NCT03110562

Brief Summary

This Phase 3, 2-arm, randomized, active comparator-controlled, open-label, multicenter study will compare the efficacy and health-related quality of life (HR-QoL) and assess the safety of selinexor plus bortezomib (Velcade) plus low-dose dexamethasone (SVd) versus bortezomib plus low-dose dexamethasone (Vd) in adult patients with RRMM who have received 1 to 3 prior anti-multiple myeloma (MM) regimens. Crossover from the Vd Arm to a treatment that includes selinexor (i.e., SVdX or SdX) will be allowed at the point of IRC-confirmed objective disease progression per the IMWG criteria for patients in the Vd Arm.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
402

participants targeted

Target at P50-P75 for phase_3 multiple-myeloma

Timeline
Completed

Started May 2017

Geographic Reach
20 countries

152 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 7, 2017

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 12, 2017

Completed
1 month until next milestone

Study Start

First participant enrolled

May 24, 2017

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 18, 2020

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

July 8, 2021

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 12, 2022

Completed
Last Updated

August 21, 2024

Status Verified

July 1, 2024

Enrollment Period

2.7 years

First QC Date

April 7, 2017

Results QC Date

June 15, 2021

Last Update Submit

July 25, 2024

Conditions

Keywords

Relapsed or Refractory Multiple MyelomaRRMMBortezomibDexamethasone

Outcome Measures

Primary Outcomes (1)

  • SVd/Vd Arm: Progression-free Survival (PFS) as Assessed by Independent Review Committee (IRC)

    PFS was defined as time from date of randomization until the first date of IRC-confirmed PD, per International Myeloma Working Group (IMWG) response criteria, or death due to any cause, whichever occurs first. PD included increase of 25% from lowest confirmed response value in 1 or more of the following criteria: a) serum M-protein with absolute increase of \>= 0.5 gram per deciliter (g/dL); b) serum M-protein increase \>= 1 g/dL if the lowest M-component was \>=5 g/dL; c) urine M-protein (absolute increase must be \>= 200 mg per 24 hours); d) in participants without measurable serum and urine M-protein levels: the difference between involved and uninvolved free light chain (FLC) levels (absolute increase must be greater than \[\>\] 10 mg/dL); e) in participants without measurable serum and urine M-protein levels and without measurable involved FLC levels: bone marrow plasma cell percentage irrespective of baseline status (absolute increase must be \>=10%).

    From date of randomization until IRC-confirmed documented PD or death, censored date, whichever occurred first (up to 33 months)

Secondary Outcomes (11)

  • SVd/Vd Arm: Overall Response Rate (ORR) as Assessed by IRC

    From date of randomization until disease progression or initiating a new MM treatment (up to 33 months)

  • SVd/Vd Arm: Percentage of Participants With Response Rate of Very Good Partial Response (VGPR) or Better Based on IRC Assessment

    From date of randomization until confirmed PD or initiating a new MM treatment (up to 33 months)

  • SVd/Vd Arm: Number of Participants With at Least One Grade Greater Than or Equal to [>=] 2 Peripheral Neuropathy Events

    From first dose of study treatment to 30 days after the last dose of study treatment inclusive, or the day before the start of new anti-MM treatment, whichever occurs first (up to 33 months)

  • SVd/Vd Arm: Overall Survival (OS)

    From date of randomization to the date of death or censored date, whichever occurred first (up to 45 months)

  • SVd/Vd Arm: Duration of Response (DOR) as Assessed by IRC

    From the first documentation of response to the first documentation of PD or death, whichever occurred first (up to 45 months)

  • +6 more secondary outcomes

Study Arms (4)

SVd Arm: Selinexor + Bortezomib + Dexamethasone

EXPERIMENTAL

Participants received a fixed oral dose of 100 milligrams (mg) selinexor tablets (5 tablets of 20 mg each) once weekly (QW) on Days 1, 8, 15, 22, and 29 of each 35-day cycle, along with subcutaneous (SC) injection of 1.3 milligrams per square meter (mg/m\^2) bortezomib QW on Days 1, 8, 15, and 22 of each 35-day cycle, and an oral dose of 20 mg of dexamethasone twice weekly (BIW) on Days 1, 2, 8, 9, 15, 16, 22, 23, 29, and 30 of each 35-day cycle until PD confirmed by the IRC, investigator or participant decision to discontinue study treatment, pregnancy, unacceptable AEs or toxicity that could not be managed by supportive care, withdrawal of consent, death, or sponsor decision to terminate the study.

