A Phase 2b Open-label Study of Selinexor (KPT-330) in Patients With Relapsed/Refractory Diffuse Large B-Cell Lymphoma (DLBCL)

Who is this study for? Adult patients with diffuse large B-cell lymphoma
What treatments are being studied? Selinexor
Status: Recruiting
Location: See all (176) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

A multicenter, open-label Phase 2b study of selinexor (KPT-330) in participants with relapsed/refractory (R/R) diffuse large B-cell lymphoma (DLBCL) who have no therapeutic options of demonstrated clinical benefit.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Written informed consent in accordance with federal, local, and institutional guidelines. The participant must provide informed consent prior to the first screening procedure.

• Age greater than or equal to (≥) 18 years.

• ECOG performance status of less than or equal to (≤) 2.

• Participants should have estimated life expectancy of greater than (\>) 3 months at study entry.

• Previously treated, pathologically confirmed de novo DLBCL, or DLBCL transformed from previously diagnosed indolent lymphoma (e.g., follicular lymphoma).

• Participants must have received at least 2 but no more than 5 previous systemic regimens for the treatment of their de novo or transformed DLBCL including (i) at least 1 course of anthracycline-based chemotherapy (unless absolutely contraindicated due to cardiac dysfunction, in which case other active agents such as etoposide, bendamustine, or gemcitabine must have been given) and (ii) at least 1 course of anti-CD20 immunotherapy (e.g., rituximab), unless contraindicated due to severe toxicity. Participants who were considered ineligible for standard multi-agent immunochemotherapy must have received at least 2 and no more than 5 prior treatment regimens including at least 1 course of anti-CD20 antibodies and must be approved by the Medical Monitor. Prior stem cell transplantation is allowed; induction, consolidation, stem cell collection, preparative regimen and transplantation ± maintenance are considered a single line of therapy.

• Female participants of child-bearing potential must have a negative serum pregnancy test at screening and agree to use reliable methods of contraception for 3 months after their last dose of medication. Male participants must use a reliable method of contraception if sexually active with a female of child-bearing potential. For both male and female participants, effective methods of contraception must be used throughout the study and for 3 months following the last dose.

⁃ Part 1 additional inclusion criteria:

• For participants whose most recent systemic anti-DLBCL therapy induced a PR or CR, at least 60 days must have elapsed since the end of that therapy. For all other participants, at least 14 weeks (98 days) must have elapsed since the end of their most recent systemic anti-DLBCL therapy. . Palliative localized radiation within the therapy-free interval is allowed. Non-chemotherapy maintenance will not be considered anti DLBCL therapy, and therefore is allowed during the therapy-free interval.

• Documented clinical or radiographic evidence of progressive DLBCL prior to dosing.

• Participants must have measurable disease per the revised criteria for response assessment of lymphoma. Lymph nodes should be considered abnormal if the long axis is \>1.5 centimeter (cm), regardless of the short axis. If a lymph node has a long axis of 1.1 to 1.5 cm, it should only be considered abnormal if its short axis is \>1.0. Lymph nodes ≤1.0 by ≤1.0 will not be considered abnormal for relapse or PD.

⁃ Part 2 additional inclusion criteria:

⁃ • At least 3 weeks (21 days) must have elapsed since the end of participant's most recent systemic anti-DLBCL therapy (prior to Cycle 1 Day 1). Palliative localized radiation within the therapy-free interval is allowed.Non-chemotherapy maintenance will not be considered anti-DLBCL therapy, and therefore is allowed during the therapy-free interval.

⁃ • Adequate hematopoietic function: (i) Hemoglobin ≥10.0 grams per deciliters (g/dL) within 14 days of starting therapy (participant may receive red blood cell \[RBC\] transfusion within 14 days).

⁃ (ii) Absolute neutrophil count ≥1000 cells/millimeter (mm\^3) (use of granulocyte growth factors prior to and during the study is acceptable).

⁃ (iii) Platelet count ≥100,000/mm\^3 within 14 days of starting therapy (use of platelet growth factors prior to and during the study is acceptable).

• Participants must have measurable disease per the revised criteria for response assessment of lymphoma. Lymph nodes should be considered abnormal if the long axis is \>1.5 cm, regardless of the short axis. Extranodal lesion should be considered abnormal if the long axis is \>1.0 cm.

