Bortezomib, Selinexor, and Dexamethasone in Patients With Multiple Myeloma

NCT ID: NCT03110562

Last Updated: 2024-08-21

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

402 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-24

Study Completion Date

2022-05-12

Brief Summary

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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.

Detailed Description

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Conditions

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Multiple Myeloma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

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.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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SVd Arm: Selinexor + Bortezomib + Dexamethasone

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.

Group Type EXPERIMENTAL

Selinexor

Intervention Type DRUG

oral 100 mg dose

Bortezomib

Intervention Type DRUG

subcutaneous dose of 1.3 mg/m2

Dexamethasone

Intervention Type DRUG

oral dose of 20mg

Vd Arm: Bortezomib + Dexamethasone

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.

Group Type EXPERIMENTAL

Bortezomib

Intervention Type DRUG

subcutaneous dose of 1.3 mg/m2

Dexamethasone

Intervention Type DRUG

oral dose of 20mg

SVdX Arm: Selinexor + Bortezomib + Dexamethasone

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.

Group Type EXPERIMENTAL

Selinexor

Intervention Type DRUG

oral 100 mg dose

Bortezomib

Intervention Type DRUG

subcutaneous dose of 1.3 mg/m2

Dexamethasone

Intervention Type DRUG

oral dose of 20mg

SdX Arm: Selinexor + Dexamethasone

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.

Group Type EXPERIMENTAL

Selinexor

Intervention Type DRUG

oral 100 mg dose

Dexamethasone

Intervention Type DRUG

oral dose of 20mg

Interventions

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Selinexor

oral 100 mg dose

Intervention Type DRUG

Bortezomib

subcutaneous dose of 1.3 mg/m2

Intervention Type DRUG

Dexamethasone

oral dose of 20mg

Intervention Type DRUG

Other Intervention Names

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Velcade®

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed MM with measurable disease per IMWG guidelines as defined by at least 1 of the following:

1. 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
2. Urinary M-protein excretion at least 200 mg/24 hours; or
3. Serum free light chain (FLC) ≥ 100 mg/L, provided that the serum FLC ratio is abnormal (normal FLC ratio: 0.26 to 1.65).
2. 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.
3. 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.
4. Prior treatment with bortezomib or other Proteasome Inhibitor (PI) is allowed, provided all of the following criteria are met:

1. 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
2. Participant did not discontinue bortezomib due to ≥ Grade 3 related toxicity, AND
3. Must have had at least a 6-month PI-treatment-free interval prior to Cycle 1 Day 1 (C1D1) of study treatment.
5. Must have an ECOG Status score of 0, 1, or 2.
6. Written informed consent in accordance with federal, local, and institutional guidelines.
7. Age ≥18 years.
8. 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.
9. Adequate hepatic function within 28 days prior to C1D1.

1. Total bilirubin \<1.5 × upper limit of normal (ULN) (except patients with Gilbert's syndrome who must have a total bilirubin of \<3 × ULN), and
2. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) normal to \<2 × ULN.
10. Adequate renal function within 28 days prior to C1D1 (estimated creatinine clearance \[CrCl\] of ≥20 mL/min, calculated using the formula of Cockroft and Gault):

(140-Age) × Mass (kg)/(72 × creatinine mg/dL) Multiply by 0.85 if the patient is female, or if CrCl is ≥20 mL/min as measured by 24-hour urine collection.

11\. Adequate hematopoietic function within 7 days prior to C1D1: total white blood cell (WBC) count ≥1500/mm3, absolute neutrophil count ≥1000/mm3, hemoglobin ≥8.5 g/dL and platelet count ≥75,000/mm3 (patients for whom \< 50% of bone marrow nucleated cells are plasma cells) or ≥50,000/mm3 (patients for whom ≥50% of bone marrow nucleated cells are plasma cells).

