Myeloproliferative Neoplasms Clinical Trial

A Study to Evaluate Safety and Efficacy of Selinexor in Combination With Ruxolitinib in Participants With Myelofibrosis

Summary

This is a global, Phase 1/2, multicenter, open-label study to evaluate the safety and efficacy of selinexor plus ruxolitinib in treatment naïve myelofibrosis (MF) participants. The study will be conducted in two phases: Phase 1a/1b and Phase 2. The Phase 1a of the study will be dose escalation (non-randomized dose finding study) to determine the maximum tolerated dose [MTD], recommended Phase 2 dose (RP2D), and evaluate safety and preliminary efficacy and will follow a standard 3+3 design. The Phase 1b of the study will be dose expansion (non-randomized efficacy exploration) at the determined RP2D to further assess the safety and preliminary efficacy at this dose level. The Phase 2 (randomized efficacy exploration) of the study will include MF participants who are treatment naïve randomized 1:1 to receive the combination therapy of selinexor and ruxolitinib versus (vs) ruxolitinib monotherapy.

View Eligibility Criteria

Eligibility Criteria

Inclusion Criteria:

Diagnosis of primary MF or post-essential thrombocythemic or post-polycythemia according to the 2016 world health organization (WHO) classification of MPN confirmed by the most recent local pathology report.
Measurable splenomegaly during the screening period as demonstrated by spleen volume of ≥450 cubic centimeter (cm^3) by MRI or CT-scan.
Participants with dynamic international prognostic scoring system (DIPSS) risk category of intermediate-1, intermediate-2, or high-risk.
Participants ≥18 years of age.
Eastern Cooperative Oncology Group (ECOG) performance status of less than or equal to (≤) 2.
Platelet count ≥100 * 10^9/Liter (L).
Absolute neutrophil count (ANC) ≥1.5 * 10^9/L.
Serum direct bilirubin ≤1.5 * upper limit of normal (ULN); Aspartate transaminase (AST) and alanine transaminase (ALT) ≤2.5 * ULN.
Creatinine clearance (CrCl) greater than (>) 15 milliliters per minute (mL/min) based on the Cockcroft and Gault formula.
Participants with active hepatitis B virus (HBV) are eligible if antiviral therapy for hepatitis B has been given for >8 weeks and viral load is less than (<) 100 international units/milliliter (IU/mL).
Participants with untreated hepatitis C virus (HCV) are eligible there is documentation of negative viral load per institutional standard.
Participants with history of human immunodeficiency virus (HIV), are eligible if participants have cluster of differentiation 4 (CD4)+ T-cell counts ≥350 cells/microliter, negative viral load per institutional standard, and no history of acquired immunodeficiency syndrome (AIDS)-defining opportunistic infections in the last year.
Female participants of childbearing potential must have a negative serum pregnancy test at screening and agree to use highly effective methods of contraception throughout the study and for one month following the last dose of study treatment. Childbearing potential excludes: Age >50 years and naturally amenorrhoeic for >1 year, or previous bilateral salpingo-oophorectomy, or hysterectomy.
Male participants who are sexually active must use highly effective methods of contraception throughout the study and for one month following the last dose of study treatment. Must agree not to donate sperm during the study treatment period.
Participants must sign the written informed consent in accordance with federal, local and institutional guidelines.

Exclusion Criteria:

>5% blasts in peripheral blood or >10% blasts in bone marrow (accelerated phase).
Received previous treatment with Janus kinase (JAK) inhibitors for MF (treatment with hydroxyurea for up to 2 weeks is allowed).
Previous treatment with selinexor or other exportin-1 (XPO1) inhibitors.
Impairment of gastrointestinal (GI) function or GI disease that could significantly alter the absorption of selinexor.
Received strong cytochrome P450 3A (CYP3A) inhibitors ≤7 days prior to selinexor dosing or strong CYP3A inducers ≤14 days prior to selinexor dosing.
Major surgery <28 days prior to cycle 1 day (C1D1).
Uncontrolled (i.e. clinically unstable) infection requiring parenteral antibiotics, antivirals, or antifungals within 7 days prior to first dose of study treatment; however, prophylactic use of these agents is acceptable (including parenteral).
Any life-threatening illness, medical condition, or organ system dysfunction which, in the Investigator's opinion, could compromise the patient's safety, prevent the patient from giving informed consent, or being compliant with the study procedures.
Female participants who are pregnant or lactating.

Study is for people with:

Myeloproliferative Neoplasms

Phase:

Phase 1

Estimated Enrollment:

237

Study ID:

NCT04562389

Recruitment Status:

Recruiting

Sponsor:

Karyopharm Therapeutics Inc

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There are 5 Locations for this study

See Locations Near You

City of Hope
Duarte California, 91010, United States More Info
Haris Ali, MD
Contact
626-356-4673
[email protected]
Haris Ali, MD
Principal Investigator
The Oncology Institute of Hope & Innovation
Pasadena California, 91105, United States More Info
Amitabha Mazumder
Contact
562-693-4477
[email protected]
Amitabha Mazumder
Principal Investigator
Vanderbilt Ingram Cancer Center
Nashville Tennessee, 37232, United States More Info
Sanjay Mohan, MD
Contact
615-936-8422
[email protected]
Sanjay Mohan, MD
Principal Investigator
Huntsman Cancer Institute
Salt Lake City Utah, 84112, United States More Info
Srinivas Tantravahi
Contact
801-213-6170
[email protected]
Srinivas Tantravahi
Principal Investigator
VCU Massey Cancer Center
Richmond Virginia, 23298, United States More Info
Keri Maher, DO
Contact
760-954-3800
[email protected]
Keri Maher, DO
Principal Investigator

How clear is this clinincal trial information?

Study is for people with:

Myeloproliferative Neoplasms

Phase:

Phase 1

Estimated Enrollment:

237

Study ID:

NCT04562389

Recruitment Status:

Recruiting

Sponsor:


Karyopharm Therapeutics Inc

How clear is this clinincal trial information?

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