Drug: SelinexorDrug: BortezomibDrug: Dexamethasone

Vd Arm: Bortezomib + Dexamethasone

EXPERIMENTAL

Participants received SC injection of 1.3 mg/m\^2 bortezomib on Days 1, 4, 8, and 11 of each 21-day cycle for the first 8 cycles, followed by greater than or equal to (\>=) 9 cycles on Days 1, 8, 15, and 22 of each 35-day cycle, and received oral dose of 20 mg dexamethasone BIW on Days 1, 2, 4, 5, 8, 9, 11, and 12 of each 21-day cycle for the first 8 cycles and for cycles \>= 9 on Days 1, 2, 8, 9, 15, 16, 22, 23, 29, and 30 of each 35-day cycle until PD confirmed by the IRC, investigator or participant decision to discontinue study treatment, pregnancy, unacceptable AEs or toxicity that could not be managed by supportive care, withdrawal of consent, death, or sponsor decision to terminate the study.

Drug: BortezomibDrug: Dexamethasone

SVdX Arm: Selinexor + Bortezomib + Dexamethasone

EXPERIMENTAL

Participants in the VD arm who had IRC-confirmed PD and were able to tolerate continued bortezomib treatment had crossed over to receive fixed oral dose of 100 mg selinexor tablets (5 tablets of 20 mg each) QW on Days 1, 8, 15, 22, and 29 of each 35-day cycle, along with SC injection of 1.3 mg/m\^2 bortezomib QW on Days 1, 8, 15, and 22 of each 35-day cycle, and an oral dose of 20 mg of dexamethasone BIW on Days 1, 2, 8, 9, 15, 16, 22, 23, 29, and 30 of each 35-day cycle until PD confirmed by the IRC, investigator or participant decision to discontinue study treatment, pregnancy, unacceptable AEs or toxicity that could not be managed by supportive care, withdrawal of consent, death, or sponsor decision to terminate the study.

Drug: SelinexorDrug: BortezomibDrug: Dexamethasone

SdX Arm: Selinexor + Dexamethasone

EXPERIMENTAL

Participants in the VD arm who had IRC-confirmed PD and were unable to tolerate continued bortezomib treatment had crossed over to receive fixed oral dose of 100 mg selinexor tablets (5 tablets of 20 mg each) QW on Days 1, 8, 15, 22, and 29 of each 35-day cycle and an oral dose of 20 mg of dexamethasone BIW on Days 1, 2, 8, 9, 15, 16, 22, 23, 29, and 30 of each 35-day cycle until PD confirmed by the IRC, investigator or participant decision to discontinue study treatment, pregnancy, unacceptable AEs or toxicity that could not be managed by supportive care, withdrawal of consent, death, or sponsor decision to terminate the study.

Drug: SelinexorDrug: Dexamethasone

Interventions

oral 100 mg dose

SVd Arm: Selinexor + Bortezomib + DexamethasoneSVdX Arm: Selinexor + Bortezomib + DexamethasoneSdX Arm: Selinexor + Dexamethasone

subcutaneous dose of 1.3 mg/m2

Also known as: Velcade®
SVd Arm: Selinexor + Bortezomib + DexamethasoneSVdX Arm: Selinexor + Bortezomib + DexamethasoneVd Arm: Bortezomib + Dexamethasone

oral dose of 20mg

SVd Arm: Selinexor + Bortezomib + DexamethasoneSVdX Arm: Selinexor + Bortezomib + DexamethasoneSdX Arm: Selinexor + DexamethasoneVd Arm: Bortezomib + Dexamethasone

