Selumetinib for Preventing Plexiform Neurofibroma Growth in NF Type 1

This study is investigating whether the medication selumetinib (KoselugoTM) can prevent the growth of plexiform neurofibromas (PN) in young children with Neurofibromatosis type 1 (NF1). PN are tumors that can cause serious health problems. Selumetinib is already approved for children aged 2 and older with inoperable PN, but this study aims to see if starting treatment earlier, before problems develop, can be beneficial. The study is looking for children aged 1 to 8 years old who have NF1 and no known PN at the start of the study. Researchers will measure how long participants live without their PN growing (progression-free survival) over 60 months. The study plans to enroll 200 participants and its current status is unclear.

Study design
This is an interventional study planning to enroll 200 participants. It is not specified if it is randomized or blinded.
What's involved
Participants will receive selumetinib twice daily by mouth. The participant duration in the study is 5 years.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for progression-free survival for 60 months (5 years).

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NCT06188741

Selumetinib for the Prevention of Plexiform Neurofibroma Growth in NF Type 1

Recruiting
PHASE2Ages 1–8InterventionalTreatment
University of Alabama at Birmingham
~200 participants
Updated 2026-05-29 on ClinicalTrials.gov
What's tested:Selumetinib

At a glance

Recruiting sites
15 of 15 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Progression free survival (PFS)
Measured over 60 months
Neurofibromatosis 1
Plexiform Neurofibroma
15 sites across 12 states
California2
Illinois2
Maryland2
Alabama1
District of Columbia1
Indiana1
Massachusetts1
Minnesota1

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Eligibility criteria

Inclusion

In the head or neck (with the exception of isolated scalp lesions) OR
Within the brachial or lumbosacral plexus OR
Adjacent to high-risk structure(s), defined as:
  • Progression free survival (PFS)60 months

    Progression free survival (PFS) in the group treated with selumetinib compared to those in the observation group