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Trial · NCT05309668

Pharmacokinetics, Safety and Efficacy of the Selumetinib Granule Formulation in Children Aged ≥1 to <7 Years With NF1-related Symptomatic, Inoperable PN

NCT05309668, Phase 1, Phase 2, Active not recruiting, AstraZeneca; results first posted 2025-05-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Pharmacokinetics, Safety and Efficacy of the Selumetinib Granule Formulation in Children Aged ≥1 to <7 Years With NF1-related Symptomatic, Inoperable PN. Trials, record NCT05309668. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05309668

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Pharmacokinetics, Safety and Efficacy of the Selumetinib Granule Formulation in Children Aged ≥1 to <7 Years With NF1-related Symptomatic, Inoperable PN
NCT number
NCT05309668
Status
Active not recruiting
Phases
Phase 1, Phase 2
Enrollment
36 participants, actual
Lead sponsor
AstraZeneca
Conditions
Neurofibromatosis Type 1
Interventions
Selumetinib granule formulation, Selumetinib capsule formulation
First posted
2022-04-04
Last updated
2026-08-13
Other registries' IDs
eudract:2020-005608-20
Results first posted
2025-05-14
Limitations and caveats
The outcome measure Primary Outcome: Selumetininb AUC0-12₂ Derived After Single Dose Administration is one of two co-primary endpoints. The second co-primary endpoint - Adverse Events Graded by CTCAE Version 5.0 - is still ongoing. As a result, the study has not yet reached the Primary Completion Date at the time these results were submitted. Full results, including data for the second co-primary endpoint, will be submitted upon completion of the study.

Source ClinicalTrials.gov

Registered outcomes28

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimarySelumetinib AUC0-12 Derived After Single Dose AdministrationPre-dose and 1, 2, 3, 4, 6, 8 and 10-12 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1) (each cycle is 28 days)To determine the pharmacokinetics of selumetinib after administration of the selumetinib granule formulation
PrimaryAdverse Events Graded by CTCAE Ver 5.0from screening until 30 days after last doseTo assess the safety and tolerability of the selumetinib granule formulation.
SecondaryPalatability Using the Parent-reported Observer Palatability QuestionnaireTwice daily (morning and evening), from the first day of study treatment (Cycle 1 Day 1) for one week, from Cycle 7 Day 1 for one week (each cycle is 28 days)To assess the palatability of the selumetinib granule formulation
SecondarySelumetinib and N-desmethyl Selumetinib AUC0-12 Derived After Single and Multiple Dose Administration
Pre-dose and 1, 2, 3, 4, 6, 8, 10-12 and 18-24 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1). Pre-dose, 1, 2, 3, 4, 6, 8, and 10-12 hours post-dose on Cycle 2 Day 1 (each cycle is 28 days)
To further evaluate the PK of the granule formulation.
SecondarySelumetinib and N-desmethyl Selumetinib Cmax Derived After Single and Multiple Dose Administration
Pre-dose and 1, 2, 3, 4, 6, 8, 10-12 and 18-24 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1). Pre-dose, 1, 2, 3, 4, 6, 8, and 10-12 hours post-dose on Cycle 2 Day 1 (each cycle is 28 days)
To further evaluate the PK of the granule formulation.
SecondarySelumetinib and N-desmethyl Selumetinib AUC0-6 Derived After Single and Multiple Dose Administration
Pre-dose and 1, 2, 3, 4 and 6 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1). Pre-dose, 1, 2, 3, 4 and 6 hours post-dose on Cycle 2 Day 1 (each cycle is 28 days)
To further evaluate the PK of the granule formulation.
SecondaryObjective Response RateAt screening, at week 17 (Cycle5 Day1), week 33 (Cycle9 Day1), week 49 (Cycle13 Day1), week 73 (Cycle19 Day1) and week 97 (Cycle25 Day1), end of treatment (each cycle is 28 days)To evaluate the efficacy of the selumetinib granule formulation by assessment of Objective Response Rate
SecondarySelumetinib and N-desmethyl Selumetinib AUClast Derived After Single and Multiple Dose Administration
Pre-dose and 1, 2, 3, 4, 6, 8, 10-12 and 18-24 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1). Pre-dose, 1, 2, 3, 4, 6, 8, and 10-12 hours post-dose on Cycle 2 Day 1 (each cycle is 28 days)
To further evaluate the PK of the granule formulation.
SecondarySelumetinib and N-desmethyl Selumetinib Tmax Derived After Single and Multiple Dose Administration
Pre-dose and 1, 2, 3, 4, 6, 8, 10-12 and 18-24 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1). Pre-dose, 1, 2, 3, 4, 6, 8, and 10-12 hours post-dose on Cycle 2 Day 1 (each cycle is 28 days)
To further evaluate the PK of the granule formulation.
SecondarySelumetinib and N-desmethyl Selumetinib Tlast Derived After Single and Multiple Dose Administration
Pre-dose and 1, 2, 3, 4, 6, 8, 10-12 and 18-24 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1). Pre-dose, 1, 2, 3, 4, 6, 8, and 10-12 hours post-dose on Cycle 2 Day 1 (each cycle is 28 days)
To further evaluate the PK of the granule formulation.

