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.
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
- Conditions the study is for
- Locally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IV
- What is being tested?
- Selumetinib 75 mg, Docetaxel 75 mg/m2 and Docetaxel 60 mg/m2
- Type of treatment
- Pill or oral medicine, Injection or infusion
- 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
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
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
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
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
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
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
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
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 group | Role | What they receive |
|---|---|---|
| Selumetinib 75 mg twice daily +Docetaxel 75 mg/m2 | Experimental | 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. Receives: Drug: Selumetinib 75 mg; Drug: Docetaxel 75 mg/m2 |
| Selumetinib 75 mg twice daily + Docetaxel 60 mg/m2 | Experimental | Selumetinib 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/m2 | Experimental | 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. 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.
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)
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.
- First posted17 Dec 2012 (estimated)
- Study start18 Dec 2012
- Primary completion27 Jan 2016
- Study completion31 Oct 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Locally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IVStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Gabriella Mariani, MD, Study chair, AstraZeneca UK, MSDPasi Janne, MD, Principal investigator, Dana-Farber Cancer Institute, USAJean-Charles Soria, MD, Principal investigator, Institut de Cancerology Gustave Roussy, France
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 24 Oct 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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)
- ClinicalTrials.gov ID
- NCT01750281
- Acronym / sponsor ID
- SELECT-2 / D1532C00064
- Keywords
- Mitogen-Activated Protein Kinase Kinase inhibitor, Non Small Cell Lung Cancer, Metastatic, Second line treatment for Non Small Cell Lung Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 212 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- 18 Dec 2012 (actual)
- Primary completion
- 27 Jan 2016 (actual)
- Study completion
- 31 Oct 2022 (actual)
- First posted
- 17 Dec 2012 (estimated)
- Results
- Posted 19 Jul 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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
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)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Selumetinib 75 mg twice daily +Docetaxel 75 mg/m2 | Experimental | Drug: Selumetinib 75 mg, Drug: Docetaxel 75 mg/m2Selumetinib 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. |
| Selumetinib 75 mg twice daily + Docetaxel 60 mg/m2 | Experimental | Drug: Selumetinib 75 mg, Drug: Docetaxel 60 mg/m2Selumetinib 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. |
| Placebo twice daily + Docetaxel 75 mg/m2 | Experimental | Drug: Docetaxel 75 mg/m2, Drug: PlaceboThree 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. |
Who may qualify
- Ages
- 18 to 130 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 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
Key exclusion criteria (5 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Selumetinib 75 mgThree selumetinib capsules (Hyd-Sulfate) 25 mg will be administered orally, twice daily, (75 mg dose bd) on an uninterrupted schedule. | Drug | Selumetinib 75 mg twice daily + Docetaxel 60 mg/m2, Selumetinib 75 mg twice daily +Docetaxel 75 mg/m2 |
| Docetaxel 75 mg/m2Docetaxel 75 mg/m2 will be administered intravenously on day 1 of each 21 day cycle. | Drug | Placebo twice daily + Docetaxel 75 mg/m2, Selumetinib 75 mg twice daily +Docetaxel 75 mg/m2 |
| Docetaxel 60 mg/m2Docetaxel 60 mg/m2 will be administered intravenously on day 1 of each 21 day cycle. | Drug | Selumetinib 75 mg twice daily + Docetaxel 60 mg/m2 |
| PlaceboThree placebo capsules will be administered orally uninterrupted twice daily. | Drug | Placebo twice daily + Docetaxel 75 mg/m2 |
Primary outcome
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)
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.
1 secondary outcome
Overall Survival (OS)
Time frame: 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)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Oct 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 29045535Soria 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.
- CSR Synopsis RedactedLink provided by the sponsor.
- Individual participant dataSharing planned: 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
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gabriella Mariani, MD study chair
AstraZeneca UK, MSD
Pasi Janne, MD principal investigator
Dana-Farber Cancer Institute, USA
Jean-Charles Soria, MD principal investigator
Institut de Cancerology Gustave Roussy, France
68 sites in 8 countries: see every site and its status.
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.