Evidence map›Paper›PMID 28833380›Full record

ArticleBritish journal of clinical pharmacology2018

Population pharmacokinetics of the MEK inhibitor selumetinib and its active N-desmethyl metabolite: data from 10 phase I trials.

Parul Patel, Eleanor Howgate, Paul Martin, David J Carlile, Leon Aarons, Diansong Zhou

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Article in British journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Parul PatelManchester Pharmacy School, Manchester, UK.
Eleanor HowgateManchester Pharmacy School, Manchester, UK.
Paul MartinAstraZeneca, Alderley Park, Macclesfield, Cheshire, UK.
David J CarlileAstraZeneca, Early Clinical Development, Innovative Medicines and Early Development Biotech Unit, Da Vinci Building, Royston, Hertfordshire, UK.
Leon AaronsManchester Pharmacy School, Manchester, UK.
Diansong ZhouAstraZeneca, Waltham, MA, USA.ORCID http://orcid.org/0000-0002-2673-1069

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aims of the study were to characterize the pharmacokinetics (PK) of selumetinib (AZD6244; ARRY-142886), a mitogen-activated protein kinase kinase (MEK) 1/2 inhibitor in clinical development for various indications, and its N-desmethyl metabolite in healthy volunteers, and evaluate clinically important covariates.

methodsA pooled-population PK analysis was performed using a nonlinear mixed-effects approach with plasma concentration data from 346 subjects who received single oral doses of selumetinib 20-75 mg across 10 phase I studies. Absolute bioavailability was determined using intravenous [

resultsA two-compartment linear model with sequential zero-first order absorption and a lag time for the zero-order process was described for selumetinib PK. N-desmethyl metabolite disposition was described by a single compartment with linear elimination, without back transformation. The parent-only and joint models generally described pooled data adequately. For the median subject, not taking interacting drugs, estimates for clearance (CL) and central volume of distribution (V2) for selumetinib in the final joint model were 12.7 l h

conclusionsAnalysis confirmed previous clinical pharmacology study findings of drug-drug interactions and food effects, with additional covariates that influence selumetinib and N-desmethyl selumetinib PK identified. Dose modifications based on these additional covariates were not considered necessary.

Indexed as

Drug InteractionsAdministration, IntravenousAdministration, OralAdultAgedAntifungal AgentsBenzimidazolesBiological AvailabilityCarbon RadioisotopesClinical Trials, Phase I as TopicCytochrome P-450 CYP2C19 InhibitorsCytochrome P-450 CYP3A InducersCytochrome P-450 CYP3A InhibitorsDrug Therapy, CombinationFemaleHealthy VolunteersAntifungal AgentsAZD 6244BenzimidazolesCarbon-14Carbon RadioisotopesCytochrome P-450 CYP2C19 InhibitorsCytochrome P-450 CYP3A InducersCytochrome P-450 CYP3A InhibitorsMitogen-Activated Protein Kinase KinasesProtein Kinase Inhibitorsmetabolitespharmacokineticsphase Iselumetinib

Identifiers

PMID28833380
PMCPMC5736843

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.