Outcomes28

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYSelumetinib AUC0-12 Derived After Single Dose AdministrationPre-dose and 1, 2, 3, 4, 6, 8 and 10-12 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1) (each cycle is 28 days)
Pharmacokinetic analysis set was used for analysis. Japan Cohort was not considered for the primary endpoint analysis. Some records were excluded for given visits and analytes due to missing concentration data, issues taking the medication and usage of prohibited medications.
h*ng/mLGEOMETRIC_MEAN
PRIMARYAdverse Events Graded by CTCAE Ver 5.0from screening until 30 days after last dose
SECONDARYPalatability Using the Parent-reported Observer Palatability QuestionnaireTwice daily (morning and evening), from the first day of study treatment (Cycle 1 Day 1) for one week, from Cycle 7 Day 1 for one week (each cycle is 28 days)
SECONDARYSelumetinib and N-desmethyl Selumetinib AUC0-12 Derived After Single and Multiple Dose Administration
Pre-dose and 1, 2, 3, 4, 6, 8, 10-12 and 18-24 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1). Pre-dose, 1, 2, 3, 4, 6, 8, and 10-12 hours post-dose on Cycle 2 Day 1 (each cycle is 28 days)
Pharmacokinetic analysis set was used for analysis. Some records were excluded for given visits and analytes due to missing concentration data, issues taking the medication and usage of prohibited medications.
h*ng/mLGEOMETRIC_MEAN
SECONDARYSelumetinib and N-desmethyl Selumetinib Cmax Derived After Single and Multiple Dose Administration
Pre-dose and 1, 2, 3, 4, 6, 8, 10-12 and 18-24 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1). Pre-dose, 1, 2, 3, 4, 6, 8, and 10-12 hours post-dose on Cycle 2 Day 1 (each cycle is 28 days)
Pharmacokinetic analysis set was used for analysis. Some records were excluded for given visits and analytes due to missing concentration data, issues taking the medication and usage of prohibited medications.
ng/mLGEOMETRIC_MEAN
SECONDARYSelumetinib and N-desmethyl Selumetinib AUC0-6 Derived After Single and Multiple Dose Administration
Pre-dose and 1, 2, 3, 4 and 6 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1). Pre-dose, 1, 2, 3, 4 and 6 hours post-dose on Cycle 2 Day 1 (each cycle is 28 days)
Pharmacokinetic analysis set was used for analysis. Some records were excluded for given visits and analytes due to missing concentration data, issues taking the medication and usage of prohibited medications.
h*ng/mLGEOMETRIC_MEAN
SECONDARYObjective Response RateAt screening, at week 17 (Cycle5 Day1), week 33 (Cycle9 Day1), week 49 (Cycle13 Day1), week 73 (Cycle19 Day1) and week 97 (Cycle25 Day1), end of treatment (each cycle is 28 days)
SECONDARYSelumetinib and N-desmethyl Selumetinib AUClast Derived After Single and Multiple Dose Administration
Pre-dose and 1, 2, 3, 4, 6, 8, 10-12 and 18-24 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1). Pre-dose, 1, 2, 3, 4, 6, 8, and 10-12 hours post-dose on Cycle 2 Day 1 (each cycle is 28 days)
Pharmacokinetic analysis set was used for analysis. Some records were excluded for given visits and analytes due to missing concentration data, issues taking the medication and usage of prohibited medications.
h*ng/mLGEOMETRIC_MEAN
SECONDARYSelumetinib and N-desmethyl Selumetinib Tmax Derived After Single and Multiple Dose Administration
Pre-dose and 1, 2, 3, 4, 6, 8, 10-12 and 18-24 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1). Pre-dose, 1, 2, 3, 4, 6, 8, and 10-12 hours post-dose on Cycle 2 Day 1 (each cycle is 28 days)
Pharmacokinetic analysis set was used for analysis. Some records were excluded for given visits and analytes due to missing concentration data, issues taking the medication and usage of prohibited medications.
hMEDIAN
SECONDARYSelumetinib and N-desmethyl Selumetinib Tlast Derived After Single and Multiple Dose Administration
Pre-dose and 1, 2, 3, 4, 6, 8, 10-12 and 18-24 hours after selumetinib single dose on the first day of study treatment (Cycle 1 Day 1). Pre-dose, 1, 2, 3, 4, 6, 8, and 10-12 hours post-dose on Cycle 2 Day 1 (each cycle is 28 days)
Pharmacokinetic analysis set was used for analysis. Some records were excluded for given visits and analytes due to missing concentration data, issues taking the medication and usage of prohibited medications.
hMEDIAN

