Ireland
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Priya Life Science Compound trial record
Compound · clinical trials

Selumetinib clinical trials

Also listed in trial records as AZD6244, ARRY-142886, Koselugo, ARRY-142866, Selumetinib Sulfate, AZD6244 Hydrogen Sulfate
Source: ClinicalTrials.gov, U.S. National Library of Medicine — the 23 trials in our Canada, USA, Spain, France, Italy, Netherlands, Mexico, China, UK, Poland, Japan, Germany, Australia, Israel, Sweden, Brazil, South Korea, Denmark, Egypt, Belgium, Austria, Portugal, Turkey, Taiwan and Norway registers that name Selumetinib as an intervention. Synced 11 Nov 2026
23Current trials
3Recruiting now
9Lead sponsors
25Country registers
At a glance

Selumetinib is named as an intervention in 23 current clinical trials in our Canada, USA, Spain, France, Italy, Netherlands, Mexico, China, UK, Poland, Japan, Germany, Australia, Israel, Sweden, Brazil, South Korea, Denmark, Egypt, Belgium, Austria, Portugal, Turkey, Taiwan and Norway registers. 3 are recruiting patients now. The most common phase is Phase 2. The sponsor with the most trials is AstraZeneca (9). The most-studied condition is Neurofibromatosis Type 1.

Where Selumetinib is approved

All regulators →

Of the three regulators tracked here, the first to approve Selumetinib was the US, on 10 Apr 2020. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
10 Apr 2020
Koselugo
NDA213756 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
17 Jun 2021
Koselugo
EMA product page
First centralised authorisation
CACanada (Health Canada)
31 Aug 2022
Koselugo
Notice of Compliance 28862
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

Selumetinib patents and exclusivity

Expiry tracker →

Protections still running for marketed products containing Selumetinib, as listed by the regulators. Expired patents and exclusivities, and discontinued products, are not shown.

US FDA Orange Book Koselugo
  • 7 listed patents; the last listed expires 26 Mar 2029 (US 12364684).
  • Latest patent on the drug substance itself: 13 Mar 2028 (US 7425637).
  • Exclusivity ODE-545: Orphan drug exclusivity: treatment of adult patients with neurofibromatosis type 1 (nf1) who have symptomatic, inoperable plexiform neurofi…, until 19 Nov 2032.
  • Exclusivity ODE*: FDA has not recognized orphan-drug exclusivity (ode) for this drug, but it contains the same active moiety or moieties as another drug(s) t…, until 19 Nov 2032.
  • Exclusivity NPP: New patient population, until 19 Nov 2028.
  • Exclusivity NPP: New patient population, until 10 Sep 2028.
  • Exclusivity NP: New product, until 10 Sep 2028.
  • Exclusivity ODE-288: Orphan drug exclusivity: indicated for the treatment of pediatric patients 2 years of age and older with neurofibromatosis type 1 (nf1) who…, until 10 Apr 2027.
  • 1 further exclusivities are listed.
See the Orange Book listing for NDA 213756
Patents and exclusivities above are pooled across 2 applications for this substance.
EU European Commission, orphan market exclusivity
  • Koselugo for treatment of neurofibromatosis type 1: until 19 Jun 2033 (includes 24 months' paediatric extension). Union Register

Reproduced from the FDA Orange Book and Purple Book (checked 8 Nov 2026) and the European Commission's Union Register of medicinal products (CC BY 4.0; the EU expiry date is calculated exactly as the Commission's register displays it). Listed patents and dates are as submitted to or published by the regulator and may not reflect litigation, invalidation, settlements, lapsed fees or later extensions. This is not legal advice or a freedom-to-operate opinion, and it does not say when a generic or biosimilar will launch.

What health systems spend on Selumetinib

All medicines →
ENNHS England
Not dispensed in the community in England in the last 12 months under this name
Net ingredient cost, community prescriptions
USUS Medicaid
$80.5m
5,745 prescriptions in 2025 · Koselugo
+10% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Selumetinib works

All drug targets →
  • Dual specificity mitogen-activated protein kinase kinase 1 inhibitor Inhibitor
    Target: MAP2K1 mitogen-activated protein kinase kinase 1
    ✓ In ChEMBL and the Guide to Pharmacology
  • Dual specificity mitogen-activated protein kinase kinase 2 inhibitor Inhibitor
    Target: MAP2K2 mitogen-activated protein kinase kinase 2
    ChEMBL only
Diseases it has been tested for in clinical trials, by furthest phase
  • Low grade gliomaPhase 3
  • MelanomaPhase 3
  • Non-small cell lung carcinomaPhase 3
  • Optic pathway gliomaPhase 3
  • Thyroid cancerPhase 3
  • Uveal melanomaPhase 3
  • Acoustic neuromaPhase 2
  • Acute myeloid leukemiaPhase 2
  • Bile duct cancerPhase 2
  • Biliary tract cancerPhase 2
50 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL1614701, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3.1), ligand 5665, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

