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Active, not recruitingPhase 3

Efficacy and Safety of Selumetinib in Adults With NF1 Who Have Symptomatic, Inoperable Plexiform Neurofibromas

Key facts

Who runs it
AstraZeneca
Where
Commack, Gainesville, Rockville, and St Louis, United StatesSee the 4 sitesAlso in 12 other countries, 28 sites
Status
Active, not recruiting
Phase
Phase 3
People taking part
145 people enrolled
Started
19 Nov 2021
Expected to end
15 Feb 2029
Type of study
Interventional, 2 groupsOne group gets a placebo (a dummy treatment), for comparison.
Treatments tested
  • Selumetinib
  • Placebo
Record updated
12 November 2026

Who can take part

Age
18 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 10 criteriaShow less

Who can take part

  • Adults ≥ 18 years at enrollment with diagnosis of NF1 with symptomatic, inoperable PN
  • At least one inoperable target PN measurable by volumetric MRI analysis
  • Chronic target PN pain score documented for minimum period during screening period
  • Stable chronic PN pain medication use at enrollment
  • Adequate organ and marrow function

Who cannot take part

  • Prior exposure to MEK inhibitors
  • Confirmed or suspected malignant glioma or MPNST (low grade glioma, including optic glioma not requiring systemic therapy or radiation therapy are exempt from this exclusion)
  • Ophthalmological findings/conditions including intraocular pressure > 21 mmHg, RPED/CSR or RVO
  • Clinically significant cardiovascular disease, including inherited coronary disease, acute coronary syndrome within 6 months prior to enrollment, uncontrolled angina, symptomatic heart failure, cardiomyopathy, severe valvular heart disease, abnormal LVEF and uncontrolled hypertension
  • History of malignancy except for malignancy treated with curative intent with no known active disease ≥ 5 years before the first dose of study intervention and of low potential risk for recurrence

Where in United States

Also in 12 other countries, 28 sites

  • Commack, New YorkHospital not named in the registry
  • Gainesville, FloridaHospital not named in the registry
  • Rockville, MarylandHospital not named in the registry
  • St Louis, MissouriHospital not named in the registry

About the trial

What the trial wants to find out

A global study to demonstrate the effectiveness of selumetinib in participants with NF1 who have symptomatic, inoperable plexiform neurofibromas.

The 2 groups in the trial

  • Arm ATreatment being tested

    Selumetinib

    Treatment: Selumetinib

  • Arm BPlacebo, for comparison

    Placebo

    Treatment: Placebo

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
A Phase III, Multicentre, International Study With a Parallel, Randomised, Double-blind, Placebo-controlled, 2 Arm Design to Assess the Efficacy and Safety of Selumetinib in Adult Participants With NF1 Who Have Symptomatic, Inoperable Plexiform Neurofibromas (KOMET)
Record updated
12 November 2026