Drug combo aims to starve and block cancer in early trial
NCT ID NCT01364051
First seen Jun 25, 2026 · Last updated Sep 11, 2026 · Updated 3 times
Summary
This early-phase trial tested two oral drugs, cediranib and selumetinib, in 19 people with advanced solid tumors (including melanoma) that had stopped responding to standard treatments. Cediranib works by cutting off blood supply to tumors, while selumetinib blocks a key growth signal inside cancer cells. The main goal was to find the safest dose and check for side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cediranib and selumetinib (oral drugs that block blood vessel growth and cancer cell signals)
- What this could lead to
- If successful, this could point toward a new combination treatment for advanced solid tumors that have stopped responding to standard therapies.
- What could go wrong
- This is a very early Phase I trial with only 19 participants, so safety and dosing are still being figured out. The combination may cause significant side effects or fail to shrink tumors.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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19 people
The number who actually took part.
- Started
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May 2011
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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A government research agency
The lead sponsor is the US National Institutes of Health.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histologic proof of cancer that is now considered clinically unresectable and for whom there is no standard therapy; NOTE: for the maximum tolerated dose (MTD) expansion cohort only: metastatic melanoma histology is required * Measurable and non-measurable disease are eligible * Ability to provide informed consent * Absolute neutrophil count (ANC) \>= 1500/uL (obtained =\< 21 days prior to registration) * Platelets (PLT) \>= 100,000/uL (obtained =\< 21 days prior to registration) * Total bilirubin =\< 1.5 x upper limit of normal (ULN) (obtained =\< 21 days prior to registration) * Aspartate aminotransferase (AST) =\< 2.5 x ULN or =\< 5 x ULN in presence of liver metastases (obtained =\< 21 days prior to registration) * Creatinine =\< 1.5 x ULN (obtained =\< 21 days prior to registration) * Hemoglobin (HgB) \>= 9.0 gm/dL (obtained =\< 21 days prior to registration) * Alkaline phosphatase =\< 2.5 x ULN (obtained =\< 21 days prior to registration) * Creatinine clearance \> 50 ml/min, by either Cockcroft-Gault formula or 24-hour urine collection analysis (obtained =\< 21 days prior to registration) * Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0, 1 * Willing to return to Mayo for follow up * Life expectancy \>= 12 weeks * Women of childbearing potential only: negative serum pregnancy test done =\< 7 days prior to registration, for women of childbearing potential only * Expansion phase only: willing to provide blood samples and archived tumor tissue for correlative research purposes Exclusion Criteria: * Known standard therapy for the patient's disease that is potentially curative or definitely capable of extending life expectancy * Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements * Any of the following prior therapies: * Chemotherapy =\< 28 days prior to registration * Mitomycin C/nitrosoureas =\< 42 days prior to registration * Immunotherapy =\< 28 days prior to registration * Biologic therapy =\< 28 days prior to registration * Radiation therapy =\< 28 days prior to registration * Radiation to \> 25% of bone marrow * Failure to fully recover from acute, reversible effects of prior chemotherapy regardless of interval since last treatment * Cardiac conditions as follows: * Uncontrolled hypertension (blood pressure \[BP\] \>= 150/95 despite optimal therapy) * Heart failure New York Heart Association (NYHA) class II or above or left ventricular ejection fraction \< 50% * Atrial fibrillation with heart rate \> 100 beats per minute (bpm) * Unstable ischemic heart disease (myocardial infarction \[MI\] within 6 months prior to starting treatment, or angina requiring use of nitrates more than once weekly) * Patients who require concomitant agents that prolong corrected QT interval (QTc) * Known brain or central nervous system (CNS) metastases without definitive therapy; patients who have received definitive therapy for CNS lesions may be considered if there is no evidence of progression on computed tomography (CT) or magnetic resonance imaging (MRI) imaging obtained 3 months apart * Any of the following because this study involves an investigational agent whose genotoxic, mutagenic and teratogenic effects on the developing fetus and newborn are unknown: * Pregnant women * Nursing women * Men or women of childbearing potential who are unwilling to employ adequate contraception * Other concurrent chemotherapy, immunotherapy, radiotherapy, or any ancillary therapy considered investigational (utilized for a non-Food and Drug Administration \[FDA\]-approved indication and in the context of a research investigation) * Co-morbid systemic illnesses or other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study or interfere significantly with the proper assessment of safety and toxicity of the prescribed regimens * Immunocompromised patients (other than that related to the use of corticosteroids) with the exception of patients known to be human immunodeficiency virus \[HIV\] positive and have a cluster of differentiation \[CD\]4 count \> 400 and do not require antiretroviral therapy * Receiving any other investigational agent which would be considered as a treatment for the primary neoplasm * Other active malignancy =\< 3 years prior to registration; EXCEPTIONS: non-melanotic skin cancer or carcinoma-in-situ of the cervix; NOTE: if there is a history or prior malignancy, they must not be receiving other specific treatment (i.e. hormonal therapy) for their cancer * Greater than +1 proteinuria on two consecutive dipsticks taken no less than 1 week apart unless urinary protein \< 1.5g in a 24 hour (hr) period or urine protein/creatinine ratio \< 1.5 * History of exposure to AZD2171 (cediranib), AZD6244 hydrogen sulfate, or mitogen-activated protein kinase kinase (MEK), retrovirus-associated deoxyribonucleic acid (DNA) sequence (Ras) or v-RAF-1 murine leukemia viral oncogene homolog (Raf) inhibitors (sorafenib); Note: prior therapy with bevacizumab, sunitinib, pazopanib or aflibercept (vascular endothelial growth factor \[VEGF\] Trap) are allowed * Surgery within two weeks prior to registration * Significant hemorrhage (\> 30 mL bleeding/episode in previous 3 months) or hemoptysis (\> 5 mL fresh blood in previous 4 weeks) * Mean QTc interval with Bazetts correction \> 480 msec (Common Toxicity Criteria \[CTC\] grade 1) in screening electrocardiogram (ECG) or history of familial long QT syndrome * Patients who are unable to swallow tablets and capsules
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Mayo Clinic in Florida
Jacksonville, Florida, 32224-9980, United States
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Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
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Other studies related to the condition(s) this trial covers.
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