Patient leaflets for Selumetinib

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 4 products on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Koselugo
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Selumetinib

ChEMBL
CHEMBL1614701
DrugBank
DB11689
PubChem CID
10127622
CAS number
606143-52-6
FDA UNII
6UH91I579U
Wikidata
Q7448840
Wikipedia
Selumetinib

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

Trials by status

  • Recruiting313%
  • Not yet open313%
  • Active, closed1774%

Trials by phase

  • Phase 21148%
  • Phase 3522%
  • Phase 1522%
  • Phase 1/229%
01

Clinical trials of Selumetinib

23 trials
StudyPhaseStatusLead sponsorRegisters
A Study of the Drugs Selumetinib vs. Carboplatin and Vincristine in Patients With Low-Grade Glioma
NCT04166409 · ClinicalTrials.gov ↗ · Low Grade Astrocytoma, Low Grade Glioma, Metastatic Low Grade Astrocytoma
Phase 3 Recruiting National Cancer Institute (NCI) Canada
Targeted Therapy Directed by Genetic Testing in Treating Patients With Locally Advanced or Advanced Solid Tumors, The ComboMATCH Screening Trial
NCT05564377 · ClinicalTrials.gov ↗ · Advanced Malignant Solid Neoplasm, Anatomic Stage III Breast Cancer AJCC v8, Anatomic Stage IV Breast Cancer AJCC v8
Phase 2 Recruiting National Cancer Institute (NCI) Mexico, Israel, Egypt
European Proof-of-Concept Therapeutic Stratification Trial of Molecular Anomalies in Relapsed or Refractory Tumors
NCT02813135 · ClinicalTrials.gov ↗ · Pediatric Cancer
Phase 1/2 Recruiting Gustave Roussy, Cancer Campus, Grand Paris France, Spain, Italy, Netherlands, Denmark
Low-dose Selumetinib for the Treatment of Plexiform Neurofibromas in Chinese Children
NCT06763315 · ClinicalTrials.gov ↗ · Plexiform Neurofibromas (PN)
Phase 2 Not yet open West China Hospital China
Selumetinib for NF2-Related Schwannomatosis
NCT07707947 · ClinicalTrials.gov ↗ · Neurofibromatosis Type 2, NF2, NF2-related Schwannomatosis
Phase 2 Not yet open Beijing Tiantan Hospital China
Platform Research for Innovative Medicines in NF2-SWN (PRIME-NF2)
NCT07713745 · ClinicalTrials.gov ↗ · Neurofibromatosis Type 2, Vestibular Schwannoma, Non-vestibular Schwannoma
Phase 2 Not yet open Beijing Tiantan Hospital China
Assess 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 NSCLC
NCT01933932 · Locally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IV
Phase 3 Active, closed AstraZeneca UK, USA, Germany, France, Spain, Italy, Netherlands, Belgium, Sweden, Poland, Austria, Portugal, Turkey, Canada, Brazil, Mexico, Australia, Israel
A Study of the Drugs Selumetinib Versus Carboplatin/Vincristine in Patients With Neurofibromatosis and Low-Grade Glioma
NCT03871257 · ClinicalTrials.gov ↗ · Low Grade Glioma, Neurofibromatosis Type 1, Visual Pathway Glioma
Phase 3 Active, closed National Cancer Institute (NCI) Canada, Mexico
A Study to Compare Treatment With the Drug Selumetinib Alone Versus Selumetinib and Vinblastine in Patients With Recurrent or Progressive Low-Grade Glioma
NCT04576117 · Recurrent Low Grade Astrocytoma, Recurrent WHO Grade 2 Glioma, Refractory Low Grade Astrocytoma
Phase 3 Active, closed National Cancer Institute (NCI) Canada, Mexico
Efficacy and Safety of Selumetinib in Adults With NF1 Who Have Symptomatic, Inoperable Plexiform Neurofibromas
NCT04924608 · Neurofibromatosis 1, Plexiform Neurofibroma (PN)
Phase 3 Active, closed AstraZeneca UK, USA, China, Germany, France, Spain, Italy, Poland, Canada, Brazil, Japan, Australia
A Study of Different Dosing Schedules of Selumetinib With Cisplatin/Gemcitabine (CIS/GEM) Versus CIS/GEM Alone in Biliary Cancer
NCT02151084 · ClinicalTrials.gov ↗ · Biliary Tract Carcinoma, Gallbladder Carcinoma
Phase 2 Active, closed University Health Network, Toronto Canada
SAFIR02_Breast - Efficacy of Genome Analysis as a Therapeutic Decision Tool for Patients With Metastatic Breast Cancer