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically confirmed MM with measurable disease per IMWG guidelines as defined by at least 1 of the following:
  • Serum M-protein ≥ 0.5 g/dL (\> 5 g/L) by serum protein electrophoresis (SPEP) or for immunoglobulin (Ig) A myeloma, by quantitative serum IgA levels; or
  • Urinary M-protein excretion at least 200 mg/24 hours; or
  • Serum free light chain (FLC) ≥ 100 mg/L, provided that the serum FLC ratio is abnormal (normal FLC ratio: 0.26 to 1.65).
  • Had at least 1 prior anti-MM regimen and no more than 3 prior anti-MM regimens. Induction therapy followed by stem cell transplant and consolidation/maintenance therapy will be considered as 1 anti-MM regimen.
  • Documented evidence of progressive MM (based on the Investigator's determination according to the modified IMWG response criteria) on or after their most recent regimen.
  • Prior treatment with bortezomib or other Proteasome Inhibitor (PI) is allowed, provided all of the following criteria are met:
  • Best response achieved with prior bortezomib at any time was ≥ PR and with the last PI (PI therapy (alone or in combination) was ≥ PR, AND
  • Participant did not discontinue bortezomib due to ≥ Grade 3 related toxicity, AND
  • Must have had at least a 6-month PI-treatment-free interval prior to Cycle 1 Day 1 (C1D1) of study treatment.
  • Must have an ECOG Status score of 0, 1, or 2.
  • Written informed consent in accordance with federal, local, and institutional guidelines.
  • Age ≥18 years.
  • Resolution of any clinically significant non-hematological toxicities (if any) from previous treatments to ≤ Grade 1 by C1D1. Patients with chronic, stable Grade 2 non-hematological toxicities may be included following approval from the Medical Monitor.
  • Adequate hepatic function within 28 days prior to C1D1.
  • +11 more criteria

You may not qualify if:

  • Prior exposure to a SINE compound (i.e. an XPO-1 inhibitor), including selinexor.
  • Prior malignancy that required treatment or has shown evidence of recurrence (except for non-melanoma skin cancer or adequately treated cervical carcinoma in situ) during the 5 years prior to randomization. Cancer treated with curative intent for \>5 years previously and without evidence of recurrence will be allowed.
  • Has any concurrent medical condition or disease (e.g., uncontrolled active hypertension, uncontrolled active diabetes, active systemic infection, etc.) that is likely to interfere with study procedures.
  • Uncontrolled active infection requiring parenteral antibiotics, antivirals, or antifungals within 1 week prior to C1D1. Patients on prophylactic antibiotics or with a controlled infection within 1 week prior to C1D1 are acceptable.
  • Active plasma cell leukemia.
  • Documented systemic light chain amyloidosis.
  • MM involving the central nervous system.
  • Polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome.
  • Spinal cord compression.
  • Greater than Grade 2 neuropathy or ≥ Grade 2 neuropathy with pain at baseline, regardless of whether or not the patient is currently receiving medication
  • Known intolerance, hypersensitivity, or contraindication to glucocorticoids.
  • Radiation, chemotherapy, or immunotherapy or any other anticancer therapy (including investigational therapies) ≤ 2 weeks prior to C1D1. Localized radiation to a single site at least 1 week before C1D1 is permitted. Glucocorticoids within 2 weeks of C1D1 are permitted. Patients on long-term glucocorticoids during Screening do not require a washout period but must be able to tolerate the specified dexamethasone dose in this study.
  • Prior autologous stem cell transplantation \< 1 month or allogeneic stem cell transplantation \< 4 months prior to C1D1.
  • Active graft versus host disease (after allogeneic stem cell transplantation) at C1D1.
  • Pregnant or breastfeeding females.
  • +14 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (157)

Boca Raton Clinical Research (BRCR) Medical Center

Plantation, Florida, 33324, United States

Location

Emory University

Atlanta, Georgia, 30322, United States

Location

Kaiser Permanente Hawaii

Honolulu, Hawaii, 96817, United States

Location

McFarland Clinic

Ames, Iowa, 50010, United States

Location

Stormont Vail Health Care (Cotton O'Neil Cancer Center )

