Selinexor Treatment of Advanced Relapsed/Refractory Squamous Cell Carcinomas

NCT ID: NCT02213133

Last Updated: 2023-01-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-22

Study Completion Date

2015-12-10

Brief Summary

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Open-label, multi-center, single-arm, Phase 2 study of oral selinexor in patients with SCC of the head and neck (HN-SCC; Cohort 1), lung (L-SCC; Cohort 2), or esophagus (E-SCC; Cohort 3) who have relapsed or have metastasis following chemotherapy.

Detailed Description

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This is a multicenter, open-label, single-arm Phase 2 study of the SINE selinexor given orally to patients diagnosed with advanced SCC of the head and neck, lung, or esophagus who have experienced relapse and/or metastasis following multiple prior chemotherapy treatments (\<2 lines of therapy).

Patients will receive fixed doses of selinexor tablets twice weekly in 28-day cycles. Patients may continue from one cycle to the next without interruption as along as all criteria are met and no reason for discontinuation occurs.

Conditions

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Squamous Cell Carcinoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1: Head and Neck-SCC

Participants with advanced squamous cell carcinoma (SCC) of head and neck, who had relapsed or had metastasis following chemotherapy, received a fixed dose of 60 milligram (mg) selinexor oral tablets twice weekly on Days 1 and 3 of a 28-day cycle (8 doses in 4 weeks) until disease progression or development of unacceptable toxicities. After completion of Cycle 2, for participants with absence of any grade 2 toxicity and thrombocytopenia (platelets less than \[\<\] 100\*10\^9 per litre \[/L\]), dose may be increased to 80 mg selinexor oral tablets twice weekly as assessed by investigator in a 28-day cycle until disease progression or development of unacceptable toxicities.

Group Type EXPERIMENTAL

Selinexor (KPT-330)

Intervention Type DRUG

Oral tablet or suspension at 60, 80, 100 or 120 mg per patient-specific body surface area category. Dosing will occur twice weekly in 28-days cycle.

Cohort 2: Lungs-SCC

Participants with advanced SCC of lungs, who had relapsed or had metastasis following chemotherapy, received a fixed dose of 60 mg selinexor oral tablets twice weekly on Days 1 and 3 of a 28-day cycle (8 doses in 4 weeks) until disease progression or development of unacceptable toxicities. After completion of Cycle 2, for participants with absence of any grade 2 toxicity and thrombocytopenia (platelets \<100\*10\^9/L), dose may be increased to 80 mg selinexor oral tablets twice weekly as assessed by investigator in a 28-day cycle until disease progression or development of unacceptable toxicities.

Group Type EXPERIMENTAL

Selinexor (KPT-330)

Intervention Type DRUG

Oral tablet or suspension at 60, 80, 100 or 120 mg per patient-specific body surface area category. Dosing will occur twice weekly in 28-days cycle.

Cohort 3: Esophagus-SCC

Participants with advanced SCC of esophagus, who had relapsed or had metastasis following chemotherapy, received a fixed dose of 60 mg selinexor oral tablets twice weekly on Days 1 and 3 of a 28-day cycle (8 doses in 4 weeks) until disease progression or development of unacceptable toxicities. After completion of Cycle 2, for participants with absence of any grade 2 toxicity and thrombocytopenia (platelets \<100\*10\^9/L), dose may be increased to 80 mg selinexor oral tablets twice weekly as assessed by investigator in a 28-day cycle until disease progression or development of unacceptable toxicities.

Group Type EXPERIMENTAL

Selinexor (KPT-330)

Intervention Type DRUG

Oral tablet or suspension at 60, 80, 100 or 120 mg per patient-specific body surface area category. Dosing will occur twice weekly in 28-days cycle.

Interventions

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Selinexor (KPT-330)

Oral tablet or suspension at 60, 80, 100 or 120 mg per patient-specific body surface area category. Dosing will occur twice weekly in 28-days cycle.

Intervention Type DRUG

Other Intervention Names

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KPT-330

Eligibility Criteria

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Inclusion Criteria

* 18 years of age or older
* confirmed SCC of the head and neck, lung, or esophagus
* 1 to 2 prior therapies
* measurable disease at screening and documented progression within the past 6 weeks

Exclusion Criteria

* patients requiring total parenteral nutrition
* unstable cardiovascular function
* substantially impaired gastrointestinal function
* Symptomatic brain metastases
* another malignancy within 3 years except adequately treated in situ carcinoma of any type, basal or non-melanomatous skin cancer
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Karyopharm Therapeutics Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Colorado Cancer Center

Aurora, Colorado, United States

Site Status

Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, United States

Site Status

Northwestern University

Evanston, Illinois, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Dana-Farber Cancer Institute / Harvard University

Boston, Massachusetts, United States

Site Status

Metrowest Medical Center

Framingham, Massachusetts, United States

Site Status

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Washington University School of Medicine / Washington University in St. Louis

St Louis, Missouri, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

Herbert Irving Comprehensive Cancer Center / Columbia University

New York, New York, United States

Site Status

Gabrail Cancer Center

Canton, Ohio, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Sarah Cannon Research Institute - Tennessee Oncology

Nashville, Tennessee, United States

Site Status

Vanderbilt-Ingram Cancer Center / Vanderbilt University

Nashville, Tennessee, United States

Site Status

Mary Crowley Cancer Research Center / Texas Oncology

Dallas, Texas, United States

Site Status

University of Washington

Seattle, Washington, United States

Site Status

Princess Margaret Hospital

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

Other Identifiers

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KCP-330-006

Identifier Type: -

Identifier Source: org_study_id

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