Locations
United States
Arizona
UACC Arizona
COMPLETED
Tucson
California
University of California San Francisco
COMPLETED
San Francisco
University of California Los Angeles (UCLA)
COMPLETED
Santa Monica
Florida
Boca Raton Cancer Research Medical Center
COMPLETED
Plantation
Illinois
Robert H. Lurie Comprehensive Cancer Center/Northwestern University
COMPLETED
Chicago
University of Chicago
COMPLETED
Chicago
Kentucky
Norton Cancer Institute
COMPLETED
Louisville
Massachusetts
Dana Farber Cancer Institute
COMPLETED
Boston
Tufts Medical Center
COMPLETED
Boston
Lahey Clinic
COMPLETED
Burlington
University of Massachusetts Medical School
COMPLETED
Worcester
New Jersey
John Theurer Cancer Center at Hackensack University Medical Center
COMPLETED
Hackensack
New York
Clinical Research Alliance
COMPLETED
Lake Success
New York Presbyterian Hospital/ Cornell Medical College
COMPLETED
New York
Stony Brook University Hospital
COMPLETED
Stony Brook
Ohio
Gabrail Cancer Center
COMPLETED
Canton
Cleveland Clinic Foundation
COMPLETED
Cleveland
University Hospitals Seidman Cancer Center
COMPLETED
Cleveland
Oklahoma
University of Oklahoma
COMPLETED
Oklahoma City
South Carolina
Greenville Hospital System
COMPLETED
Greenville
Texas
MD Anderson
COMPLETED
Houston
Washington
Swedish Cancer Institute
COMPLETED
Seattle
Virginia Mason Hospital & Medical Center
COMPLETED
Seattle
Other Locations
Australia
Royal Adelaide Hospital
COMPLETED
Adelaide
Monash Medical Centre
COMPLETED
Clayton
St. Vincent's Hospital Sydney
COMPLETED
Darlinghurst
Epworth Hospital
COMPLETED
East Melbourne
St. Vincent's Melbourne
COMPLETED
Fitzroy
Ashford Cancer Centre
COMPLETED
Kurralta Park
Liverpool Hospital, Ingham Institute of Medical Research
COMPLETED
Liverpool
The Alfred Hospital
COMPLETED
Melbourne
Fiona Stanley Hospital
COMPLETED
Murdoch
Icon Cancer Care
COMPLETED
South Brisbane
Calvary Mater Newcastle Hospital
COMPLETED
Waratah
Austria
Medical University of Graz
COMPLETED
Graz
Medizinische Universität Innsbruck für Innere Medizin
COMPLETED
Innsbruck
LKH Leoben Department for Haemato-Oncology
COMPLETED
Leoben
Akh Linz Innere Med III - Zentrum für Hämatologie und med. Onkologie
COMPLETED
Linz
Krankenhaus Barmherzigen Schwestern Linz
COMPLETED
Linz
Krankenhaus der Elisabethinen Linz GmbH
COMPLETED
Linz
Uni. Klinik für Innere Medizin III Universitätsklinikum der PMU LKH Salzburg
COMPLETED
Salzburg
Medical University of Vienna (MUW) Department of Medicine I
COMPLETED
Vienna
Univ. General Hospital Hietzing
COMPLETED
Vienna
Belgium
Ziekenhuis Netwerk Antwerpen
COMPLETED
Antwerp
AZ Sint-Jan
COMPLETED
Bruges
Cliniques Universitaires Saint-Luc
COMPLETED
Brussels
Institut Jules Bordet
COMPLETED
Brussels
UZ Gent
COMPLETED
Ghent
CH Jolimont
COMPLETED
La Louvière
AZ Delta
COMPLETED
Roeselare
H-Hartziekenhuis Roeselare-Menen
COMPLETED
Roeselare
Bulgaria
University Hospital for Active Treatment Dr. Georgi Stranski
COMPLETED
Pleven
Specialized Hospital for Active Treatment of Haematological Diseases EAD
COMPLETED
Sofia
University Multiprofile Hospital for Active Treatment Sveti Ivan Rilski EAD
COMPLETED
Sofia
Canada
Sir Mortimer B Davis Jewish General Hospital/McGill University
COMPLETED
Montreal
Princess Margaret Cancer Centre
COMPLETED
Toronto
France
Centre Hospitalier Universitaire Henri Mondor
COMPLETED
Créteil
Unite Hemopathies Lymphoides Chu Henri Mondor
COMPLETED
Créteil
Chu Dijon-Bourgogne - Hematologie Clinique