1. Patients receiving hematopoietic growth factor support, including erythropoietin, darbepoetin, granulocyte-colony stimulating factor (G-CSF), granulocyte macrophage-colony stimulating factor (GM-CSF), and platelet stimulators (eg, eltrombopag, romiplostim, or interleukin-11) must have a 2-week interval between growth factor support and the Screening assessments, but they may receive growth factor support during the study.
2. Patients must have:

* At least a 2-week interval from the last red blood cell (RBC) transfusion prior to the Screening hemoglobin assessment, and
* At least a 1-week interval from the last platelet transfusion prior to the Screening platelet assessment.

However, patients may receive RBC and/or platelet transfusions as clinically indicated per institutional guidelines during the study.

12\. Female patients of childbearing potential must have a negative serum pregnancy test at Screening. Female patients of childbearing potential and fertile male patients who are sexually active with a female of childbearing potential must use highly effective methods of contraception throughout the study and for 3 months following the last dose of study treatment.

Exclusion Criteria

1. Prior exposure to a SINE compound (i.e. an XPO-1 inhibitor), including selinexor.
2. 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.
3. 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.
4. 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.
5. Active plasma cell leukemia.
6. Documented systemic light chain amyloidosis.
7. MM involving the central nervous system.
8. Polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome.
9. Spinal cord compression.
10. Greater than Grade 2 neuropathy or ≥ Grade 2 neuropathy with pain at baseline, regardless of whether or not the patient is currently receiving medication
11. Known intolerance, hypersensitivity, or contraindication to glucocorticoids.
12. 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.
13. Prior autologous stem cell transplantation \< 1 month or allogeneic stem cell transplantation \< 4 months prior to C1D1.
14. Active graft versus host disease (after allogeneic stem cell transplantation) at C1D1.
15. Pregnant or breastfeeding females.
16. Body Surface Area \< 1.4 m² at baseline, calculated by the Dubois or Mosteller method.
17. Life expectancy of \< 4 months.
18. Major surgery within 4 weeks prior to C1D1.
19. Active, unstable cardiovascular function:

1. Symptomatic ischemia, or
2. Uncontrolled clinically significant conduction abnormalities (e.g., patients with ventricular tachycardia on anti-arrhythmics are excluded; patients with first-degree atrioventricular block or asymptomatic left anterior fascicular block/right bundle branch block will not be excluded), or
3. Congestive heart failure of New York Heart Association Class ≥ 3 or known left ventricular ejection fraction \< 40%, or
4. Myocardial infarction within 3 months prior to C1D1.
20. Known active human immunodeficiency virus (HIV) infection or HIV seropositivity
21. Known active hepatitis A, B, or C infection; or known to be positive for hepatitis C virus ribonucleic acid (RNA) or hepatitis B virus surface antigen.
22. Any active gastrointestinal dysfunction interfering with the patient's ability to swallow tablets, or any active gastrointestinal dysfunction that could interfere with absorption of study treatment.
23. Any active, serious psychiatric, medical, or other conditions/situations that, in the opinion of the Investigator, could interfere with treatment, compliance, or the ability to give informed consent.
24. Contraindication to any of the required concomitant drugs or supportive treatments.
25. Patients unwilling or unable to comply with the protocol, including providing 24-hour urine samples for urine protein electrophoresis at the required time points.
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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Boca Raton Clinical Research (BRCR) Medical Center

Plantation, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Kaiser Permanente Hawaii

