Selumetinib in the treatment of non-small-cell lung cancer

被引:16
作者
Bernabe, Reyes [1 ,2 ]
Patrao, Ana [1 ]
Carter, Louise [1 ]
Blackhall, Fiona [1 ,3 ]
Dean, Emma [1 ,3 ]
机构
[1] Christie NHS Fdn Trust, Manchester, Lancs, England
[2] Hosp Valme, Seville, Spain
[3] Univ Manchester, Manchester, Lancs, England
关键词
MEK inhibitor; non-small-cell lung cancer; selumetinib; PHASE-II TRIAL; ORAL MEK INHIBITOR; KRAS-MUTANT; OPEN-LABEL; AZD6244; ARRY-142886; CLINICAL-TRIAL; PLUS DOCETAXEL; MULTICENTER; EFFICACY; CHEMOTHERAPY;
D O I
10.2217/fon-2016-0132
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The RAS-RAF-MEK-ERK pathway regulates processes involved in the proliferation and survival of cells. KRAS mutations, prevalent in approximately 30% of patients with non-small-cell lung cancer ( NSCLC), result in constitutive activation of the pathway. Selumetinib ( AZD6244, ARRY-142886) is a potent and selective inhibitor of MEK1/2 which has demonstrated significant efficacy in combination with docetaxel in patients with KRAS mutant pretreated advanced NSCLC. Several trials in combination with other chemotherapy and targeted therapy regimens in lung cancer are ongoing. We review the development of selumetinib in patients with NSCLC, summarize the pharmacodynamic, pharmacokinetic and tolerability characteristics, and the available clinical trial data to understand the role of selumetinib in the treatment of NSCLC.
引用
收藏
页码:2545 / 2560
页数:16
相关论文
共 69 条
[1]   Phase I pharmacokinetic and pharmacodynamic study of the oral, small-molecule mitogen-activated protein kinase kinase 1/2 inhibitor AZD6244 (ARRY-142886) in patients with advanced cancers [J].
Adjei, Alex A. ;
Cohen, Roger B. ;
Franklin, Wilbur ;
Morris, Clive ;
Wilson, David ;
Molina, Julian R. ;
Hanson, Lorelei J. ;
Gore, Lia ;
Chow, Laura ;
Leong, Stephen ;
Maloney, Lara ;
Gordon, Gilad ;
Simmons, Heidi ;
Marlow, Allison ;
Litwiler, Kevin ;
Brown, Suzy ;
Poch, Gregory ;
Kane, Katie ;
Haney, Jerry ;
Eckhardt, S. Gail .
JOURNAL OF CLINICAL ONCOLOGY, 2008, 26 (13) :2139-2146
[2]  
[Anonymous], LUNG CANC EST INC MO
[3]   Dermatologic side effects associated with the MEK 1/2 inhibitor selumetinib (AZD6244, ARRY-142886) [J].
Balagula, Yevgeniy ;
Huston, Katherine Barth ;
Busam, Klaus J. ;
Lacouture, Mario E. ;
Chapman, Paul B. ;
Myskowski, Patricia L. .
INVESTIGATIONAL NEW DRUGS, 2011, 29 (05) :1114-1121
[4]   The First-in-Human Study of the Hydrogen Sulfate (Hyd-Sulfate) Capsule of the MEK1/2 Inhibitor AZD6244 (ARRY-142886): A Phase I Open-Label Multicenter Trial in Patients with Advanced Cancer [J].
Banerji, Udai ;
Camidge, D. Ross ;
Verheul, Henk M. W. ;
Agarwal, Roshan ;
Sarker, Debashis ;
Kaye, Stan B. ;
Desar, Ingrid M. E. ;
Timmer-Bonte, Johanna N. H. ;
Eckhardt, S. Gail ;
Lewis, Karl D. ;
Brown, Kathryn H. ;
Cantarini, Mireille V. ;
Morris, Clive ;
George, Sarah M. A. ;
Smith, Paul D. ;
van Herpen, Carla M. L. .
CLINICAL CANCER RESEARCH, 2010, 16 (05) :1613-1623
[5]   Multi-Institutional Phase II Study of Selumetinib in Patients With Metastatic Biliary Cancers [J].