Topeka, Kansas, 66606, United States

Location

Commonwealth Hematology

Danville, Kentucky, 40422, United States

Location

Norton Cancer Institute

Louisville, Kentucky, 40202, United States

Location

University of Maryland

Baltimore, Maryland, 21201, United States

Location

Central Care Cancer Center

Bolivar, Missouri, 65613, United States

Location

The Valley Hospital Luckow Pavilion

Paramus, New Jersey, 07652, United States

Location

Mount Sinai

New York, New York, 10029, United States

Location

The Cancer Institute at St. Francis Hospital

Roslyn, New York, 11576, United States

Location

Novant-Forsyth Memorial Hospital

Winston-Salem, North Carolina, 27103, United States

Location

University of Cincinnati Health

Cincinnati, Ohio, 45267, United States

Location

Southwest Cancer Center of Oklahoma

Lawton, Oklahoma, 73505, United States

Location

Kaiser Permanente Northwest OR

Portland, Oregon, 97210, United States

Location

SCOR AnMed Health Cancer Center

Anderson, South Carolina, 29621, United States

Location

Prairie Lakes Healthcare

Watertown, South Dakota, 57201, United States

Location

Baylor Sammons Cancer Center

Dallas, Texas, 75246, United States

Location

University of Texas Southwestern

Dallas, Texas, 75390, United States

Location

Calvary Mater Newcastle

Waratah, New South Wales, 2298, Australia

Location

Royal Brisbane and Women's Hospital

Herston, Queensland, 4029, Australia

Location

Mater Misericordiae Limited and Mater Medical Research

South Brisbane, Queensland, 4101, Australia

Location

Gold Coast University Hospital

Southport, Queensland, 4215, Australia

Location

Royal Adelaide Hospital

Adelaide, South Australia, 5000, Australia

Location

Flinders Medical Centre

Bedford Park, South Australia, 5042, Australia

Location

St. Vincent's Hospital Melbourne

Fitzroy, Victoria, 3065, Australia

Location

The Alfred Hospital

Melbourne, Victoria, 3004, Australia

Location

Medical University Innsbruck, Department of Internal Medicine V (Hematology and Oncology)

Innsbruck, Austria

Location

University Hospital Krems, Department of Internal Medicine II

Krems, Austria

Location

Medical University of Vienna

Vienna, 1090, Austria

Location

General Hospital Hietzing

Vienna, 1130, Austria

Location

Wilhelminen Hospital, Department of Internal Medicine I, Center for Oncology & Hematology

Vienna, 1160, Austria

Location

Jules Bordet Institute

Brussels, 1000, Belgium

Location

UCL Saint-Luc

Brussels, Belgium

Location

University Hospital Ghent

Ghent, 9000, Belgium

Location

General Hospital Delta

Roeselare, 8800, Belgium

Location

St. Augustinus Hospital

Wilrijk, 2610, Belgium

Location

University Multiprofile Hospital for Active Treatment, Sveti Georgi Clinic of Clinical Hematology

Plovdiv, 4002, Bulgaria

Location

University Multiprofile Hospital for Active Treatment, Sveti Ivan Rilski Clinic of Hematology

Sofia, 1431, Bulgaria

Location

Specialized Hospital for Active Treatment of Hematological Diseases, Clinic of Hematology, Dept. of Clinical Hematology

