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NCT00551070

Selumetinib Sulfate in Treating Woman With Recurrent Low-Grade Ovarian Cancer or Peritoneum Cancer

Completed Phase 2 Results posted Last updated 3 December 2020
What this trial tests

Phase 2 trial testing Laboratory Biomarker Analysis in Borderline Ovarian Serous Tumor in 52 participants. Completed in 13 November 2020.

Timeline
17 December 2007
Primary endpoint
23 July 2013
13 November 2020

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment52
Start date17 December 2007
Primary completion23 July 2013
Estimated completion13 November 2020
Sites49 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

19 and older, female only, with Borderline Ovarian Serous Tumor or Low Grade Ovarian Serous Adenocarcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Tumor Response Primary · Every other cycle

Complete and Partial Tumor Response by (Response Evaluation Criteria in Solid Tumors) RECIST 1.0

GroupValue95% CI
AZD624415.47.9 – 26.1
Progression-free Survival Secondary · Every other cycle
GroupValue95% CI
AZD624411.36.2 – 12.9
Number of Courses Received Secondary · Every cycle
GroupValue95% CI
AZD624452 – 14
Adverse Events (Grade 3 or Higher) During First Cycle of Treatment Primary · Cycle 1
Leukopenia
GroupValue95% CI
AZD624400 – 7
Thrombocytopenia
GroupValue95% CI
AZD624400 – 7
Neutropenia
GroupValue95% CI
AZD624400 – 7
Anemia
GroupValue95% CI
AZD624420 – 10
Allergy/Immunology
GroupValue95% CI
AZD624400 – 7
Auditory/Ear
GroupValue95% CI
AZD624400 – 7
Cardiac
GroupValue95% CI
AZD624420 – 10
Coagulation
GroupValue95% CI
AZD624400 – 7
Area Under the Curve (AUC) for AZD6244, 100 mg Administered Orally Twice Daily. Primary · Pre-dose, and 1, 3, and 6 hours after administration of drug on Day 7 after the start of AZD6244 treatment
GroupValue95% CI
AZD624424191673 – 3186
Maximum Concentration (Cmax) for AZD6244, 100 mg Administered Orally Twice Daily. Primary · Pre-dose, and 1, 3, and 6 hours after administration of drug on Day 7 after the start of AZD6244 treatment
GroupValue95% CI
AZD6244585371 – 1100
Overall Survival Secondary · Every cycle during treatment, then every 3 months for the first 2 years, then every six months for the next three years and then annually for the next 5 years
GroupValue95% CI
AZD624432.417.7 – 39.3

Adverse events — posted to ClinicalTrials.gov

Time frame: Study Treatment. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

AZD6244
Serious: 33/52 (63%)
Deaths:

Serious adverse events (33 terms)

ReactionSystemAZD6244
Obstruction, Gi - Small Bowel NosGastrointestinal disorders
Pain: Abdominal Pain NosGeneral disorders
Mucositis (Clinical Exam) - Oral CavityGastrointestinal disorders
HypertensionCardiac disorders
Weight GainGeneral disorders
Obstruction, Gi - ColonGastrointestinal disorders
Mucositis (Functional/Sympt) - Oral CavityGastrointestinal disorders
DehydrationGastrointestinal disorders
NauseaGastrointestinal disorders
Inf W/Nml Or Gr 1 Or 2 Anc: Skin(Cellulitis)Infections and infestations
AltMetabolism and nutrition disorders
LeukocytesBlood and lymphatic system disorders
HemoglobinBlood and lymphatic system disorders
Prolonged Qtc IntervalCardiac disorders
S/N Arrhythmia: Sinus BradycardiaCardiac disorders
HypotensionCardiac disorders
Death No Ctcae Term - Disease Progression NosGeneral disorders
Ulcer,gi - EsophagusGastrointestinal disorders
VomitingGastrointestinal disorders
ConstipationGastrointestinal disorders
Gastrointestinal - OtherGastrointestinal disorders
Stricture, Gi - Biliary TreeGastrointestinal disorders
Hemorrhage, Gi - RectumVascular disorders
Inf W/Nml Or Gr 1 Or 2 Anc: Lung(Pneumonia)Infections and infestations
Inf Unknown Anc: WoundInfections and infestations
Other adverse events (142 terms — click to expand)