NCT02299999 · ClinicalTrials.gov ↗ · Metastatic Breast Cancer
Phase 2 Active, closed UNICANCER France
Targeted Therapy Directed by Genetic Testing in Treating Pediatric Patients With Relapsed or Refractory Advanced Solid Tumors, Non-Hodgkin Lymphomas, or Histiocytic Disorders (The Pediatric MATCH Screening Trial)
NCT03155620 · ClinicalTrials.gov ↗ · Advanced Malignant Solid Neoplasm, Ann Arbor Stage III Non-Hodgkin Lymphoma, Ann Arbor Stage IV Non-Hodgkin Lymphoma
Phase 2 Active, closed National Cancer Institute (NCI) Canada, Australia
A Phase 2 Study of Osimertinib in Combination With Selumetinib in EGFR Inhibitor naïve Advanced EGFR Mutant Lung Cancer
NCT03392246 · ClinicalTrials.gov ↗ · Non-small Cell Lung Cancer
Phase 2 Active, closed Dana-Farber Cancer Institute Israel
Phase 2 Platform Study in Patients With Advanced Non-Small Lung Cancer Who Progressed on First-Line Osimertinib Therapy (ORCHARD)
NCT03944772 · Non-Small Cell Lung Cancer
Phase 2 Active, closed AstraZeneca USA, Spain, Italy, Netherlands, Sweden, Denmark, Norway, Japan, South Korea
Maintenance With Olaparib or Selumetinib + Durvaluma for m-PDAC Guided by BRCAness and KRAS Status.
NCT04348045 · ClinicalTrials.gov ↗ · Metastatic Pancreatic Adenocarcinoma
Phase 2 Active, closed GERCOR - Multidisciplinary Oncology Cooperative Group France
Testing the Use of the Combination of Selumetinib and Olaparib or Selumetinib Alone Targeted Treatment for RAS Pathway Mutant Recurrent or Persistent Ovarian and Endometrial Cancers, A ComboMATCH Treatment Trial
NCT05554328 · ClinicalTrials.gov ↗ · Recurrent Endometrial Carcinoma, Recurrent Fallopian Tube Carcinoma, Recurrent Ovarian Carcinoma
Phase 2 Active, closed National Cancer Institute (NCI) Mexico, Egypt
Pharmacokinetics, Safety and Efficacy of the Selumetinib Granule Formulation in Children Aged ≥1 to <7 Years With NF1-related Symptomatic, Inoperable PN
NCT05309668 · Neurofibromatosis Type 1
Phase 1/2 Active, closed AstraZeneca USA, Germany, Spain, Italy, Netherlands, Japan
AZD6244 (ARRY-142886) Solid Oral Dosage Formulation in Participants With Advanced Solid Malignancies
NCT00463814 · Tumor, Cancer
Phase 1 Active, closed AstraZeneca UK, USA, Netherlands
AZD9291 in Combination With Ascending Doses of Novel Therapeutics
NCT02143466 · ClinicalTrials.gov ↗ · Advanced Non Small Cell Lung Cancer
Phase 1 Active, closed AstraZeneca USA, Poland, Canada, Japan, South Korea, Taiwan
Open-Label, Randomised, Multi-Drug, Biomarker-Directed, Phase 1b Study in Pts w/ Muscle Invasive Bladder Cancer
NCT02546661 · Muscle Invasive Bladder Cancer
Phase 1 Active, closed AstraZeneca UK, USA, France, Spain, Canada
A Study of Selumetinib in Chinese Paediatric and Adult Subjects With Neurofibromatosis Type 1 (NF1) and Inoperable Plexiform Neurofibromas (PN)
NCT04590235 · ClinicalTrials.gov ↗ · Neurofibromatosis 1, Neurofibroma Plexiform
Phase 1 Active, closed AstraZeneca China
Phase I Study to Assess the Effect of Food on the PK and Gastrointestinal Tolerability of Selumetinib in Adolescent Children With Neurofibromatosis Type 1 Related Plexiform Neurofibromas
NCT05101148 · ClinicalTrials.gov ↗ · Neurofibromatosis Type 1
Phase 1 Active, closed AstraZeneca USA, Spain, Poland

Registers list studies that are recruiting, about to open, active but closed to enrolment, or enrolling by invitation. The UK and USA registers cover industry-sponsored studies only. Trial titles and statuses are copied from the registry as published.

02

Selumetinib across our data

Ireland · EU · US

The same active substance in our other registers, matched by its exact name. Each entry links to the register record it comes from.

Licensed in Ireland (HPRA)

4 single-substance products containing Selumetinib on the HPRA medicines list.

All 4 Irish products →

Supply shortages

No entry for Selumetinib in the EMA, FDA or German BfArM shortage lists we track.