Sofia, 1756, Bulgaria

Location

Tom Baker Cancer Center/ Alberta Health Services

Calgary, Alberta, T2N 4Z6, Canada

Location

Cross Cancer Institute / University of Alberta

Edmonton, Alberta, T6G 1Z2, Canada

Location

Vancouver General Hospital

Vancouver, British Columbia, V5Z 1M9, Canada

Location

Queen Elizabeth II Health Sciences Center

Halifax, Nova Scotia, B3H 2Y9, Canada

Location

North East Cancer Centre Sudbury

Greater Sudbury, Ontario, P3E 5J1, Canada

Location

Princess Margaret Cancer Research

Toronto, Ontario, M5G 1X5, Canada

Location

Maisonneuve-Rosemont Hospital

Montreal, Quebec, H1T 2M4, Canada

Location

Royal Victoria Hospital / McGill University

Montreal, Quebec, H3A 1A1, Canada

Location

L'Hôtel-Dieu de Québec

Québec, Quebec, G1R 2J6, Canada

Location

Saskatchewan Cancer Agency-Allan Blair Cancer Centre

Regina, Saskatchewan, S4T 7TI, Canada

Location

Saskatoon Cancer Center

Saskatoon, Saskatchewan, S7N 4H4, Canada

Location

General University Hospital in Prague

Prague, Prague, 128 08, Czechia

Location

University Hopsital Brno

Brno, 625 00, Czechia

Location

University Hospital Hradec Kralove

Hradec Králové, 500 05, Czechia

Location

University Hospital Olomouc

Olomouc, 775 20, Czechia

Location

University Hospital Ostrava, Dept. of Hematooncology

Ostrava, 708 52, Czechia

Location

University Hospital Kralovske Vinohrady, Clinic of Internal Hematology

Prague, 100 34, Czechia

Location

Hospital Center Departmental La Roche-Sur-Yon

La Roche-sur-Yon, 85925, France

Location

Claude Huriez Hospital

Lille, 59037, France

Location

South Lyon Hospital Center

Lyon, 69002, France

Location

Brabois Adults Hospital, University Hospital Center of Nancy

Nancy, 54511, France

Location

Nantes University Hospital Center

Nantes, 44093, France

Location

Saint-Louis Hospital

Paris, 75475, France

Location

Miletrie Hospital, University Hospital Center of Poitiers

Poitiers, 86021, France

Location

Necker Children's Hospital, Department of Adult Hematology

Paris, Île-de-France Region, 75015, France

Location

University Hospital Freiburg, Department of Internal Medicine I

Freiburg im Breisgau, Baden-Wurttemberg, D-79106, Germany

Location

Klinikum Leverkusen gGmbH Medizinisxhe Klinik 3

Leverkusen, North Rhine Westfalia, 51375, Germany

Location

Group Practice for Hematology and Oncology

Dresden, Saxony, 1307, Germany

Location

Alexandra General Hospital, Therapeutic Clinic

Athens, 11528, Greece

Location

General Hospital of Athens "Evangelismos", Department of Hematology and Lymphoma

Athens, Greece

Location

University General Hospital of Patra

Pátrai, Greece

Location

Theageneion Cancer Hospital, Hematology Department

Thessaloniki, 54639, Greece

Location

Semmelweis University, 1st Department of Internal Medicine

Budapest, H-1083, Hungary

Location

Integrated Szent Istvan and Szent laszlo Hospital, Department of Hematology and Stem Cell Transplantation

Budapest, H-1097, Hungary

Location

Semmelweis University, 3rd Department of Internal Medicine

Budapest, H-1125, Hungary

Location

Kaposi Mor Teaching Hospital, 2nd Department of Internal Medicine

Kaposvár, 7400, Hungary

Location

Medical Center of the University of Pecs, Department of Hematology

Pécs, 7624, Hungary

Location

Regional Cancer Centre

Patna, Bihar, 800014, India

Location

Regional Cancer Centre

Thiruvananthapuram, Kerala, 695011, India

Location

Prince Aly Khan Hospital

Mumbai, Maharashta, 400010, India

Location

Jaslok Hospital and Research Centre

Mumbai, Maharashta, 400026, India

Location

Bhaktivedanta Hospital

Thane, Maharashtra, 401107, India

Location

IMS & SUM Hospital

Bhubaneswar, Odisha, 751003, India

Location

Postgraduate Institute of Medical Education & Research (PGIMER)

Chandigarh, Punjab, 160012, India

Location

Dayanand Medical College & Hospital

Ludhiana, Punjab, 141001, India

Location

Cancer Institute

Chennai, Tamil Nadu, 600020, India

Location

SRM Institute of Medical Sciences

Chennai, Tamil Nadu, 600026, India

Location

Saveetha Medical College Hospital

Chennai, Tamil Nadu, 602105, India

Location

G. Kuppuswamy Naidu Hospital

Coimbatore, Tamil Nadu, 641037, India

Location

Asviratham Speciality Hospital

Madurai, Tamil Nadu, 625020, India

Location

Meenakshi Mission Hospital

Madurai, Tamil Nadu, 625107, India

Location

Yashoda Hospital

Hyderabad, Telangana, 500082, India

Location

King George's Medical University

Lucknow, Uttar Pradesh, 226003, India

Location

Netaji Subhash Chandra Bose Cancer Research Institute

Kolkata, West Bengal, 700094, India

Location

Nil Ratan Sircar (NRS) Medical College

Kolkata, West Bengal, 700120, India

Location

TATA Memorial Centre

Kolkata, West Bengal, 700160, India

Location

Rajiv Gandhi Cancer Hospital

New Delhi, 110085, India

Location

Barzilai Medical Center

Ashkelon, 7830604, Israel

Location

Rambam Health Care Campus

Haifa, 3109601, Israel

Location

Hadassah Medical Center

Jerusalem, Israel

Location

Rabin Medical Center

Petah Tikva, 49100, Israel

Location

Hospital Santa Maria of Terni

Terni, Umbria, 05100, Italy

Location

Azienda Ospedaliero-Universitaria Ospedali Riuniti

Ancona, 60131, Italy

Location

ASST Papa Giovanni XXIII

Bergamo, 24127, Italy

Location

Polyclinic S. Orsola-Malpighi, Department of Hematology, Oncology and Laboratory Medicine, Operative Unit of Hematology - Cavo