Honolulu, Hawaii, United States

Site Status

McFarland Clinic

Ames, Iowa, United States

Site Status

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

Topeka, Kansas, United States

Site Status

Commonwealth Hematology

Danville, Kentucky, United States

Site Status

Norton Cancer Institute

Louisville, Kentucky, United States

Site Status

University of Maryland

Baltimore, Maryland, United States

Site Status

Central Care Cancer Center

Bolivar, Missouri, United States

Site Status

The Valley Hospital Luckow Pavilion

Paramus, New Jersey, United States

Site Status

Mount Sinai

New York, New York, United States

Site Status

The Cancer Institute at St. Francis Hospital

Roslyn, New York, United States

Site Status

Novant-Forsyth Memorial Hospital

Winston-Salem, North Carolina, United States

Site Status

University of Cincinnati Health

Cincinnati, Ohio, United States

Site Status

Southwest Cancer Center of Oklahoma

Lawton, Oklahoma, United States

Site Status

Kaiser Permanente Northwest OR

Portland, Oregon, United States

Site Status

SCOR AnMed Health Cancer Center

Anderson, South Carolina, United States

Site Status

Prairie Lakes Healthcare

Watertown, South Dakota, United States

Site Status

Baylor Sammons Cancer Center

Dallas, Texas, United States

Site Status

University of Texas Southwestern

Dallas, Texas, United States

Site Status

Calvary Mater Newcastle

Waratah, New South Wales, Australia

Site Status

Royal Brisbane and Women's Hospital

Herston, Queensland, Australia

Site Status

Mater Misericordiae Limited and Mater Medical Research

South Brisbane, Queensland, Australia

Site Status

Gold Coast University Hospital

Southport, Queensland, Australia

Site Status

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status

Flinders Medical Centre

Bedford Park, South Australia, Australia

Site Status

St. Vincent's Hospital Melbourne

Fitzroy, Victoria, Australia

Site Status

The Alfred Hospital

Melbourne, Victoria, Australia

Site Status

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

Innsbruck, , Austria

Site Status

University Hospital Krems, Department of Internal Medicine II

Krems, , Austria

Site Status

Medical University of Vienna

Vienna, , Austria

Site Status

General Hospital Hietzing

Vienna, , Austria

Site Status

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

Vienna, , Austria

Site Status

Jules Bordet Institute

Brussels, , Belgium

Site Status

UCL Saint-Luc

Brussels, , Belgium

Site Status

University Hospital Ghent

Ghent, , Belgium

Site Status

General Hospital Delta

Roeselare, , Belgium

Site Status

St. Augustinus Hospital

Wilrijk, , Belgium

Site Status

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

Plovdiv, , Bulgaria

Site Status

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

Sofia, , Bulgaria

Site Status

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

Sofia, , Bulgaria

Site Status

Tom Baker Cancer Center/ Alberta Health Services

Calgary, Alberta, Canada

Site Status

Cross Cancer Institute / University of Alberta

Edmonton, Alberta, Canada

Site Status

Vancouver General Hospital

Vancouver, British Columbia, Canada

Site Status

Queen Elizabeth II Health Sciences Center

Halifax, Nova Scotia, Canada

Site Status

North East Cancer Centre Sudbury

Greater Sudbury, Ontario, Canada

Site Status

Princess Margaret Cancer Research

Toronto, Ontario, Canada

Site Status

Maisonneuve-Rosemont Hospital

Montreal, Quebec, Canada

Site Status

Royal Victoria Hospital / McGill University

Montreal, Quebec, Canada

Site Status

L'Hôtel-Dieu de Québec

Québec, Quebec, Canada

Site Status

Saskatchewan Cancer Agency-Allan Blair Cancer Centre

Regina, Saskatchewan, Canada

Site Status

Saskatoon Cancer Center

Saskatoon, Saskatchewan, Canada

Site Status

General University Hospital in Prague

Prague, Prague, Czechia

Site Status

University Hopsital Brno

Brno, , Czechia

Site Status

University Hospital Hradec Kralove

Hradec Králové, , Czechia

Site Status

University Hospital Olomouc

Olomouc, , Czechia

Site Status

University Hospital Ostrava, Dept. of Hematooncology

Ostrava, , Czechia

Site Status

University Hospital Kralovske Vinohrady, Clinic of Internal Hematology

Prague, , Czechia

Site Status

Hospital Center Departmental La Roche-Sur-Yon

La Roche-sur-Yon, , France

Site Status

Claude Huriez Hospital