03

Conditions studied with Selumetinib

43 conditions
Neurofibromatosis Type 13Neurofibromatosis 12Neurofibromatosis Type 22Meningioma2Low Grade Glioma2Advanced Malignant Solid Neoplasm2Locally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IV1Plexiform Neurofibroma (PN)1Muscle Invasive Bladder Cancer1Advanced Non Small Cell Lung Cancer1Non-Small Cell Lung Cancer1NF21
All 43 conditions
Condition (as registered)Trials
Neurofibromatosis Type 13
Neurofibromatosis 12
Neurofibromatosis Type 22
Meningioma2
Low Grade Glioma2
Advanced Malignant Solid Neoplasm2
Locally Advanced or Metastatic Non Small Cell Lung Cancer Stage IIIb - IV1
Plexiform Neurofibroma (PN)1
Muscle Invasive Bladder Cancer1
Advanced Non Small Cell Lung Cancer1
Non-Small Cell Lung Cancer1
NF21
NF2-related Schwannomatosis1
Neurofibroma Plexiform1
Vestibular Schwannoma1
Non-vestibular Schwannoma1
Plexiform Neurofibromas (PN)1
Pediatric Cancer1
Metastatic Pancreatic Adenocarcinoma1
Metastatic Breast Cancer1
Biliary Tract Carcinoma1
Gallbladder Carcinoma1
Non-small Cell Lung Cancer1
Tumor1
Cancer1
Recurrent Low Grade Astrocytoma1
Recurrent WHO Grade 2 Glioma1
Refractory Low Grade Astrocytoma1
Refractory Low Grade Glioma1
Low Grade Astrocytoma1
Metastatic Low Grade Astrocytoma1
Metastatic Low Grade Glioma1
Visual Pathway Glioma1
Ann Arbor Stage III Non-Hodgkin Lymphoma1
Ann Arbor Stage IV Non-Hodgkin Lymphoma1
Histiocytic Sarcoma1
Recurrent Endometrial Carcinoma1
Recurrent Fallopian Tube Carcinoma1
Recurrent Ovarian Carcinoma1
Recurrent Primary Peritoneal Carcinoma1
Anatomic Stage III Breast Cancer AJCC v81
Anatomic Stage IV Breast Cancer AJCC v81
Locally Advanced Malignant Solid Neoplasm1
06

Related compounds

07

Questions about Selumetinib trials

How many clinical trials are testing Selumetinib?

23 current trials in our Canada, USA, Spain, France, Italy, Netherlands, Mexico, China, UK, Poland, Japan, Germany, Australia, Israel, Sweden, Brazil, South Korea, Denmark, Egypt, Belgium, Austria, Portugal, Turkey, Taiwan and Norway registers name Selumetinib (also registered as AZD6244) as a drug or biological intervention, as of the registry sync on 11 November 2026. Completed and withdrawn studies are not counted.

Are Selumetinib trials recruiting patients?

Yes. 3 of the 23 trials are recruiting: 1 with sites in Canada, 1 with sites in Spain, 1 with sites in France, 1 with sites in Italy, 1 with sites in Netherlands, 1 with sites in Mexico, 1 with sites in Israel, 1 with sites in Denmark and 1 with sites in Egypt. Eligibility and site contacts are on each trial's record. Only the study team can confirm whether a patient is eligible.

Who sponsors Selumetinib clinical trials?

AstraZeneca (9), National Cancer Institute (NCI) (6), Beijing Tiantan Hospital (2) and West China Hospital (1), among 9 lead sponsors in total. The number in brackets is how many trials each organisation leads.

Is Selumetinib licensed in Ireland?

Yes. The HPRA medicines list includes 4 single-substance products containing Selumetinib, for example Koselugo 10 mg hard capsules (AstraZeneca AB). A licence does not mean a product is currently marketed or reimbursed; see each product's record.

Is there a Selumetinib shortage?

Not in the lists we track: Selumetinib has no entry in the EMA, FDA or German BfArM shortage registers as of their latest sync.

Where does this information come from?

Every trial, status, phase and sponsor on this page is copied from public ClinicalTrials.gov records by a daily sync. Nothing here describes how Selumetinib works or whether it is effective, and it is not medical advice.

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How this page is built

Everything on this page is copied from public ClinicalTrials.gov registry records — it is not written from memory, and nothing here describes how Selumetinib works or whether it is effective. Each trial links to its own record so you can check it yourself.

This page is built automatically: a daily sync job reads the registry records behind our country trial registers, collects every trial that lists Selumetinib (or a registered synonym) as a drug or biological intervention, and tabulates the registry fields directly. Placebos and generic comparators are excluded. There is no AI drafting and no per-compound editorial pass, and the page has not been clinically reviewed. The “last verified” date above is the timestamp of that sync, not a review date. Our general editorial approach is described in our editorial standards and corrections policy. The ClinicalTrials.gov data on this page was last retrieved on 11 Nov 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.