Bologna, 40138, Italy

Location

University Hospital Careggi, Department of Hematology

Florence, 50134, Italy

Location

University Hospital San Martino, IRCCA, Dept. of Integrative Cancer Therapies, Operative Unit of Clinical Hematology

Genoa, 16132, Italy

Location

Hospital Niguerda Ca Granda, Department of Hematology and Oncology, Hematology Unit

Milan, 20162, Italy

Location

Umberto I Polyclinic of Rome, Department of Cellular Biotechnology and Hematology, Hematology Center

Rome, 00161, Italy

Location

University Hospital San Giovanni Battista of Turin

Turin, 10126, Italy

Location

Jan Biziel University Hospital #2 in Bydgoszcz, Department of Hematology

Bydgoszcz, 85-168, Poland

Location

Independent Public Healthcare Facility Municipal Hospital Group in Chorzow, Department of Hematology

Chorzów, 41-500, Poland

Location

University Hospital in Krakow, Teaching Unit of the Hematology Department

Krakow, 31-501, Poland

Location

Nicolaus Copernicus Memorial Provincial Specialist Hospital in Lodz, Department of Hematology

Lodz, 93-513, Poland

Location

Independent Public Teaching Hospital No.1 in Lublin, Department of Hematology-Oncology and Bone Marrow Transplantation

Lublin, 20-081, Poland

Location

St. John of Dukla Oncology Center of Lublin, Department of Hematology

Lublin, 20-090, Poland

Location

Military Institute of Medicine, Department of Internal Medicine and Hematology

Warsaw, 04-141, Poland

Location

Hyperclnical MedLife PDR Vulturului Brasov, Hematology Department

Brasov, 500366, Romania

Location

Colentina Clinical Hospital, Department of Hematology

Bucharest, 020125, Romania

Location

Bucharest University Emergency Hospital, Department of Hematology

Bucharest, 050098, Romania

Location

S.P. Botkin City Clinical Hospital

Moscow, 125284, Russia

Location

N.A. Semashko Central Clinical Hospital #2 under OJSC Russian Railways

Moscow, 129128, Russia

Location

First I.P. Pavlov State Medical University of St. Petersburg

Saint Petersburg, 197022, Russia

Location

V.A. Almazov North-West Federal Medical Research Center, Chemotherapy of Oncohematology Diseases and Bone Marrow Transplantation Department #1

Saint Petersburg, 197341, Russia

Location

Clinical Center of Serbia, Clinic of Hematology

Belgrade, 11000, Serbia

Location

Institute of Oncology and Radiology of Serbia, Clinic of Medical Oncology

Belgrade, 11000, Serbia

Location

Clinical Center Kragujevac, Clinic of Hematology

Kragujevac, 34 000, Serbia

Location

Clinical Center Nis, Clinic of Hematology and Clinical Immunology

Niš, 18 000, Serbia

Location

Clinical Center of Vojvodina, Clinic of Hematology

Novi Sad, 21 000, Serbia

Location

University Hospital of the Canary Islands

San Cristóbal de La Laguna, Santa Cruz De Tenerife, 38320, Spain

Location

Catalan Institute of Oncology (ICO) Badalona

Badalona, 08916, Spain

Location

University Hospital of Vall d'Hebron

Barcelona, 08035, Spain

Location

University Hospital Infanta Leonor, Department of Hematology

Madrid, 28301, Spain

Location

University Clinical Hospital of Salamanca, Department of Hematology

Salamanca, 37007, Spain

Location

University Hospital Virgen del Rocio (HUVR)

Seville, 41013, Spain

Location

Cherkasy Regional Oncology Center, Regional Treatment and Diagnostic Hematology Center, Department of Hematology

Cherkasy, 18009, Ukraine

Location

City Clinical Hospital No.4 of Dnipro City Council, City hematology center

Dnipropetrovsk, Ukraine

Location

BMT Kiev Center

Kiev, Ukraine

Location

Kiev Cancer Institute

Kiev, Ukraine

Location

Institute of Blood Pathology and Transfusion Medicine, Department of Hematology with Laboratory Group

Lviv, 79044, Ukraine

Location

Vinnytsia M.I. Pyrohov Regional Clinical Hospital, Department of Hematology

Vinnytsia, 21018, Ukraine

Location

O.F. Herbachevskyi Regional Clinical Hospital, Hematology Department with Intensive Therapy Wards