COMPLETED
Dijon
Hospitalier de la Rochelle-Ré-Aunis
COMPLETED
La Rochelle
CHRU de Lille - Hopital Claude-Huriez
COMPLETED
Lille
Marseille Institute of Cancer - Institut J. Paoli and I. Calmettes
COMPLETED
Marseille
CHU Montpellier
COMPLETED
Montpellier
Hôpital Necker Service d'Hématologie Adult
COMPLETED
Paris
Hostpial Saint Louis - CIRCO (Centre d'Investigations et de Recherche Clinique en Oncologie)
COMPLETED
Paris
Pitié-Salpêtrière Hospital
SUSPENDED
Paris
CHU Lyon Sud
COMPLETED
Pierre-bénite
Centre Henri Becquerel
SUSPENDED
Rouen
Germany
Uniklinik Aachen Klinik für Hämatologie, Onkologie, Hämostaseologie und Stammzelltransplantation
COMPLETED
Aachen
HELIOS Klinikum Bad Saarow
COMPLETED
Bad Saarow
Charite Universitatsmedizin Berlin (Benjamin Franklin Campus)
COMPLETED
Berlin
Charite Universitatsmedizin Berlin (Virchow Campus)
COMPLETED
Berlin
Ev. Diakonie-Krankenhaus gGmbH
COMPLETED
Bremen
Klinikum Kempten Klinik für Innere Medizin III - Hämatologie, Onkologie und Palliativmedizin
COMPLETED
Cologne
Gemeinschaftspraxis Haematologie and Onkologie-Dresden
COMPLETED
Dresden
Martin-Luther-University Halle-Wittenberg Department of Oncology
COMPLETED
Halle
Medizinische Hochschule
COMPLETED
Hanover
Universität Heidelberg Medizinische Klinik V Hämatologie, Onkologie und Rheumatologie
COMPLETED
Heidelberg
Klinikum Leverkusen
COMPLETED
Leverkusen
Klinikum Ludwigshafen
COMPLETED
Ludwigshafen
Rotkreuzklinikum München
COMPLETED
München
Klinikum Nürnberg Nord
COMPLETED
Nuremberg
Greece
Hematology Clinic,General Hospital of Athens,G. Gennimatos
RECRUITING
Athens
Hematology Department Laiko General Hospital
RECRUITING
Athens
National & Kapodistrian University of Athens, Laiko General Hospital
COMPLETED
Athens
Second Depth of Internal Medicine, Attiko University Hospital
RECRUITING
Athens
National & Kapodistrian University of Athens, Attiko University Hospital
COMPLETED
Chaïdári
Haematology Department and HCT Unit G.Papanicolaou Hospital
RECRUITING
Exochi
Department of clinical hematology ,university hospital Ioannina
RECRUITING
Ioannina
University of Patras Medical School
COMPLETED
Pátrai
Hungary
Országos Onkológiai Intézet A Belgyógyászati Onkológiai Osztály
COMPLETED
Budapest
Semmelweis Egyetem Általános Orvosi Kar
COMPLETED
Budapest
Semmelweis University Department of Medicine and Oncology
COMPLETED
Budapest
Somogy Megyei Kaposi Mór Oktató Kórház
COMPLETED
Kaposvár
Pécsi Tudományegyetem, ÁOK, I. számú Belgyógyászati Klinika
COMPLETED
Pécs
CSolnoky ferenc Hospital
COMPLETED
Veszprém
Veszprém Megyei Csolnoky Ferenc Kórház
COMPLETED
Veszprém
India
Institute of Medical Sciences & SUM Hospital
COMPLETED
Bhubaneswar
Cancer Institute (WIA)
COMPLETED
Chennai
Saveetha Medical College Hospital
COMPLETED
Chennai
G. Kuppu Swamy Naidu Hospital
COMPLETED
Coimbatore
IRCH, All India Institute of Medical Sciences
COMPLETED
Delhi
Netaji Subhas Chandra Bose Cancer Research Hospital
COMPLETED
Kolkata
Netaji Subhas Chandra Bose Cancer Research Institute
COMPLETED
Kolkata
Nil Ratan Sircar Medical College and Hospital
COMPLETED
Kolkata
TATA Memorial Centre
COMPLETED
Kolkata
King George's Medical University (KGMU)
COMPLETED
Lucknow
Dayanand Medical College and Hospital
COMPLETED
Ludhiana
Meenakshi Mission Hospital & Research Centre
COMPLETED
Madurai
Jaslok Hospital and Research Centre
COMPLETED
Mumbai
Prince Aly Khan Hospital
COMPLETED
Mumbai