Lille, , France

Site Status

South Lyon Hospital Center

Lyon, , France

Site Status

Brabois Adults Hospital, University Hospital Center of Nancy

Nancy, , France

Site Status

Nantes University Hospital Center

Nantes, , France

Site Status

Saint-Louis Hospital

Paris, , France

Site Status

Miletrie Hospital, University Hospital Center of Poitiers

Poitiers, , France

Site Status

Necker Children's Hospital, Department of Adult Hematology

Paris, Île-de-France Region, France

Site Status

University Hospital Freiburg, Department of Internal Medicine I

Freiburg im Breisgau, Baden-Wurttemberg, Germany

Site Status

Klinikum Leverkusen gGmbH Medizinisxhe Klinik 3

Leverkusen, North Rhine Westfalia, Germany

Site Status

Group Practice for Hematology and Oncology

Dresden, Saxony, Germany

Site Status

Alexandra General Hospital, Therapeutic Clinic

Athens, , Greece

Site Status

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

Athens, , Greece

Site Status

University General Hospital of Patra

Pátrai, , Greece

Site Status

Theageneion Cancer Hospital, Hematology Department

Thessaloniki, , Greece

Site Status

Semmelweis University, 1st Department of Internal Medicine

Budapest, , Hungary

Site Status

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

Budapest, , Hungary

Site Status

Semmelweis University, 3rd Department of Internal Medicine

Budapest, , Hungary

Site Status

Kaposi Mor Teaching Hospital, 2nd Department of Internal Medicine

Kaposvár, , Hungary

Site Status

Medical Center of the University of Pecs, Department of Hematology

Pécs, , Hungary

Site Status

Regional Cancer Centre

Patna, Bihar, India

Site Status

Regional Cancer Centre

Thiruvananthapuram, Kerala, India

Site Status

Prince Aly Khan Hospital

Mumbai, Maharashta, India

Site Status

Jaslok Hospital and Research Centre

Mumbai, Maharashta, India

Site Status

Bhaktivedanta Hospital

Thāne, Maharashtra, India

Site Status

IMS & SUM Hospital

Bhubaneswar, Odisha, India

Site Status

Postgraduate Institute of Medical Education & Research (PGIMER)

Chandigarh, Punjab, India

Site Status

Dayanand Medical College & Hospital

Ludhiana, Punjab, India

Site Status

Cancer Institute

Chennai, Tamil Nadu, India

Site Status

SRM Institute of Medical Sciences

Chennai, Tamil Nadu, India

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Saveetha Medical College Hospital

Chennai, Tamil Nadu, India

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G. Kuppuswamy Naidu Hospital

Coimbatore, Tamil Nadu, India

Site Status

Asviratham Speciality Hospital

Madurai, Tamil Nadu, India

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Meenakshi Mission Hospital

Madurai, Tamil Nadu, India

Site Status

Yashoda Hospital

Hyderabad, Telangana, India

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King George's Medical University

Lucknow, Uttar Pradesh, India

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Netaji Subhash Chandra Bose Cancer Research Institute

Kolkata, West Bengal, India

Site Status

Nil Ratan Sircar (NRS) Medical College

Kolkata, West Bengal, India

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TATA Memorial Centre

Kolkata, West Bengal, India

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Rajiv Gandhi Cancer Hospital

New Delhi, , India

Site Status

Barzilai Medical Center

Ashkelon, , Israel

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Rambam Health Care Campus

Haifa, , Israel

Site Status

Hadassah Medical Center

Jerusalem, , Israel

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Rabin Medical Center

Petah Tikva, , Israel

Site Status

Hospital Santa Maria of Terni

Terni, Umbria, Italy

Site Status

Azienda Ospedaliero-Universitaria Ospedali Riuniti

Ancona, , Italy

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ASST Papa Giovanni XXIII

Bergamo, , Italy

Site Status

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

Bologna, , Italy

Site Status

University Hospital Careggi, Department of Hematology

Florence, , Italy

Site Status

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

Genoa, , Italy

Site Status

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

Milan, , Italy

Site Status

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

Rome, , Italy

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University Hospital San Giovanni Battista of Turin