Zhytomyr, 10008, Ukraine

Location

Belfast Heatlh & Social Care Trust Belfast City Hospital

Belfast, Northern Ireland, BT9 7AB, United Kingdom

Location

NHS Tayside Ninewells Hospital

Dundee, Scotland, DD1 9SY, United Kingdom

Location

Cardiff & Vale University Health Board University Hospital of Wales

Cardiff, Wales, CF14 4XW, United Kingdom

Location

University Hospitals Birmingham NHS Foundation Trust Queen Elizabeth Hospital

Birmingham, B15 2TH, United Kingdom

Location

The Leeds Teaching Hospitals NHS Trust St. James University Hospital

Leeds, LS9 7TF, United Kingdom

Location

University Hospitals of Leicester NHS Trust Royal Leicester Infirmary

Leicester, LE1 5WW, United Kingdom

Location

Royal Liverpool & Broadgreen University Hospital NHS Trust Royal Liverpool University Hospital

Liverpool, L7 8XP, United Kingdom

Location

London North West Healthcare NHS Trust Northwick Park Hospital

London, HA1 3UJ, United Kingdom

Location

University College London

London, NW3 2PF, United Kingdom

Location

King's College Hospital NHS Foundation Trust

London, SE5 9RS, United Kingdom

Location

Imperial College Healthcare NHS Trust Hammersmith Hospital

London, W12 0HS, United Kingdom

Location

The Christie NHS Foundation Trust

Manchester, M20 4BX, United Kingdom

Location

Freeman Hospital

Newcastle upon Tyne, NE7 7DN, United Kingdom

Location

The Royal Wolverhampton NHS Trust New Cross Hospital

Wolverhampton, WV10 0QP, United Kingdom

Location

Related Publications (7)

  • Jagannath S, Delimpasi S, Grosicki S, Van Domelen DR, Bentur OS, Spicka I, Dimopoulos MA. Association of Selinexor Dose Reductions With Clinical Outcomes in the BOSTON Study. Clin Lymphoma Myeloma Leuk. 2023 Dec;23(12):917-923.e3. doi: 10.1016/j.clml.2023.08.018. Epub 2023 Aug 29.

  • Schiller GJ, Lipe BC, Bahlis NJ, Tuchman SA, Bensinger WI, Sutherland HJ, Lentzsch S, Baljevic M, White D, Kotb R, Chen CI, Rossi A, Biran N, LeBlanc R, Grosicki S, Martelli M, Gunsilius E, Spicka I, Stevens DA, Facon T, Mesa MG, Zhang C, Van Domelen DR, Bentur OS, Gasparetto C. Selinexor-Based Triplet Regimens in Patients With Multiple Myeloma Previously Treated With Anti-CD38 Monoclonal Antibodies. Clin Lymphoma Myeloma Leuk. 2023 Sep;23(9):e286-e296.e4. doi: 10.1016/j.clml.2023.06.001. Epub 2023 Jun 5.

  • Delimpasi S, Mateos MV, Auner HW, Gavriatopoulou M, Dimopoulos MA, Quach H, Pylypenko H, Hajek R, Leleu X, Dolai TK, Sinha DK, Venner CP, Benjamin R, Garg MK, Doronin V, Levy Y, Moreau P, Chai Y, Arazy M, Shah J, Shacham S, Kauffman MG, Richardson PG, Grosicki S. Efficacy and tolerability of once-weekly selinexor, bortezomib, and dexamethasone in comparison with standard twice-weekly bortezomib and dexamethasone in previously treated multiple myeloma with renal impairment: Subgroup analysis from the BOSTON study. Am J Hematol. 2022 Mar 1;97(3):E83-E86. doi: 10.1002/ajh.26434. Epub 2021 Dec 29. No abstract available.

  • Richard S, Chari A, Delimpasi S, Simonova M, Spicka I, Pour L, Kriachok I, Dimopoulos MA, Pylypenko H, Auner HW, Leleu X, Usenko G, Hajek R, Benjamin R, Dolai TK, Sinha DK, Venner CP, Garg M, Stevens DA, Quach H, Jagannath S, Moreau P, Levy M, Badros A, Anderson LD Jr, Bahlis NJ, Facon T, Mateos MV, Cavo M, Chang H, Landesman Y, Chai Y, Arazy M, Shah J, Shacham S, Kauffman MG, Grosicki S, Richardson PG. Selinexor, bortezomib, and dexamethasone versus bortezomib and dexamethasone in previously treated multiple myeloma: Outcomes by cytogenetic risk. Am J Hematol. 2021 Sep 1;96(9):1120-1130. doi: 10.1002/ajh.26261. Epub 2021 Jul 5.

