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COMPLETED
NCT04256707
PHASE1/PHASE2

Relative Bioavailability/Bioequivalence of Different Formulations of Selinexor, the Impact of Hepatic Impairment on Selinexor Pharmacokinetics, Tolerability and Antitumor Activity of Selinexor Combination Treatment

Sponsor: Karyopharm Therapeutics Inc

View on ClinicalTrials.gov

Summary

This is a Phase 1/2, two-part, multi-arm, open-label study in patients with normal Hepatic Function (HF), with either Non-small cell lung cancer (NSCLC), who have had 1-2 prior lines of treatment, with 1 line containing a checkpoint Inhibitor (CPI); or patients with normal HF, with colorectal cancer (CRC) who have had 1-3 prior lines (KRAS wild-type \[WT\]) or 1-2 prior lines (mutant KRAS) of treatment with no CPI; or patients with impaired HF, with any solid tumor, who have had at least 1 prior line of treatment. The study will comprise 2 treatment periods (monotherapy and combination therapy). The purposes of this study, during Monotherapy period, are: (1) to determine the relative bioavailability of the 100 milligrams (mg) (Tablet B) and 20 mg (Tablet A) tablets of selinexor at 100 mg once weekly (QW) dose in patients with normal hepatic function; and (2) to assess the PK of selinexor after a single dose of 40 mg (2 × 20 mg), among patients with moderate and severe hepatic impairment, relative to 100 mg (5 × 20 mg), among patients with normal hepatic function; and, during the Combination therapy period, to assess the preliminary anti-tumor activity of selinexor in combination with docetaxel in patients with NSCLC and with pembrolizumab or folinic acid, 5-fluorouracil, and irinotecan (FOLFIRI) in patients with CRC.

Official title: Open-Label, Phase 1/2 Study Evaluating the Relative Bioavailability/Bioequivalence of Different Formulations of Selinexor, the Impact of Hepatic Impairment on Selinexor Pharmacokinetics, and the Tolerability and Antitumor Activity of Selinexor Combination Treatment (SPRINT)

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

80

Start Date

2020-02-09

Completion Date

2024-07-31

Last Updated

2026-10-09

Healthy Volunteers

No

Interventions

DRUG

Selinexor 100 mg

100-mg 2 formulations: * 5 × 20-mg tablets (Tablet A) * 1 × 100-mg tablet (Tablet B)

DRUG

Docetaxel

75 mg/m\^2 IV

DRUG

Pembrolizumab

200 mg IV

DRUG

FOLFIRI

FOLFIRI: * Irinotecan 180 mg/m\^2 * Leucovorin 400 mg/m\^2 * 5-FU 400 mg/m\^2 bolus * 5-FU 2400 mg/m\^2 IV

DRUG

Selinexor 40 mg

\- 2 × 20-mg tablets (Tablet A)

DRUG

Selinexor 80 mg

\- 4 × 20-mg tablets (Tablet A)

DRUG

Selinexor 60 mg

\- 3× 20-mg tablets (Tablet A)

Locations (11)

University Hospital Assuta Ashdod

Ashdod, Israel

Soroka University Medical Center

Beersheba, Israel

Oncology Department Hillel Yaffe Medical Center

Hadera, Israel

Rambam Health Care Campus

Haifa, Israel

Shaarei Zedek Medical Center

Jerusalem, Israel

Hadassah Ein Karem University Hospital

Jerusalem, Israel

Meir Medical Center

Kfar Saba, Israel

Galilee Medical Center

Nahariya, Israel

Rabin Medical Center

Petah Tikva, Israel

Tel-Aviv Sourasky Medical Center

Tel Aviv, Israel

Sheba Medical Center

Tel Litwinsky, Israel