Table 3.
Compound | PK Parametersa | Nb | Sel + CisGem | Selumetinib alone | Sel vs Sel + CisGem Effect (90 % CI)e |
---|---|---|---|---|---|
Selumetinib | AUC(0-t) (ng-hr/mL) | 11 | 5304.37 | 4757.16 | 1.12 (0.95 to 1.30) |
AUC(0-∞) (ng-hr/mL)c | 11 | 6286.25 | 5653.31 | 1.11 (0.95 to 1.30) | |
Cmax (ng/mL) | 11 | 1725.64 | 1331.33 | 1.30 (0.91 to 1.85) | |
Tmax (hours)d | 11 | 1.50 | 1.55 | 0 (−1.09 to 0 .57) | |
N-desmethyl selumetinib | AUC(0-t) (ng-hr/mL) | 11 | 216.83 | 347.26 | 0.62 (0.43 to 0.91) |
AUC(0-∞) (ng-hr/mL)c | 11 | 277.55 | 452.88 | 0.61 (0.42 to 0.89) | |
Cmax (ng/mL) | 11 | 48.41 | 77.16 | 0.63 (0.43 to 0.91) | |
Tmax (hours)d | 11 | 1.62 | 2.00 | 0 (−1.13 to 0 .50) |
aAnalysis used the actual time points when PK samples were collected. PK time point 0 corresponded to the time selumetinib was administered. Missing times of selumetinib dose administration were imputed from the non-missing time points. Missing concentrations for selumetinib and N-desmethyl selumetinib were estimated using linear interpolation
bOf 12 patients, 11 were evaluable for PK analysis. Patients evaluable for PK analysis included the patients for whom a PK parameter could be imputed
cLog linear models were used to extrapolate AUC (0-∞) using the last three measurements
dTmax is expressed in terms of medians
eRatio of geometric means between selumetinib and selumetinib + CisGem for AUC(0-t), AUC(0-∞) and Cmax. Rank-based difference in paired medians for Tmax