Evidence map›Paper›PMID 41592259›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2026

Pharmacokinetics and Safety of Selumetinib Granule Formulation in Children With Symptomatic, Inoperable Neurofibromatosis Type 1-Related Plexiform Neurofibromas (SPRINKLE; phase I/II).

Pablo Hernáiz Driever, Uwe R Kordes, Ines B Brecht, Veronica Saletti, Michael J Fisher, Gail Doughton, Million Arefayene, Anna Rigazio, Nuria Lluch, Nereida Llorente and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05309668 (A Phase I/II, Single-Arm, Open Label Study to Evaluate the Pharmacokinetics, Safety/Tolerability and Efficacy of the Selumetinib Granule Formulation in Children Aged ≥1 to <7 Years With Neurofibromatosis Type 1), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05309668 phase1 / phase2active not recruitingnot on this map

A Phase I/II, Single-Arm, Open Label Study to Evaluate the Pharmacokinetics, Safety/Tolerability and Efficacy of the Selumetinib Granule Formulation in Children Aged ≥1 to <7 Years With Neurofibromatosis Type 1 (NF1) Related Symptomatic, Inoperable Plexiform Neurofibromas (PN) (SPRINKLE)

TypeinterventionalSponsorAstraZenecaRan2022 to 2028Enrolled36ConditionsNeurofibromatosis Type 1ArmsSelumetinib granule formulation, Selumetinib capsule formulation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

12 authors.

Pablo Hernáiz DrieverDepartment of Pediatric Oncology/Hematology, Charité Universitaetsmedizin Berlin, Corporate Member of Freie Universitaet Berlin, Humboldt-Universitaet zu Berlin and Berlin Institute of Health, Berlin, Germany.ORCID 0000-0003-3135-3872
Uwe R KordesDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-6375-2320
Ines B BrechtPediatric Hematology and Oncology, Children's Hospital, Eberhard-Karls-Universitaet Tuebingen, Tübingen, Germany.ORCID 0000-0001-7973-3300
Veronica SalettiDepartment of Pediatric Neuroscience, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID 0000-0003-4830-6204
Michael J FisherDivision of Oncology, The Children's Hospital of Philadelphia and the University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.ORCID 0000-0003-3408-3839
Gail DoughtonR&D Clinical Development, Alexion, AstraZeneca Rare Disease, Cambridge, United Kingdom.
Million ArefayeneClinical Pharmacology and Safety Sciences, Alexion, AstraZeneca Rare Disease, Boston, MA.
Anna RigazioQuantitative Science, Alexion, AstraZeneca Rare Disease, Barcelona, Spain.
Nuria LluchR&D Clinical Development, Alexion, AstraZeneca Rare Disease, Barcelona, Spain.
Nereida LlorenteGlobal Patient Safety, Alexion, AstraZeneca Rare Disease, Barcelona, Spain.
Scott J DiedeMerck & Co, Inc, Rahway, NJ.ORCID 0000-0001-5422-549X
Hector SalvadorDepartment of Pediatric Oncology and Hematology, Sant Joan de Déu Barcelona Hospital, Barcelona, Spain.ORCID 0000-0002-5984-6882

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNeurofibromatosis type 1 (NF1)-associated plexiform neurofibroma (PN) can substantially affect quality of life. The capsule and granule formulations of selumetinib (ARRY-142886, AZD6244) are approved for pediatric patients with symptomatic, inoperable NF1-PN (age ≥1 to 3 years, region dependent). SPRINKLE (ClinicalTrials.gov identifier: NCT05309668) assessed pharmacokinetics (PK), safety, and palatability of the selumetinib granule formulation in children (age ≥1 to <7 years) with symptomatic, inoperable NF1-PN.

methodsParticipants enrolled into Global Cohort (GC)1 (≥4 to <7 years), GC2 (≥1 to <4 years), or the Japan Cohort (JC; ≥1 to <7 years) received selumetinib 25 mg/m

resultsThere were 36 participants (GC1: n = 15, GC2: n = 17, JC: n = 4). Geometric mean (95% CI) selumetinib AUC

conclusionSelumetinib granule formulation (25 mg/m

Indexed as

BenzimidazolesNeurofibroma, PlexiformNeurofibromatosis 1AdolescentChildChild, PreschoolFemaleHumansMaleAZD 6244Benzimidazoles

Identifiers

PMID41592259
PMCPMC13011953

What Socratic holds

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Registered trials

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 Socratic graph.