Selumetinib

Not yet reviewed: Listed from FDA or ClinicalTrials.gov records; an editor has not checked it yetListed from FDA or ClinicalTrials.gov records; an editor has not checked it yet.

Also known as Koselugo, Selumetinib sulfate

ASTRAZENECA PLC AZN · Differentiated Thyroid Cancer; Locally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IV; Metastatic; Neurofibromatosis 1; Plexiform Neurofibroma (PN)

Key figures

  • Next catalyst

    None scheduled

    Only dates with a source are listed

  • Phase

    Approved

    Not recorded

  • Linked trials

    4

    From ClinicalTrials.gov

  • Latest FDA action

    Approved

    NDA213756,

Recalls, shortages, patents and EU status at a glance

Key information

Indications
Differentiated Thyroid Cancer; Locally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IV; Metastatic; Neurofibromatosis 1; Plexiform Neurofibroma (PN) Source: Conditions from ClinicalTrials.gov (opens in a new tab)
Designations
None recorded
Next catalyst
None scheduled

Development timeline

  1. Preclinical Completed
  2. Phase 1 Completed
  3. Phase 2 Completed
  4. Phase 3 CompletedFirst trial start 27 Aug 20134 linked trials
  5. Filed Completed
  6. Approved Current stageFirst approval 10 Apr 2020

Overview

Mechanism
Not recorded
Route
Not recorded
Modality
Not recorded
Specialties
Not recorded

Overview text is written by HealthTrade editors.

Key dates

No catalysts yet. Editors add each date together with its source.

FDA designations

No FDA designations are on record for Selumetinib. Editors add each one with its source.

Filed application

No filed application is on record for Selumetinib. Approvals are listed under FDA actions.

FDA advisory committees

No FDA advisory committee meetings are on record for Selumetinib.

Clinical trials

Trials linked to Selumetinib
TrialTitlePhaseStatusEnrollmentPrimary completionResults posted
NCT04924608ClinicalTrials.gov record for NCT04924608 (opens in a new tab)KOMETEfficacy and Safety of Selumetinib in Adults With NF1 Who Have Symptomatic, Inoperable Plexiform NeurofibromasPhase 3Active, not recruiting145 (actual)5 Aug 2024 (actual) Yes First posted Results on ClinicalTrials.gov for NCT04924608 (opens in a new tab)

Posted results on ClinicalTrials.gov for KOMET

  • Confirmed Partial and Complete Response Rate (ORR) by End of Cycle 16 Using Volumetric MRI Analysis as Determined by ICR (Per REiNS Criteria) in Participants With NF1 Who Have Symptomatic, Inoperable PN. (Percentage)
    • Selumetinib 25 mg/m2 vs Placebo: Estimate not given, p-value 0.0112, Fisher Exact, superiority

Serious adverse events (All-cause mortality (death due to any cause) and Treatment emergent adverse events during randomised period, which is from the first dose of study intervention until the first date when selumetinib kit(s) are dispensed at Cycle 12 Day 28 (about 1 year), or 30 days after study intervention discontinuation, or up to one day prior to start of subsequent therapy, whichever occurs first. The medians of total treatment duration were 336 days for Selumetinib group and 335 days for Placebo group.): Selumetinib 25 mg/m2 10 of 71; Placebo 9 of 74

Source: ClinicalTrials.gov results for NCT04924608 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing KOMET (1), newest first

  1. Efficacy and safety of selumetinib in adults with neurofibromatosis type 1 and symptomatic, inoperable plexiform neurofibromas (KOMET): a multicentre, international, randomised, placebo-controlled, parallel, double-blind, phase 3 study.

    Lancet (London, England) · 2025 Jun 21

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT01974752ClinicalTrials.gov record for NCT01974752 (opens in a new tab)SUMITSelumetinib (AZD6244: ARRY-142886) (Hyd-Sulfate) in Metastatic Uveal Melanoma (SUMIT)Phase 3Completed152 (actual)May 2015 (actual) Yes First posted Results on ClinicalTrials.gov for NCT01974752 (opens in a new tab)

Posted results on ClinicalTrials.gov for SUMIT

  • Assessment of the Efficacy of Selumetinib in Combination With Dacarbazine Compared With Placebo in Combination With Dacarbazine Measured as Progression Free Survival (PFS) Using BICR According to RECIST 1.1. (number of progression events)
    • Selumetinib 75 mg BD + Dacarbazine 1000 mg/m2 vs Placebo + Dacarbazine 1000 mg/m2: Hazard Ratio (HR) 0.78 (95% CI 0.48 to 1.27), p-value 0.3195, Log Rank, superiority or other

Serious adverse events (From informed consent up until end of double blind period): Placebo + Dacarbazine 1000 mg/m2 2 of 32; Selumetinib 75 mg BD + Dacarbazine 1000 mg/m2 20 of 97

Source: ClinicalTrials.gov results for NCT01974752 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing SUMIT (2), newest first

  1. Selumetinib in Combination With Dacarbazine in Patients With Metastatic Uveal Melanoma: A Phase III, Multicenter, Randomized Trial (SUMIT).

