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Table 3 Adverse events: selumetinib in combination with docetaxel or dacarbazine

From: A phase I dose-escalation study of selumetinib in combination with docetaxel or dacarbazine in patients with advanced solid tumors

 

Part A

Part B

Part A + B

Selumetinib 50 mg BID (N = 7)

Selumetinib 75 mg BID with ppG-CSF (N = 7)

Selumetinib 75 mg BID without ppG-CSF (N = 8)

Selumetinib 75 mg BIDa (N = 13)

Selumetinib 75 mg BID (N = 28)

Selumetinib in combination with docetaxel AE category, n (%)

 Any AE

7 (100.0)

7 (100.0)

8 (100.0)

12 (92.3)

27 (96.4)

 Any grade ≥3 AE

5 (71.4)

1 (14.3)

7 (87.5)

11 (84.6)

19 (67.9)

 Any SAE

4 (57.1)

2 (28.6)

5 (62.5)

7 (53.8)

14 (50.0)

 Any AE leading to discontinuation

0

0

0

2 (15.4)

2 (7.1)

Most frequently reported AEs (≥20% of patients receiving selumetinib 75 mg BID + docetaxel), n (%)

 Diarrhea

5 (71.4)

3 (42.9)

7 (87.5)

11 (84.6)

21 (75.0)

 Edema peripheral

5 (71.4)

3 (42.9)

7 (87.5)

10 (76.9)

20 (71.4)

 Fatigue

7 (100.0)

2 (28.6)

5 (62.5)

9 (69.2)

16 (57.1)

 Nausea

2 (28.6)

3 (42.9)

4 (50.0)

8 (61.5)

15 (53.6)

 Vomiting

4 (57.1)

3 (42.9)

4 (50.0)

5 (38.5)

12 (42.9)

 Dermatitis acneiform

3 (42.9)

4 (57.1)

3 (37.5)

5 (38.5)

12 (42.9)

 Neutropenia

4 (57.1)

1 (14.3)

5 (62.5)

5 (38.5)

11 (39.3)

 Constipation

3 (42.9)

2 (28.6)

3 (37.5)

4 (30.8)

9 (32.1)

 Dyspnea exertional

3 (42.9)

1 (14.3)

2 (25.0)

5 (38.5)

8 (28.6)

 Epistaxis

3 (42.9)

2 (28.6)

2 (25.0)

4 (30.8)

8 (28.6)

 Dysgeusia

2 (28.6)

2 (28.6)

1 (12.5)

5 (38.5)

8 (28.6)

 Neuropathy peripheral

2 (28.6)

2 (28.6)

3 (37.5)

3 (23.1)

8 (28.6)

 Mucosal inflammation

5 (71.4)

3 (42.9)

1 (12.5)

2 (15.4)

6 (21.4)

 Nail disorder

1 (14.3)

1 (14.3)

3 (37.5)

2 (15.4)

6 (21.4)

Selumetinib in combination with dacarbazine AE category, n (%)

 Any AE

7 (100.0)

6 (100.0)

12 (100.0)

18 (100.0)

 Any grade ≥3

7 (100.0)

2 (33.3)

9 (75.0)

11 (61.1)

 Any SAE

4 (57.1)

2 (33.3)

4 (33.3)

6 (33.3)

 Any AE leading to discontinuation

0

0

1 (8.3)

1 (5.6)

Most frequently reported AEs (≥30% of patients receiving selumetinib 75 mg BID + dacarbazine), n (%)

 Diarrhea

4 (57.1)

6 (100.0)

9 (75.0)

15 (83.3)

 Nausea

5 (71.4)

5 (83.3)

10 (83.3)

15 (83.3)

 Fatigue

2 (28.6)

3 (50.0)

11 (91.7)

14 (77.8)

 Decreased appetite

1 (14.3)

3 (50.0)

8 (66.7)

11 (61.1)

 Dizziness

1 (14.3)

2 (33.3)

8 (66.7)

10 (55.6)

 Headache

1 (14.3)

4 (66.7)

6 (50.0)

10 (55.6)

 Vomiting

1 (14.3)

3 (50.0)

7 (58.3)

10 (55.6)

 Constipation

3 (42.9)

3 (50.0)

6 (50.0)

9 (50.0)

 Dermatitis acneiform

1 (14.3)

2 (33.3)

7 (58.3)

9 (50.0)

 Edema peripheral

3 (42.9)

1 (16.7)

8 (66.7)

9 (50.0)

 Dyspnea exertional

1 (14.3)

2 (33.3)

6 (50.0)

8 (44.4)

 Asthenia

0

2 (33.3)

5 (41.7)

7 (38.9)

 Vision blurred

0

1 (16.7)

6 (50.0)

7 (38.9)

 Periorbital edema

1 (14.3)

0

6 (50.0)

6 (33.3)

  1. Docetaxel, 75 mg/m2; dacarbazine 1000 mg/m2
  2. appG-CSF allowed from cycle 2 onwards
  3. AE, adverse event; BID, twice daily; ppG-CSF, primary prophylactic granulocyte-colony stimulating factor; SAE, serious adverse event