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NCT02839720

Selumetinib in Treating Patients With Neurofibromatosis Type 1 and Cutaneous Neurofibroma

Completed Phase 2 Results posted Last updated 6 December 2023
What this trial tests

Phase 2 trial testing Laboratory Biomarker Analysis in Cutaneous Neurofibroma in 11 participants. Completed in 31 August 2023.

Timeline
26 August 2017
Primary endpoint
5 November 2022
31 August 2023

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment11
Start date26 August 2017
Primary completion5 November 2022
Estimated completion31 August 2023
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, any sex, with Cutaneous Neurofibroma or Neurofibromatosis Type 1. 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.

Median Best Response of Cutaneous Neurofibromas in Participants With at Least One Restaging Evaluation Primary · Up to 24 cycles of treatment (1 cycle = 28 days)

Average percent change in volume of target cutaneous neurofibromas from baseline. Cutaneous neurofibromas measured with calipers and volumes calculated by multiplying length, width and height of each target neurofibroma. At each response evaluation (baseline and then after every 4 cycles), the sum of the on-treatment volumes for the target cutaneous neurofibromas were subtracted from the pre-treatment volumes of the same tumors to arrive at an overall percentage change in target cutaneous neurofibroma size for each participant at each restaging evaluation. The average percent change that was m

GroupValue95% CI
Treatment (Selumetinib)-28.5-84.9 – 24.8
Change in the Number of Cutaneous Neurofibromas Secondary · Baseline to up to 1 year

At the time of each response evaluation (baseline and then after every 4 cycles), the number of cutaneous neurofibromas (cNFs) that are greater than 4mm as measured with a caliper were counted in the picture frames. We report here the change in overall number of cutaneous neurofibromas counted after 12 cycles of treatment (Number of cNFs counted after 12 cycles - Number of cNFs counted at baseline).

GroupValue95% CI
Treatment (Selumetinib)-7-30 – 4
Changes in Skin Related Morbidity Secondary · Baseline to up to 1 year

Assessed by Skindex. Global Impression of Change Scale and Numeric Rating Scale evaluations were not used in this outcome measure due to limited data set. Skindex is a dermatology survey whose scores are normalized to a 0-100 scale with higher scores indicating worse quality of life. We report here the change in overall Skindex score after 12 cycles of treatment (Score at 12 cycles - Score at Baseline).

GroupValue95% CI
Treatment (Selumetinib Sulfate)-1.72-15.52 – 12.07

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline through study completion, a maximum of 36 cycles (approximately 3 years). Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Selumetinib)
Serious: 5/11 (45%)
Deaths: 0/11

Serious adverse events (6 terms)

ReactionSystemTreatment (Selumetinib)
Eye disorders - Other, specifyEye disorders
Immune system disorders - Other, specifyImmune system disorders
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specifyNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor hemorrhageNeoplasms benign, malignant and unspecified (incl cysts and polyps)
HypertensionVascular disorders
HypertensionVascular disorders
Other adverse events (41 terms — click to expand)

ReactionSystemTreatment (Selumetinib)
Rash acneiformSkin and subcutaneous tissue disorders
Dry skinSkin and subcutaneous tissue disorders
Rash acneiformSkin and subcutaneous tissue disorders
DiarrheaGastrointestinal disorders
Edema limbsGeneral disorders
CPK increasedInvestigations
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
Alanine aminotransferase increasedInfections and infestations
Aspartate aminotransferase increasedInfections and infestations
Lipase increasedInvestigations
Skin and subcutaneous tissue disorders - Other, specify (Onchomycosis)Skin and subcutaneous tissue disorders
HypertensionVascular disorders
EosinophiliaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
Dry mouthGastrointestinal disorders
Gastrointestinal disorders - Other, specify (Dark stools)Gastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
VomitingGastrointestinal disorders
Edema faceGeneral disorders
FatigueGeneral disorders
Flu like symptomsGeneral disorders
Aspartate aminotransferase increasedInfections and infestations
ParonychiaInfections and infestations
Alanine aminotransferase increasedInvestigations
Alkaline phosphatase increasedInvestigations
CPK increasedInvestigations
Serum amylase increasedInvestigations
Serum amylase increasedInvestigations
DizzinessNervous system disorders
DysgeusiaNervous system disorders
Vaginal drynessReproductive system and breast disorders
DyspneaRespiratory, thoracic and mediastinal disorders
AlopeciaSkin and subcutaneous tissue disorders
Dry skinSkin and subcutaneous tissue disorders
Nail lossSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify (Skin fissures)Skin and subcutaneous tissue disorders

Most-reported serious reactions: Eye disorders - Other, specify, Immune system disorders - Other, specify, Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify, Tumor hemorrhage, Hypertension, Hypertension.

Data from ClinicalTrials.gov NCT02839720 adverse events section.

Sponsor's own description

This pilot phase II trial studies how well selumetinib works in treating patients with neurofibromatosis type 1 and cutaneous neurofibromas. Selumetinib 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. Current Understanding of Neurofibromatosis Type 1, 2, and Schwannomatosis.
    Tamura R. · · 2021 · cited 153× · PMID 34072574 · DOI 10.3390/ijms22115850
  2. MEK inhibitors for neurofibromatosis type 1 manifestations: Clinical evidence and consensus.
    de Blank PMK, Gross AM, Akshintala S, Blakeley JO, et al · · 2022 · cited 72× · PMID 35788692 · DOI 10.1093/neuonc/noac165
  3. Cutaneous neurofibromas in the genomics era: current understanding and open questions.
    Allaway RJ, Gosline SJC, La Rosa S, Knight P, et al · · 2018 · cited 28× · PMID 29695767 · DOI 10.1038/s41416-018-0073-2
  4. Neurofibromatosis in the Era of Precision Medicine: Development of MEK Inhibitors and Recent Successes with Selumetinib.
    Galvin R, Galvin R, Watson AL, Largaespada DA, et al · · 2021 · cited 19× · PMID 33721151 · DOI 10.1007/s11912-021-01032-y
  5. A systematic review of ongoing clinical trials in optic pathway gliomas.
    Hill CS, Devesa SC, Ince W, Borg A, et al · · 2020 · cited 19× · PMID 32556546 · DOI 10.1007/s00381-020-04724-1
  6. Cutaneous Neurofibroma Heterogeneity: Factors that Influence Tumor Burden in Neurofibromatosis Type 1.
    Jiang C, McKay RM, Lee SY, Romo CG, et al · · 2023 · cited 13× · PMID 37318402 · DOI 10.1016/j.jid.2022.12.027
  7. Pharmacological Approaches in Neurofibromatosis Type 1-Associated Nervous System Tumors.
    Rabab'h O, Gharaibeh A, Al-Ramadan A, Ismail M, et al · · 2021 · cited 10× · PMID 34359780 · DOI 10.3390/cancers13153880
  8. Dermatologic Manifestations of Neurofibromatosis Type 1 and Emerging Treatments.
    Poplausky D, Young JN, Tai H, Rivera-Oyola R, et al · · 2023 · cited 9× · PMID 37345107 · DOI 10.3390/cancers15102770

Verify or expand the search:

Other trials of Laboratory Biomarker Analysis

Trials testing the same drug.

Other recruiting trials for Cutaneous Neurofibroma

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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