Dr. B.R.A. Institute Rotary Cancer Hospital All India Institute of Medical Sciences
COMPLETED
New Delhi
Rajiv Gandhi Cancer Hospital
COMPLETED
New Delhi
Regional Cancer Centre, IGIMS
COMPLETED
Patna
Deenanath Mangeshkar Hospital
COMPLETED
Pune
Regional Cancer Centre
COMPLETED
Thiruvananthapuram
SRM Institutes for Medical Science
COMPLETED
Vadapalani
Israel
Hematology-Soroka
COMPLETED
Beersheba
Rambam Healthcare Campus
COMPLETED
Haifa
Wolfson MC
COMPLETED
Holon
Hadassah Medical Center
COMPLETED
Jerusalem
Rabin Medical Center
COMPLETED
Petah Tikva
Assuta Medical Center
COMPLETED
Tel Aviv
TLV Sorasky Medical Center
COMPLETED
Tel Aviv
Sheba Medical Center
COMPLETED
Tel Litwinsky
Italy
Instituto di Ematologia Seragnoli Pad 8 Universita di Bologna
COMPLETED
Bologna
AOU Maggiore della Carità SCDU Ematologia
RECRUITING
Florence
SODc Ematologica ,AOU Careggi
RECRUITING
Florence
Hematology-Oncology & Stem Cell Transplantation Unit, National Cancer Institute, Fondazione 'G. Pascale', IRCCS
RECRUITING
Naples
SCDU Ematologia, Division of Hematology, Dept. of Translational Medicine, Universita del Piemonte Orientale
COMPLETED
Novara
Fondazione Policlinico Universitario A. Gemelli
RECRUITING
Rome
Azienda Ospedaliero-Universitaria Senese
RECRUITING
Siena
Città della Salute e della Scienza di Torino
COMPLETED
Torino
Netherlands
VUMc (Vrije Universiteit Amsterdam)
COMPLETED
Amsterdam
LUMC (leidse universitair medisch centrum)
COMPLETED
Leiden
New Zealand
North Shore Hospital
COMPLETED
Auckland
Christchurch Hospital
COMPLETED
Christchurch
Poland
Szpitale Wojewódzkie w Gdyni, Gdyńskie Centrum onkologii
COMPLETED
Gdynia
MCM (Małopolskie Centrum Medyczne)
COMPLETED
Krakow
Wojewodzki Szpital Specjalistyczny w Legnicy
RECRUITING
Legnica
Memorial Provincial Specialist Hospital in Lodz
COMPLETED
Lodz
Hematology Department St John's Cancer Centre
COMPLETED
Lublin
Samodzielny Publiczny Szpital Kliniczny nr 1 w Lublinie
WITHDRAWN
Lublin
Samodzielny Publiczny Zakład Opieki Zdrowotnej Ministerstwa
COMPLETED
Olsztyn
Centrum Onkologii- Insytut Im. Marii Skłodowskiej-Curie Klinika Nowotworow Ukladu Chlonnego
COMPLETED
Warsaw
Instytut Hematologii i Transfuzjologii
COMPLETED
Warsaw
Maria Sklodowska Curie National Research Institute
RECRUITING
Warsaw
Uniwersytecki Szpital Kliniczny im. Jana Mikulicza
RECRUITING
Wroclaw
Serbia
Institut za onkologiju i radiologiju Srbije
COMPLETED
Belgrade
Klinički centar Srbije Klinika za hematologiju
COMPLETED
Belgrade
Klinicko Bolnick Centar Zemun Odeljenje hematologije
COMPLETED
Belgrade
Kliničko bolnički centar Zvezdara
COMPLETED
Belgrade
Institut za onkologiju Vojvodine
COMPLETED
Kamenitz
Klinički centar Niš Klinika za hematologiju
COMPLETED
Niš
Spain
Hospitla Universitari Germans Trias i Pujol - ICO
COMPLETED
Badalona
Hospital Clinic i Provincial de Barcelona
COMPLETED
Barcelona
Hospital University Vall d'Hebron
COMPLETED
Barcelona
Hospital Universitario La Paz
COMPLETED
Madrid
Hospital de Son Llàtzer
COMPLETED
Palma De Mallorca
Clínica Universidad De Navarra
COMPLETED
Pamplona
Hospital Universitario de Salamanca
COMPLETED
Salamanca
Hospital Universitario Virgen del Rocio
COMPLETED
Seville
United Kingdom
Addenbrooke's Hospital Cambridge
COMPLETED
Cambridge
Gloucestershire Royal Hospital
COMPLETED
Gloucester
Northwick Park Hospital
COMPLETED
Harrow
Leeds Teaching Hospitals NHS Trust
COMPLETED
Leeds
Royal Liverpool University Hospital
COMPLETED
Liverpool