Results by group299

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Selumetinib AUC0-12 Derived After Single Dose AdministrationGlobal Cohort 1190295% Confidence Interval 1647 to 2197h*ng/mL
Selumetinib AUC0-12 Derived After Single Dose AdministrationGlobal Cohort 2169995% Confidence Interval 1436 to 2009h*ng/mL
Selumetinib AUC0-12 Derived After Single Dose AdministrationTotal in Global179095% Confidence Interval 1609 to 1993h*ng/mL
Selumetinib and N-desmethyl Selumetinib AUC0-12 Derived After Single and Multiple Dose AdministrationGlobal Cohort 1Cycle 1 Day 1: Selumetinib1902Geometric Coefficient of Variation 24.19h*ng/mL
Selumetinib and N-desmethyl Selumetinib AUC0-12 Derived After Single and Multiple Dose AdministrationGlobal Cohort 2Cycle 1 Day 1: Selumetinib1699Geometric Coefficient of Variation 31.02h*ng/mL
Selumetinib and N-desmethyl Selumetinib AUC0-12 Derived After Single and Multiple Dose AdministrationTotal in GlobalCycle 1 Day 1: Selumetinib1790Geometric Coefficient of Variation 28.15h*ng/mL
Selumetinib and N-desmethyl Selumetinib AUC0-12 Derived After Single and Multiple Dose AdministrationJapan CohortCycle 1 Day 1: Selumetinib1526Geometric Coefficient of Variation 25.09h*ng/mL
Selumetinib and N-desmethyl Selumetinib AUC0-12 Derived After Single and Multiple Dose AdministrationGlobal Cohort 1Cycle 1 Day 1: N-desmethyl selumetinib156.1Geometric Coefficient of Variation 25.76h*ng/mL
Selumetinib and N-desmethyl Selumetinib AUC0-12 Derived After Single and Multiple Dose AdministrationGlobal Cohort 2Cycle 1 Day 1: N-desmethyl selumetinib134.0Geometric Coefficient of Variation 34.21h*ng/mL
Selumetinib and N-desmethyl Selumetinib AUC0-12 Derived After Single and Multiple Dose AdministrationTotal in GlobalCycle 1 Day 1: N-desmethyl selumetinib144.6Geometric Coefficient of Variation 30.69h*ng/mL

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDGlobal Cohort 115
Overall StudySTARTEDGlobal Cohort 217
Overall StudySTARTEDJapan Cohort4
Overall StudyCOMPLETEDGlobal Cohort 11
Overall StudyCOMPLETEDGlobal Cohort 20
Overall StudyCOMPLETEDJapan Cohort0
Overall StudyNOT COMPLETEDGlobal Cohort 114
Overall StudyNOT COMPLETEDGlobal Cohort 217
Overall StudyNOT COMPLETEDJapan Cohort4

Adverse events670

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal pain upperGastrointestinal disordersGlobal Cohort 11151
otherAbdominal pain upperGastrointestinal disordersGlobal Cohort 21171
otherAbdominal pain upperGastrointestinal disordersTotal in Global2322
otherAbdominal pain upperGastrointestinal disordersJapan Cohort040
otherAbdominal pain upperGastrointestinal disordersTotal in Study2362
otherIrritabilityPsychiatric disordersGlobal Cohort 11151
otherIrritabilityPsychiatric disordersGlobal Cohort 21171
otherIrritabilityPsychiatric disordersTotal in Global2322
otherIrritabilityPsychiatric disordersJapan Cohort040
otherIrritabilityPsychiatric disordersTotal in Study2362

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityGlobal Cohort 1015
Total, all-cause mortalityGlobal Cohort 2017
Total, all-cause mortalityTotal in Global032
Total, all-cause mortalityJapan Cohort04
Total, all-cause mortalityTotal in Study036
Total, other adverse eventsGlobal Cohort 11515
Total, other adverse eventsGlobal Cohort 21717
Total, other adverse eventsTotal in Global3232
Total, other adverse eventsJapan Cohort44
Total, other adverse eventsTotal in Study3636

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
41592259DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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