This phase III trial studies if selumetinib works just as well as the standard treatment with carboplatin/vincristine (CV) for subjects with NF1-associated low grade glioma (LGG), and to see if selumetinib is better than CV in improving vision in subjects with LGG of the optic pathway (vision nerves). Selumetinib is a drug that works by blocking some enzymes that low-grade glioma tumor cells need for their growth. This results in killing tumor cells. Drugs used as chemotherapy, such as carboplatin and vincristine, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. It is not yet known whether selumetinib works better in treating patients with NF1-associated low-grade glioma compared to standard therapy with carboplatin and vincristine.

Karen Winkfield, MD, PhD
- Associate Director for Community Outreach and Engagement
- Executive Director, Meharry-Vanderbilt Alliance
- Ingram Professor of Cancer Research
- Professor of Radiation Oncology
Karen Winkfield, MD, PhD
- Associate Director for Community Outreach and Engagement
- Executive Director, Meharry-Vanderbilt Alliance
- Ingram Professor of Cancer Research
- Professor of Radiation Oncology
karen.winkfield@Meharry-Vanderbilt.Org
Research Program

Nikhil Khankari, Ph.D., M.P.H.
- Assistant Professor of Medicine
Nikhil Khankari, Ph.D., M.P.H.
- Assistant Professor of Medicine
nikhil.khankari@vumc.org
Research Program

Josh Peterson, M.D., M.P.H.
- Director, Center for Precision Medicine
- Professor of Biomedical Informatics
- Professor of Medicine
Josh Peterson, M.D., M.P.H.
- Director, Center for Precision Medicine
- Professor of Biomedical Informatics
- Professor of Medicine
josh.peterson@vumc.org
Research Program

Jason Schwartz, M.D., Ph.D.
- Assistant Professor of Pediatrics
Jason Schwartz, M.D., Ph.D.
- Assistant Professor of Pediatrics
jason.schwartz@vumc.org
Research Program

Lisa Bastarache, M.S.
- Research Associate Professor
Lisa Bastarache, M.S.
- Research Associate Professor
lisa.bastarache@vumc.org
Research Program
This trial studies the impact of indwelling tunneled pleural drainage systems (gravity or vacuum based) on pain in patients with plural effusion that has come back (recurrent). Vacuum drainage and gravity drainage are two commonly used drainage methods. Studying the best drainage methods may help future patients undergoing indwelling tunneled pleural catheter placement.