The Clatterbridge Cancer Centre NHS Foundation Trust
COMPLETED
Liverpool
Guy's and St Thomas' NHS Foundation Trust
COMPLETED
London
King's College Hospital
COMPLETED
London
Princess Royal University Hospital (PRUH)
COMPLETED
London
The Christie NHS Foundation Trust
COMPLETED
Manchester
Oxford University Hospitals NHS Trust Oxford Cancer and Haematology Centre, Churchill Hospital
COMPLETED
Oxford
Derriford Hospital
COMPLETED
Plymouth
Southampton University Hospital
COMPLETED
Southampton
Royal Marsden Hospital
COMPLETED
Sutton
Contact Information
Primary
Karyopharm Medical Information
clinicaltrials@karyopharm.com
(888) 209-9326
Time Frame
Start Date: 2014-11
Estimated Completion Date: 2027-11
Participants
Target number of participants: 244
Treatments
Experimental: Part 1: Selinexor 60 mg
Participants received fixed dose of 60 mg selinexor orally, twice weekly (BIW) on Days 1 and 3 (e.g., Monday and Wednesday or Tuesday and Thursday, etc.) of Weeks 1-4 of each four week (each cycle of 28 days) cycle (total of 8 doses per cycle).
Experimental: Part 2: Arm A-Selinexor 40 mg
Participants received selinexor 40 mg orally BIW on Days 1 and 3 of each week of 4-week treatment cycles (28 days) until disease progression (total of 8 doses per cycle).
Experimental: Part 2: Arm B-Selinexor 60 mg
Participants received selinexor 60 mg orally BIW on Days 1 and 3 of each week of 4-week treatment cycles) for 2 cycles (each cycle of 28 days) followed by 60 mg once weekly (QW) in the subsequent cycles until disease progression (total of 8 doses per cycle).
Authors
Benjamin Baily, Daniel Persky, John Pagel, Andre Goy, Brian Hill, Michael Schuster, Sven de Vos, Paolo Caimi, Jason Westin, Jason Tache, Reda Bouabdallah, Sascha Dietrich, Catherine Thieblemont, Corinne Haioun, Steven Le Gouill, Richard Delarue, Fritz Offner, Andreas Viardot, Sylvain Choquet, Lothar Bergmann, Emmanuel Fleck, Herve Tilly, Martin Janz, Marinela Augustin, George Follows, Clemens Schmitt, Eric Van den Neste, Marcus Hentrich, Eric Jourdan, Pier Paolo Fattori, Joseph Maly, Gilles Salles, András Rosta, Krzysztof WARZOCHA, Nikolay TZVETKOV, Milena TODOROVIC, Darjana JOVANOVIC, Davinder Paul, Nicholas Wickham, Liana GERCHEVA, Michael Fridrik, Georgi MIHAYLOV, Theodoros Marinakis, Ashis Mukhopadhyay, Michael Pfreundschuh, Ruth Spearing, Itai Levi, Stefano Sacchi, Paul Cannell, Shailendra Verma, Sreejith Nair, Dinesh Bhurani, Suresh Advani, Pilar Giraldo, Juan Manuel Sancho, Marie Maerevoet, Dinesh Sinha, Miklós EGYED, Sushrut Patil, Maria Bouzani, Henry Chan, Sourav Mishra, Ronit Gurion, Jaime Perez de Oteyza, Miles Prince, Janusz Halka, Pratyush Giri, Wanda Knopinska-Posluszny, Alberto Fabbri, Vivek Radhakrishnan, Sylvia Snauwaert, John Kuruvilla, Nada Hamad, Zorica CVETKOVIC, John Radford, Krzysztof GIANNOPOULOS, Krzysztof Gawronski, Andres Ferreri, Wojciech JURCZAK, Nagesh Kalakonda, Hang Quach, Judit DEMETER, Jan ZAUCHA, Tadeusz Robak, Guido Gini, Antonio Pezzutto, Martin Hoffmann, Argiris Symeonidis, Pier Luigi Zinzani, Ulrich Jaeger, Wieslaw JEDRZEJCZAK, Michele Spina, Venkatraman Radhakrishnan, Klaus Geissler, Josee Zijlstra, Jan WALEWSKI, Gianluca Gaidano, Marco Ladetto, Sameer Bakhshi, Gareth Gregory, Panagiotis Tsirigotis, Dries Deeren, Massimo Aglietta, Peter Neumeister, Fabio Ciceri, Krishna Rathnam, Tuphan Dolai
Sponsors
Leads: Karyopharm Therapeutics Inc

This content was sourced from clinicaltrials.gov