selumetinib
Trade name: Koselugo
Approved
Apr 10, 2020
Selumetinib (INN), sold under the brand name Koselugo, is a medication for the treatment of children, two years of age and older, with neurofibromatosis type I (NF-1), a genetic disorder of the nervous system causing tumors to grow on nerves. It is taken by mouth. — Wikipedia
Clinical trial activity
124 trials · 98 clinical orgs · 1 marketing orgs
Earliest trial started Jun 1, 2004 (NCT00085787)
Timeline
2000s
- Jan 1, 2004
Earliest Phase 1 Sponsor(trial)
- Jan 1, 2006
AstraZeneca — Earliest Phase 2 Sponsor(trial)
2010s
- Jan 1, 2013
AstraZeneca — Earliest Phase 3 Sponsor(trial)
- Feb 14, 2018
Orphan Drug Designation
2020s
- Apr 10, 2020
AstraZeneca — Earliest FDA Approval
- Apr 10, 2020
AstraZeneca — Marketing Organization
- Apr 10, 2020
AstraZeneca — NDA Secondary Org
- Apr 10, 2020
AstraZeneca — NDA Organization
Indications
Approved for
Studied for
- Adenocarcinoma · Phase 2
- Astrocytoma · Phase 3
- Bile Duct Neoplasms · Phase 2
- Biliary Tract Neoplasms · Phase 2
- Breast Neoplasms · Phase 2
- Carcinoma, Hepatocellular · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 2
- Carcinoma, Squamous Cell · Phase 2
- Cholangiocarcinoma · Phase 2
- Colonic Neoplasms · Phase 1
- Colorectal Neoplasms · Phase 2
- Endometrial Neoplasms · Phase 2
- Ependymoma · Phase 2
- Esophageal Neoplasms · Phase 1
- Fallopian Tube Neoplasms · Phase 2
- Gallbladder Neoplasms · Phase 2
- Gastrointestinal Neoplasms · Phase 1/Phase 2
- General Surgery · Phase 2
- Genes, Neurofibromatosis 1 · Phase 1/Phase 2
- Glioma · Phase 3
- Hamartoma · Phase 2
- Healthy Volunteers · Phase 1
- Heredodegenerative Disorders, Nervous System · Phase 2
- Kidney Neoplasms · Phase 1
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 1
- Leukemia, Myeloid, Acute · Phase 2
- Liver Neoplasms · Phase 2
- Lung Neoplasms · Phase 2
- Lymphoma, Large-Cell, Immunoblastic · Phase 2
- Lymphoma, Non-Hodgkin · Phase 2
- Melanoma · Phase 3
- Meningioma · Phase 2
- Multiple Myeloma · Phase 2
- Myelodysplastic Syndromes · Phase 2
- Myeloproliferative Disorders · Phase 2
- Neoplasm Metastasis · Phase 3
- Neoplasms · Phase 2
- Neoplasms, Nerve Tissue · Phase 2
- Nerve Sheath Neoplasms · Phase 1/Phase 2
- Neuroblastoma · Phase 2
- Neurofibroma · Phase 3
- Neurofibroma, Plexiform · Phase 2
- Neurofibromatosis 1 · Phase 3
- Neurofibromatosis 2 · Phase 2
- Neurofibrosarcoma · Phase 2
- Neuroma, Acoustic · Phase 2
- Optic Nerve Glioma · Phase 2
- Ovarian Neoplasms · Phase 2
- Pancreatic Neoplasms · Phase 2
- Peripheral Nervous System Diseases · Phase 2
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 1/Phase 2
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 1/Phase 2
- Primary Myelofibrosis · Phase 1
- ras Proteins · Phase 2
- Rectal Neoplasms · Phase 1
- Sarcoma · Phase 2
- Sarcoma, Kaposi · Phase 1/Phase 2
- Small Cell Lung Carcinoma · Phase 3
- Squamous Cell Carcinoma of Head and Neck · Phase 1
- Stomach Neoplasms · Phase 2
- Thoracic Neoplasms · Phase 2
- Thymoma · Phase 2
- Thyroid Neoplasms · Phase 3
- Triple Negative Breast Neoplasms · Phase 2
- Uterine Neoplasms · Phase 2
Mechanism of action
MAP2K2 inhibitor
Non-adenosine-5'-triphosphate (ATP) competitive inhibitor
MAP2K1 inhibitor
Non-adenosine-5'-triphosphate (ATP) competitive inhibitor
Dual specificity mitogen-activated protein kinase kinase; MEK1/2 inhibitor
Inhibits MEK1/2 which are involved in the RAS-regulated RAF-MEK-ERK pathway, often activated in cancers.
