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NCT02343042PHASE1, PHASE2ACTIVE_NOT_RECRUITING

Selinexor and Backbone Treatments of Multiple Myeloma Patients

A Phase 1b/2 Study of Selinexor (KPT-330) in Combination With Backbone Treatments for Relapsed/Refractory Multiple Myeloma and Newly Diagnosed Multiple Myeloma

Sponsor: Karyopharm Therapeutics Inc + Bristol-Myers Squibb

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Key Facts

Study type
INTERVENTIONAL
Conditions
Multiple Myeloma
Interventions
Selinexor, Dexamethasone, Lenalidomide, Pomalidomide
Enrollment
300 participants
Primary completion
Apr 2027
Study completion
Apr 2027
First posted
Jan 2015
Last updated
May 2026

Primary Endpoints (CT.gov)

Phase 1 (Dose-escalation): Maximum Tolerated Dose (MTD)

Time frame: 12 months

Phase 1 (Dose-escalation): Recommended Phase-2 dose (RP2D)

Time frame: 12 months

Phase 1 (Dose-escalation): Maximum Plasma Concentration (Cmax) of Selinexor

Time frame: Pre-dose, 1 hour, 1.5, 2, 3, 4, 5, 6, 8, and 24 hours post-dose on Day 1 (without clarithromycin) and Day 8 (with clarithromycin)

Phase 1 (Dose-escalation): Area Under the Concentration-time Curve From Time Zero to the Last Non-zero Concentration (AUC0-t) of Selinexor

Time frame: Pre-dose, 1, 1.5, 2, 3, 4, 5, 6, 8, and 24 hours post-dose on Day 1 (without clarithromycin) and Day 8 (with clarithromycin)

Eligibility Criteria

Inclusion Criteria: 1. Written informed consent signed in accordance with federal, local, and institutional guidelines. 2. Age greater than or equal to (≥) 18 years at the time of informed consent. 3. Histologically confirmed diagnosis with measurable disease for relapsed/refractory myeloma. 4. Symptomatic MM, based on IMWG guidelines. 5. Patients must have measurable disease as defined by at least one of the following: 1. Serum M-protein ≥ 0.5 gram per deciliter (g/dL) by serum protein electrophoresis (SPEP) or, for immunoglobulin A (IgA) myeloma, by quantitative IgA 2. Urinary M-protein excretion at least 200 mg/24 hours 3. Serum free light chain (FLC) ≥ 100 milligram per liter (mg/L), provided that FLC ratio is abnormal 4. If SPEP is felt to be unreliable for routine M-protein measurement (example, for IgA MM), then quantitative immunoglobulin (Ig) levels by nephelometry or turbidometry are acceptable 6. Any non-hematological toxicities (except for peripheral neuropath

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✦ Analyst Commentary

Expert commentary on why this trial matters and what to watch for.

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Source

Open on ClinicalTrials.gov