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018 Apr 20

  2. Study design and rationale for a randomised, placebo-controlled, double-blind study to assess the efficacy of selumetinib (AZD6244; ARRY-142886) in combination with dacarbazine in patients with metastatic uveal melanoma (SUMIT).

    BMC cancer · 2015 Jun 10

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT01933932ClinicalTrials.gov record for NCT01933932 (opens in a new tab)SELECT-1Assess Efficacy & Safety of Selumetinib in Combination With Docetaxel in Patients Receiving 2nd Line Treatment for v-Ki-ras2 Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS) Positive NSCLCPhase 3Active, not recruiting510 (actual)7 Jun 2016 (actual) Yes First posted Results on ClinicalTrials.gov for NCT01933932 (opens in a new tab)

Posted results on ClinicalTrials.gov for SELECT-1

  • Progression-Free Survival (PFS) (Months)
    • Selumetinib + Docetaxel vs Placebo + Docetaxel: Hazard Ratio (HR) 0.93 (95% CI 0.77 to 1.12), p-value 0.4355, Log Rank, superiority or other

Serious adverse events (AEs were collected from the time of signature of informed consent to the main study until 30 days (± 7 days) after the last dose of the last study treatment.): Placebo + Docetaxel 82 of 254; Selumetinib + Docetaxel 124 of 251

Source: ClinicalTrials.gov results for NCT01933932 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing SELECT-1 (2), newest first

  1. Selumetinib Plus Docetaxel Compared With Docetaxel Alone and Progression-Free Survival in Patients With KRAS-Mutant Advanced Non-Small Cell Lung Cancer: The SELECT-1 Randomized Clinical Trial.

    JAMA · 2017 May 9

  2. Study Design and Rationale for a Randomized, Placebo-Controlled, Double-Blind Study to Assess the Efficacy and Safety of Selumetinib in Combination With Docetaxel as Second-Line Treatment in Patients With KRAS-Mutant Advanced Non-Small Cell Lung Cancer (SELECT-1).

    Clinical lung cancer · 2016 Mar

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT01843062ClinicalTrials.gov record for NCT01843062 (opens in a new tab)ASTRAComparing Complete Remission After Treatment With Selumetinib/Placebo in Patient With Differentiated Thyroid CancerPhase 3Terminated233 (actual)18 May 2018 (actual) Yes First posted Results on ClinicalTrials.gov for NCT01843062 (opens in a new tab)

Posted results on ClinicalTrials.gov for ASTRA

  • Complete Remission Rate (Expressed as Percentage of Patients in Complete Remission) at 18 Months Post-RAI Treatment; ITT Analysis Set (Percentage of participants)
    • Selumetinib 75 mg BD + RAI vs Placebo + RAI: Odds Ratio (OR) 1.07 (95% CI 0.61 to 1.87), p-value 0.8205, Regression, Logistic, superiority

Serious adverse events (Includes adverse events (AEs) with an onset date on or after the date of first dose and up to and including 30 days following the date of last dose of selumetinib/placebo. Overall timeframe for collection of AEs was up to 66 days from the first dose.): Selumetinib 75 mg BD + RAI 7 of 154; Placebo + RAI 0 of 77

Source: ClinicalTrials.gov results for NCT01843062 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing ASTRA (1), newest first

  1. Selumetinib Plus Adjuvant Radioactive Iodine in Patients With High-Risk Differentiated Thyroid Cancer: A Phase III, Randomized, Placebo-Controlled Trial (ASTRA).

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022 Jun 10

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

Source: ClinicalTrials.gov, U.S. National Library of Medicine. Posted results are shown as ClinicalTrials.gov prints them; results from company and journal sources are entered by editors and listed separately. Full result tables are on ClinicalTrials.gov.

Trial quality

About CT-VCA

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FDA actions

Original approvals and new-indication supplements for Selumetinib, newest first
ApplicationActionDateOutcomeReviewSource
NDA213756Action letter for NDA213756 (opens in a new tab) Supplement 6 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA213756Action letter for NDA213756 (opens in a new tab) Supplement 5 EfficacyApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA219943Action letter for NDA219943 (opens in a new tab) Original 1 Type 3 - New Dosage FormApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)
NDA213756Action letter for NDA213756 (opens in a new tab) Supplement 4 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA213756Action letter for NDA213756 (opens in a new tab) Original 1 Type 1 - New Molecular EntityApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)

Data provided by the U.S. Food and Drug Administration.

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EU status (EMA)

AuthorisedOrphan medicineConditional

Koselugo (EMEA/H/C/005244)

Authorised
Therapeutic area
Neurofibromatosis 1
Marketing authorisation holder
AstraZeneca AB
Active substance (INN)
selumetinib
ATC code
L01EE04
Latest EMA decision

Matched by active substance: EMA's INN or active substance equals this drug's name.

Source: European Medicines Agency (EMA), medicines data download. Licence: EMA re-use with acknowledgement. EMA medicines report 2026-10-26.

Related news

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Sources

Record updated .

Dates come from company and FDA disclosures and can change. Nothing on this page is investment advice.