Approval history
- approvedPriority reviewBreakthroughApr 10, 2020
Chemistry & pharmacology
SMILES
Cn1cnc2c(F)c(Nc3ccc(Br)cc3Cl)c(C(=O)NOCCO)cc21.O=S(=O)(O)O- Mol. weight
- 555.77 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL2105684 ↗
- WikipediaSelumetinib ↗
- ChEMBLCHEMBL1614701 ↗
Also known as
- arry142886
- arry 142886
- arry-142886
- arry-142886
- arry-142886
- arry-142886
- arry-886
- arry-886
- az6244
- azd6244
- azd6244
- azd6244
- azd 6244
- azd-6244
- azd-6244
- azd-6244
- seleumetinib
- selumetinib
- selumetinib
- selumetinib
- selumetinib
- selumetinib
- selumetinib sulfate
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06735820 | Phase 1/Phase 2 (Phase 2) | Apr 1, 2025 | Georgetown University |
| NCT06502171 | Phase 1 | Jan 1, 2025 | Department of Defense, Indiana University, University of Alabama, Birmingham, University of Pennsylvania |
| NCT06763315 | Phase 2 | Jan 1, 2025 | Sichuan University |
| NCT06188741 | Phase 2 | Dec 1, 2024 | Department of Defense, University of Alabama, Birmingham, University of Pennsylvania |
| NCT06621082 | Phase 2 | Sep 30, 2024 | Sun Yat-Sen University |
| NCT06620354 | Phase 2 | Sep 30, 2024 | Sun Yat-Sen University |
| NCT05825365 | Phase 2 | Aug 31, 2023 | AstraZeneca, Capital Medical University |
| NCT05253131 | Phase 2 | Apr 15, 2023 | Department of Defense, University of Alabama, Birmingham |
| NCT05554328 | Phase 2 | Dec 9, 2022 | National Cancer Institute (NCI), NRG Oncology |
| NCT05564377 | Phase 2 | Dec 9, 2022 | ECOG-ACRIN Cancer Research Group, National Cancer Institute (NCI) |
| NCT05309668 | Phase 1/Phase 2 (Phase 2) | Jan 21, 2022 | AstraZeneca, Merck |
| NCT04924608 | Phase 3 | Nov 19, 2021 | AstraZeneca, Merck, National Cancer Institute (NCI) |
| NCT05101148 | Phase 1 | Jul 21, 2021 | AstraZeneca, Merck |
| NCT04576117 | Phase 3 | Jan 8, 2021 | National Cancer Institute (NCI) |
| NCT04590235 | Phase 1 | Nov 12, 2020 | AstraZeneca, Jiao Tong University, Merck |
| NCT04495127 | Phase 1 | Aug 31, 2020 | AstraZeneca |
| NCT04348045 | Phase 2 | May 31, 2020 | Assistance Publique - Hôpitaux de Paris, AstraZeneca, Groupe Cooperateur Multidisciplinaire en Oncologie (GERCOR) |
| NCT04166409 | Phase 3 | Dec 2, 2019 | National Cancer Institute (NCI) |
| NCT03871257 | Phase 3 | Aug 5, 2019 | National Cancer Institute (NCI) |
| NCT03833427 | Phase 1 | Mar 18, 2019 | Merck |
Organizations
Research & Development (98)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| AstraZeneca | For profit | 60 | 38 | 4 | 2006 |
| National Cancer Institute (NCI) | Government | 44 | 38 | 3 | 2007 |
| Merck | For profit | 8 | 3 | 3 | 2009 |
| IQVIA | For profit | 7 | 0 | 2 | 2012 |
| University of Texas at Houston | Academic/Hospital | 7 | 5 | 2 | 2007 |
| Cancer Research UK | Academic/Hospital | 6 | 1 | 2 | 2010 |
| Harvard University | Academic/Hospital | 6 | 1 | 3 | 2009 |
| Cornell University | Academic/Hospital | 4 | 1 | 3 | 2009 |
| Department of Defense | Government | 4 | 0 | 2 | 2018 |
| Institut Gustave Roussy | Academic/Hospital | 4 | 0 | 1 | 2009 |
| National Institutes of Health (NIH) | Government | 4 | 0 | 1 | 2010 |
| The Christie NHS Foundation Trust | Academic/Hospital | 4 | 2 | 2 | 2010 |
| University of Alabama, Birmingham | Academic/Hospital | 4 | 3 | 2 | 2017 |
| University of London | Academic/Hospital | 4 | 3 | 2 | 2012 |
| University of Birmingham | Academic/Hospital | 3 | 2 | 1 | 2012 |
| University of Chicago | Academic/Hospital | 3 | 1 | 2 | 2007 |
| University of South Florida | Academic/Hospital | 3 | 0 | 1 | 2007 |
| Canadian Cancer Trials Group | Academic/Hospital | 2 | 2 | 2 | 2013 |
| City of Hope National Medical Center | Academic/Hospital | 2 | 0 | 1 | 2010 |
| Fondation ARC | Academic/Hospital | 2 | 0 | 1 | 2014 |
Marketing (4)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AstraZeneca | For profit | SYN | Apr 10, 2020 |
| AstraZeneca | For profit | MKTG | Apr 10, 2020 |
| AstraZeneca | For profit | NDA2 | Apr 10, 2020 |
| AstraZeneca | For profit | NDA | Apr 10, 2020 |