ReactionSystemAZD6244
DiarrheaGastrointestinal disorders
FatigueGeneral disorders
NauseaGastrointestinal disorders
RashSkin and subcutaneous tissue disorders
HemoglobinBlood and lymphatic system disorders
VomitingGastrointestinal disorders
Edema: LimbBlood and lymphatic system disorders
AstMetabolism and nutrition disorders
AltMetabolism and nutrition disorders
Neuropathy-SensoryNervous system disorders
Pain: Abdominal Pain NosGeneral disorders
HypomagnesemiaMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
Alkaline PhosphataseMetabolism and nutrition disorders
DyspneaRespiratory, thoracic and mediastinal disorders
AnorexiaGastrointestinal disorders
HypoalbuminemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
LeukocytesBlood and lymphatic system disorders
Weight GainGeneral disorders
NeutrophilsBlood and lymphatic system disorders
Hair Loss/Alopecia (Scalp Or Body)Skin and subcutaneous tissue disorders
AcneSkin and subcutaneous tissue disorders
Dry SkinSkin and subcutaneous tissue disorders
Mucositis (Clinical Exam) - Oral CavityGastrointestinal disorders
HyperglycemiaMetabolism and nutrition disorders
Mood Alteration - AnxietyNervous system disorders
Pain: Head/HeadacheGeneral disorders
CreatinineMetabolism and nutrition disorders
Pain: Extremity-LimbGeneral disorders
HyponatremiaMetabolism and nutrition disorders
Pain: BackGeneral disorders
PlateletsBlood and lymphatic system disorders
InsomniaGeneral disorders
HypertensionCardiac disorders
FeverGeneral disorders
Metabolic/Laboratory - OtherMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
Mood Alteration - DepressionNervous system disorders
Pain: JointGeneral disorders

Most-reported serious reactions: Obstruction, Gi - Small Bowel Nos, Pain: Abdominal Pain Nos, Mucositis (Clinical Exam) - Oral Cavity, Hypertension, Weight Gain, Obstruction, Gi - Colon, Mucositis (Functional/Sympt) - Oral Cavity, Dehydration.

Data from ClinicalTrials.gov NCT00551070 adverse events section.

Sponsor's own description

This phase II trial studies the side effects and how well selumetinib sulfate works in treating patients with low-grade ovarian cancer that has come back (recurrent). Selumetinib sulfate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The MAPK pathway across different malignancies: a new perspective.
    Burotto M, Chiou VL, Lee JM, Kohn EC. · · 2014 · cited 773× · PMID 24948110 · DOI 10.1002/cncr.28864
  2. Selumetinib in women with recurrent low-grade serous carcinoma of the ovary or peritoneum: an open-label, single-arm, phase 2 study.
    Farley J, Brady WE, Vathipadiekal V, Lankes HA, et al · · 2013 · cited 289× · PMID 23261356 · DOI 10.1016/s1470-2045(12)70572-7
  3. Targeted therapies in gynecological cancers: a comprehensive review of clinical evidence.
    Wang Q, Peng H, Qi X, Wu M, et al · · 2020 · cited 114× · PMID 32728057 · DOI 10.1038/s41392-020-0199-6
  4. Proteomics and biomarkers in clinical trials for drug development.
    Lee JM, Han JJ, Altwerger G, Kohn EC. · · 2011 · cited 47× · PMID 21570499 · DOI 10.1016/j.jprot.2011.04.023
  5. The insulin-like growth factor 1 pathway is a potential therapeutic target for low-grade serous ovarian carcinoma.
    King ER, Zu Z, Tsang YT, Deavers MT, et al · · 2011 · cited 44× · PMID 21726895 · DOI 10.1016/j.ygyno.2011.06.016
  6. Differences in MEK inhibitor efficacy in molecularly characterized low-grade serous ovarian cancer cell lines.
    Fernández ML, DiMattia GE, Dawson A, Bamford S, et al · · 2016 · cited 35× · PMID 27822414
  7. IGF2BP1 is a targetable SRC/MAPK-dependent driver of invasive growth in ovarian cancer.
    Bley N, Schott A, Müller S, Misiak D, et al · · 2021 · cited 32× · PMID 32876513 · DOI 10.1080/15476286.2020.1812894
  8. Current and Emerging Molecular Therapies for Head and Neck Squamous Cell Carcinoma.
    Kordbacheh F, Farah CS. · · 2021 · cited 25× · PMID 34771633 · DOI 10.3390/cancers13215471

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