  • Mateos MV, Gavriatopoulou M, Facon T, Auner HW, Leleu X, Hajek R, Dimopoulos MA, Delimpasi S, Simonova M, Spicka I, Pour L, Kriachok I, Pylypenko H, Doronin V, Usenko G, Benjamin R, Dolai TK, Sinha DK, Venner CP, Garg M, Stevens DA, Quach H, Jagannath S, Moreau P, Levy M, Badros AZ, Anderson LD Jr, Bahlis NJ, Cavo M, Chai Y, Jeha J, Arazy M, Shah J, Shacham S, Kauffman MG, Richardson PG, Grosicki S. Effect of prior treatments on selinexor, bortezomib, and dexamethasone in previously treated multiple myeloma. J Hematol Oncol. 2021 Apr 13;14(1):59. doi: 10.1186/s13045-021-01071-9.

  • Auner HW, Gavriatopoulou M, Delimpasi S, Simonova M, Spicka I, Pour L, Dimopoulos MA, Kriachok I, Pylypenko H, Leleu X, Doronin V, Usenko G, Hajek R, Benjamin R, Dolai TK, Sinha DK, Venner CP, Garg M, Stevens DA, Quach H, Jagannath S, Moreau P, Levy M, Badros A, Anderson LD Jr, Bahlis NJ, Facon T, Mateos MV, Cavo M, Chai Y, Arazy M, Shah J, Shacham S, Kauffman MG, Richardson PG, Grosicki S. Effect of age and frailty on the efficacy and tolerability of once-weekly selinexor, bortezomib, and dexamethasone in previously treated multiple myeloma. Am J Hematol. 2021 Jun 1;96(6):708-718. doi: 10.1002/ajh.26172. Epub 2021 May 3.

  • Grosicki S, Simonova M, Spicka I, Pour L, Kriachok I, Gavriatopoulou M, Pylypenko H, Auner HW, Leleu X, Doronin V, Usenko G, Bahlis NJ, Hajek R, Benjamin R, Dolai TK, Sinha DK, Venner CP, Garg M, Gironella M, Jurczyszyn A, Robak P, Galli M, Wallington-Beddoe C, Radinoff A, Salogub G, Stevens DA, Basu S, Liberati AM, Quach H, Goranova-Marinova VS, Bila J, Katodritou E, Oliynyk H, Korenkova S, Kumar J, Jagannath S, Moreau P, Levy M, White D, Gatt ME, Facon T, Mateos MV, Cavo M, Reece D, Anderson LD Jr, Saint-Martin JR, Jeha J, Joshi AA, Chai Y, Li L, Peddagali V, Arazy M, Shah J, Shacham S, Kauffman MG, Dimopoulos MA, Richardson PG, Delimpasi S. Once-per-week selinexor, bortezomib, and dexamethasone versus twice-per-week bortezomib and dexamethasone in patients with multiple myeloma (BOSTON): a randomised, open-label, phase 3 trial. Lancet. 2020 Nov 14;396(10262):1563-1573. doi: 10.1016/S0140-6736(20)32292-3.

MeSH Terms

Conditions

Multiple MyelomaRecurrence

Interventions

selinexorBortezomibDexamethasone

Condition Hierarchy (Ancestors)

Neoplasms, Plasma CellNeoplasms by Histologic TypeNeoplasmsHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Boronic AcidsAcids, NoncarboxylicAcidsInorganic ChemicalsBoron CompoundsOrganic ChemicalsPyrazinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsPregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, Fluorinated

Results Point of Contact

Title
Karyopharm Medical Information
Organization
Karyopharm Therapeutics Inc.

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Primary part is parallel (SVd vs Vd treatment arm). Participants who received Vd were allowed to cross-over to receive either SVd or SdX treatment arm.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 7, 2017

First Posted

April 12, 2017

Study Start

May 24, 2017

Primary Completion

February 18, 2020

Study Completion

May 12, 2022

Last Updated

August 21, 2024

Results First Posted

July 8, 2021

Record last verified: 2024-07

Locations