Selinexor in Patients With Advanced Thymoma and Thymic Carcinoma

NCT ID: NCT03466827

Last Updated: 2018-03-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-12

Study Completion Date

2020-07-01

Brief Summary

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The aim of the study is to determine the efficacy of selinexor in adults with TETs determined by overall response rate (RECIST 1.1) in two parallel cohorts of patients with advanced thymomas or thymic carcinomas. The study is an international, multicenter, open label phase II trial using Simons two stage design. The study population is adults with histologically confirmed, advanced, inoperable TETs who are progressing after treatment with least one platinum containing chemotherapy regimen.

This study is comprised of 2 similar phase II tirals, one running in EU (25 patients) and one running in US (25 patients).

There are two study arms:

Arm A: Thymoma

* Stage 1: 15 patients
* Stage 2: 10 patients

Arm B: Thymic carcinoma

* Stage 1: 15 patients
* Stage 2: 10 patients

Detailed Description

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Not provided

Conditions

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Thymoma Advanced Thymic Epithelial Tumour

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Selinexor

Selinexor 60 mg oral tablets will be administered twice weekly, either Monday/Wednesday or on Tuesday/Thursday or on Wednesday/Friday in a 3-weeks-on and 1-week-off Schedule.

Intervention Type DRUG

Other Intervention Names

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KPT-330

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed advanced TET (thymoma or thymic carcinoma)
* Inoperable per local Investigator (Masaoka Stage III or IV)
* Progression after treatment with least one platinum containing chemotherapyregimen
* Measurable disease (RECIST 1.1)
* Age ≥18 years
* ECOG PS \<2
* Patients must have recovered from the toxic effects of prior therapy at the time of initiation of the study drug unless toxicity is stable.
* A 4 weeks interval from any investigational agents or cytotoxic chemotherapy to start of study is required
* Signed informed consent
* Adequate bone marrow function and organ function:

* Hematopoietic function: total white blood cell count (WBC) ≥ 3000/mm³, absolute neutrophil count (ANC) ≥ 1500/mm³, platelet count ≥ 100,000/mm²
* Hepatic function: bilirubin \< 1.5 times the upper limit of normal (ULN), ALT \< 2.5 times ULN or ALT \< 5.0 times ULN in the presence of liver metastases
* Creatinine clearance \> 30 ml/min according to Cockcroft-Gault
* Patients of childbearing potential must agree to use adequate birth control during and for 3 months after participation in this study

Exclusion Criteria

* No significant medical illness that in the investigator's opinion cannot be adequately controlled with appropriate therapy or would compromise the patient's ability to tolerate this therapy, including

* Unstable cardiovascular function
* Known active hepatitis A, B, or C infection; or known to be positive for HCV RNA or HBsAg (HBV surface antigen)
* Markedly decreased visual acuity
* Active infection requiring intravenous antibiotics
* Pregnancy or breast-feeding
* Symptomatic brain metastasis requiring corticosteroids
* Uncontrolled autoimmune disorders. Patients with autoimmune disorders under control on medication may be included. Patients with pure red cell aplasia may be included if haemoglobin levels are relatively stable on transfusions or medication
* Any other cancer (excluding radically operated localised squamous skin cancer) with clinical activity within the last 2 years
* Significantly diseased or obstructed gastrointestinal tract, malabsorption, uncontrolled vomiting or diarrhea or inability to swallow oral medications
* No dehydration of NCI-CTCAE grade ≥ 1
* Serious psychiatric or medical conditions that could interfere with treatment.
* No history of organ allograft
* No concurrent therapy with approved or investigational anticancer therapeutics
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut Curie

OTHER

Sponsor Role collaborator

Gustave Roussy, Cancer Campus, Grand Paris

OTHER

Sponsor Role collaborator

Hospices Civils de Lyon

OTHER

Sponsor Role collaborator

GSO Global Clinical Research BV

OTHER

Sponsor Role collaborator

Karyopharm Therapeutics Inc

INDUSTRY

Sponsor Role collaborator

Morten Mau-Soerensen

OTHER

Sponsor Role lead

Responsible Party

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Morten Mau-Soerensen

Chief Physician, MD, PhD

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Morten Mau-Soerensen, MD, PhD

Role: STUDY_DIRECTOR

Rigshospitalet, Denmark

Locations

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Rigshospitalet

Copenhagen, , Denmark

Site Status RECRUITING

Hospices Civils de Lyon

Lyon, , France

Site Status NOT_YET_RECRUITING

Intitut Curie

Paris, , France

Site Status NOT_YET_RECRUITING

Intitut Gustave Roussy

Paris, , France

Site Status NOT_YET_RECRUITING

Countries

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Denmark France

Central Contacts

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Morten Mau-Soerensen, MD, PhD

Role: CONTACT

+45 3545 0879

Kristoffer S Rohrberg, MD, PhD

Role: CONTACT

+45 3545 6353

Facility Contacts

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Morten Mau-Soerensen, MD, PhD

Role: primary

+ 45 3545 0879

Kristoffer S Rohrberg, MD, PhD

Role: backup

+45 3545 6353

Marylise Ginoux, Professor

Role: primary

Nicolas Girard, Professor

Role: primary

Benjamin Besse, Professor

Role: primary

Other Identifiers

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TET-SEL

Identifier Type: -

Identifier Source: org_study_id

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