drugset / Trial / NCT04421378

A Study of Selinexor in Combination With Standard of Care Therapy for Newly Diagnosed or Recurrent Glioblastoma

NCT04421378 ↗

Phase 1/2 Terminated 74 enrolled Karyopharm Therapeutics Inc
RandomizedSequentialOpen-labelTreatment

Summary

This is a Phase 1/2 study of selinexor in combination with standard of care (SoC) therapy for newly diagnosed glioblastoma (nGBM) or recurrent glioblastoma (rGBM). This study will be conducted in 2 phases: a Phase 1a dose finding study followed by Phase 1b (dose expansion) and a Phase 2 randomized efficacy exploration study and will independently evaluate 3 different combination regimens in 3 treatment arms in patients with nGBM (Arms A and B) or with rGBM (Arm C). * Arm A: evaluating the combination of selinexor with radiation therapy (S-RT) in nGBM participants with uMGMT * Arm B: evaluating the combination of selinexor with radiation therapy and temozolomide (TMZ) (S-TRT) in nGBM participants with methylated-O6-methylguanine-DNA-methyltransferase (mMGMT) * Arm C: evaluating the combination of selinexor with lomustine (or carmustine, if lomustine is not available) (S-L/C) in rGBM participants regardless of MGMT status * Arm D: evaluating the combination of selinexor with bevacizumab in rGBM participants regardless of MGMT status * Arm E: evaluating the combination of selinexor with tumor treating fields (TTField) in rGBM participants regardless of MGMT status

Timeline

Start
2020-06-08
Primary completion
2023-07-03
Completion
2023-07-03

Outcome

Outcome not reported

Stopped: “Upon further consideration of the existing data and the competitive landscape, Karyopharm Therapeutics Inc has decided not to pursue the ongoing development of Selinexor in GBM at this time.”

Drugs

EvaluationDrugModalityDoseRoute
Subject Bevacizumab Monoclonal antibody 10 mg/kg Intravenous
Subject Lomustine Small molecule 90 mg/m2 Oral
Subject Lomustine Small molecule 110 mg/m2 Oral
Subject Selinexor Other / unclassified 40 mg Oral
Subject Selinexor Other / unclassified 60 mg Oral
Subject Selinexor Other / unclassified 80 mg Oral
Subject Temozolomide Small molecule 75 mg/m2 Oral
Subject Temozolomide Small molecule 150 mg/m2 Oral
Subject Temozolomide Small molecule 200 mg/m2 Oral
Subject carmustine Small molecule 150 mg/m2 Intravenous
Subject carmustine Small molecule 200 mg/m2 Intravenous

Indications