Turin, , Italy

Site Status

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

Bydgoszcz, , Poland

Site Status

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

Chorzów, , Poland

Site Status

University Hospital in Krakow, Teaching Unit of the Hematology Department

Krakow, , Poland

Site Status

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

Lodz, , Poland

Site Status

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

Lublin, , Poland

Site Status

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

Lublin, , Poland

Site Status

Military Institute of Medicine, Department of Internal Medicine and Hematology

Warsaw, , Poland

Site Status

Hyperclnical MedLife PDR Vulturului Brasov, Hematology Department

Brasov, , Romania

Site Status

Colentina Clinical Hospital, Department of Hematology

Bucharest, , Romania

Site Status

Bucharest University Emergency Hospital, Department of Hematology

Bucharest, , Romania

Site Status

S.P. Botkin City Clinical Hospital

Moscow, , Russia

Site Status

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

Moscow, , Russia

Site Status

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

Saint Petersburg, , Russia

Site Status

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

Saint Petersburg, , Russia

Site Status

Clinical Center of Serbia, Clinic of Hematology

Belgrade, , Serbia

Site Status

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

Belgrade, , Serbia

Site Status

Clinical Center Kragujevac, Clinic of Hematology

Kragujevac, , Serbia

Site Status

Clinical Center Nis, Clinic of Hematology and Clinical Immunology

Niš, , Serbia

Site Status

Clinical Center of Vojvodina, Clinic of Hematology

Novi Sad, , Serbia

Site Status

University Hospital of the Canary Islands

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

Site Status

Catalan Institute of Oncology (ICO) Badalona

Badalona, , Spain

Site Status

University Hospital of Vall d'Hebron

Barcelona, , Spain

Site Status

University Hospital Infanta Leonor, Department of Hematology

Madrid, , Spain

Site Status

University Clinical Hospital of Salamanca, Department of Hematology

Salamanca, , Spain

Site Status

University Hospital Virgen del Rocio (HUVR)

Seville, , Spain

Site Status

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

Cherkasy, , Ukraine

Site Status

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

Dnipropetrovsk, , Ukraine

Site Status

BMT Kiev Center

Kiev, , Ukraine

Site Status

Kiev Cancer Institute

Kiev, , Ukraine

Site Status

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

Lviv, , Ukraine

Site Status

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

Vinnytsia, , Ukraine

Site Status

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

Zhytomyr, , Ukraine

Site Status

Belfast Heatlh & Social Care Trust Belfast City Hospital

Belfast, Northern Ireland, United Kingdom

Site Status

NHS Tayside Ninewells Hospital

Dundee, Scotland, United Kingdom

Site Status

Cardiff & Vale University Health Board University Hospital of Wales

Cardiff, Wales, United Kingdom

Site Status

University Hospitals Birmingham NHS Foundation Trust Queen Elizabeth Hospital

Birmingham, , United Kingdom

Site Status

The Leeds Teaching Hospitals NHS Trust St. James University Hospital

Leeds, , United Kingdom

Site Status

University Hospitals of Leicester NHS Trust Royal Leicester Infirmary

Leicester, , United Kingdom

Site Status

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

Liverpool, , United Kingdom

Site Status

London North West Healthcare NHS Trust Northwick Park Hospital

London, , United Kingdom

Site Status

University College London

London, , United Kingdom

Site Status

King's College Hospital NHS Foundation Trust

London, , United Kingdom

Site Status

Imperial College Healthcare NHS Trust Hammersmith Hospital

London, , United Kingdom

Site Status

The Christie NHS Foundation Trust

Manchester, , United Kingdom

Site Status

Freeman Hospital

Newcastle upon Tyne, , United Kingdom

Site Status

The Royal Wolverhampton NHS Trust New Cross Hospital

Wolverhampton, , United Kingdom

Site Status

Countries

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United States Australia Austria Belgium Bulgaria Canada Czechia France Germany Greece Hungary India Israel Italy Poland Romania Russia Serbia Spain Ukraine United Kingdom

References

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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.

Reference Type DERIVED
PMID: 37743180 (View on PubMed)

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.

Reference Type DERIVED
PMID: 37393120 (View on PubMed)

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.

Reference Type DERIVED
PMID: 34882831 (View on PubMed)

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.

Reference Type DERIVED
PMID: 34062004 (View on PubMed)

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.

Reference Type DERIVED
PMID: 33849608 (View on PubMed)

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.

Reference Type DERIVED
PMID: 33755235 (View on PubMed)

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.

Reference Type DERIVED
PMID: 33189178 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

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Document Type: Statistical Analysis Plan

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Other Identifiers

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KCP-330-023

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Identifier Source: org_study_id

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