Bekaii-Saab, Tanios ;
Phelps, Mitch A. ;
Li, Xiaobai ;
Saji, Motoyasu ;
Goff, Laura ;
Kauh, John Sae Wook ;
O'Neil, Bert H. ;
Balsom, Stephanie ;
Balint, Catherine ;
Liersemann, Ryan ;
Vasko, Vasily V. ;
Bloomston, Mark ;
Marsh, William ;
Doyle, L. Austin ;
Ellison, Gilian ;
Grever, Michael ;
Ringel, Matthew D. ;
Villalona-Calero, Miguel A. .
JOURNAL OF CLINICAL ONCOLOGY, 2011, 29 (17) :2357-2363
[6]   A Phase II, open-label, randomised study to assess the efficacy and safety of the MEK1/2 inhibitor AZD6244 (ARRY-142886) versus capecitabine monotherapy in patients with colorectal cancer who have failed one or two prior chemotherapeutic regimens [J].
Bennouna, Jaafar ;
Lang, Istvan ;
Valladares-Ayerbes, Manuel ;
Boer, Katalin ;
Adenis, Antoine ;
Escudero, Pilar ;
Kim, Tae-You ;
Pover, Gillian M. ;
Morris, Clive D. ;
Douillard, Jean-Yves .
INVESTIGATIONAL NEW DRUGS, 2011, 29 (05) :1021-1028
[7]   A phase II open-label randomized study to assess the efficacy and safety of selumetinib (AZD6244 [ARRY-142886]) versus capecitabine in patients with advanced or metastatic pancreatic cancer who have failed first-line gemcitabine therapy [J].
Bodoky, Gyoergy ;
Timcheva, Constanta ;
Spigel, David Robert ;
La Stella, Phillip Joseph ;
Ciuleanu, Tudor Eliade ;
Pover, G. ;
Tebbutt, N. C. .
INVESTIGATIONAL NEW DRUGS, 2012, 30 (03) :1216-1223
[8]   Pharmacodynamic and toxicokinetic evaluation of the novel MEK inhibitor, PD0325901, in the rat following oral and intravenous administration [J].
Brown, Alan P. ;
Carlson, Tage C. G. ;
Loi, Cho-Ming ;
Graziano, Michael J. .
CANCER CHEMOTHERAPY AND PHARMACOLOGY, 2007, 59 (05) :671-679
[9]   Selumetinib with and without erlotinib in KRAS mutant and KRAS wild-type advanced nonsmall-cell lung cancer [J].
Carter, C. A. ;
Rajan, A. ;
Keen, C. ;
Szabo, E. ;
Khozin, S. ;
Thomas, A. ;
Brzezniak, C. ;
Guha, U. ;
Doyle, L. A. ;
Steinberg, S. M. ;
Xi, L. ;
Raffeld, M. ;
Tomita, Y. ;
Lee, M. J. ;
Lee, S. ;
Trepel, J. B. ;
Reckamp, K. L. ;
Koehler, S. ;
Gitlitz, B. ;
Salgia, R. ;
Gandara, D. ;
Vokes, E. ;
Giaccone, G. .
ANNALS OF ONCOLOGY, 2016, 27 (04) :693-699
[10]   Effect of Selumetinib vs Chemotherapy on Progression-Free Survival in Uveal Melanoma A Randomized Clinical Trial [J].
Carvajal, Richard D. ;
Sosman, Jeffrey A. ;
Quevedo, Jorge Fernando ;
Milhem, Mohammed M. ;
Joshua, Anthony M. ;
Kudchadkar, Ragini R. ;
Linette, Gerald P. ;
Gajewski, Thomas F. ;
Lutzky, Jose ;
Lawson, David H. ;
Lao, Christopher D. ;
Flynn, Patrick J. ;
Albertini, Mark R. ;
Sato, Takami ;
Lewis, Karl ;
Doyle, Austin ;
Ancell, Kristin ;
Panageas, Katherine S. ;
Bluth, Mark ;
Hedvat, Cyrus ;
Erinjeri, Joseph ;
Ambrosini, Grazia ;
Marr, Brian ;
Abramson, David H. ;
Dickson, Mark Andrew ;
Wolchok, Jedd D. ;
Chapman, Paul B. ;
Schwartz, Gary K. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2014, 311 (23) :2397-2405