle.

  • Docetaxel 60 mg/m2Drug

    Docetaxel 60 mg/m2 will be administered intravenously on day 1 of each 21 day cycle.

  • PlaceboDrug

    Three placebo capsules will be administered orally uninterrupted twice daily.

Study groups in NCT01750281
Study groupRoleWhat they receive
Selumetinib 75 mg twice daily +Docetaxel 75 mg/m2ExperimentalSelumetinib 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.
Receives: Drug: Selumetinib 75 mg; Drug: Docetaxel 75 mg/m2
Selumetinib 75 mg twice daily + Docetaxel 60 mg/m2ExperimentalSelumetinib capsules will be administered orally uninterrupted twice daily in combination with docetaxel 60 mg/m2 intravenously administered on day 1 of each 21 day cycle.
Receives: Drug: Selumetinib 75 mg; Drug: Docetaxel 60 mg/m2
Placebo twice daily + Docetaxel 75 mg/m2ExperimentalThree 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.
Receives: Drug: Docetaxel 75 mg/m2; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival (PFS)

    Median time from randomisation until the date of objective disease progression or death (by any cause in the absence of progression). Progression is defined using Response Evaluation Criteria in Solid Tumours (RECIST v1.1): >= 20% increase in the sum of diameters of Target Lesions (TL) and an absolute increase in sum of diameters of >=5mm (compared to the previous minimum sum) or progression of Non TLs or a new lesion.

    Measured: Baseline and then every 6 weeks after randomization until objective disease progression, up to 29 months (at the time of the analysis)

Secondary outcomes (1)
  1. Overall Survival (OS)

    The time from randomisation until death due to any cause. Any subject not known to have died at the time of analysis will be censored based on the last recorded date on which the subject was known to be alive

    Measured: Following progression, survival status was collected every 8 weeks until death, withdrawal of consent, or end of study, whichever occurred first, up to 29 months (at the time of the analysis)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Dec 2012 (estimated)
  2. Study start18 Dec 2012
  3. Primary completion27 Jan 2016
  4. Study completion31 Oct 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
212 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01750281
Sponsor's protocol ID
D1532C00064
Other IDs
2012-003622-25
Acronym
SELECT-2
Status last verified
Oct 2023
First submitted
12 Dec 2012
Last updated
24 Oct 2023
Data monitoring committee
Yes
Individual data sharing
Yes: 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

Publications

  • Soria JC, Fulop A, Maciel C, Fischer JR, Girotto G, Lago S, Smit E, Ostoros G, Eberhardt WEE, Lishkovska P, Lovick S, Mariani G, McKeown A, Kilgour E, Smith P, Bowen K, Kohlmann A, Carlile DJ, Janne PA. SELECT-2: a phase II, double-blind, randomized, placebo-controlled study to assess the efficacy of selumetinib plus docetaxel as a second-line treatment of patients with advanced or metastatic non-small-cell lung cancer. Ann Oncol. 2017 Dec 1;28(12):3028-3036. doi: 10.1093/annonc/mdx628.

    PubMed 29045535

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Selumetinib 75 mg, Docetaxel 75 mg/m2 and Docetaxel 60 mg/m2 in people with Locally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IV, run by AstraZeneca at 68 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 68 sites in United States, Brazil, Hungary, Bulgaria, Germany and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Jul 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression Free Survival (PFS) (time frame: Baseline and then every 6 weeks after randomization until objective disease progression, up to 29 months (at the time of the analysis)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01750281, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Oct 2023.

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