🇮🇪Ireland
16°C Partly Cloudy · Dublin
Live Updates
--:--:-- IST
Writer Login
Latest
Clinical Trials in India / NCT02227251
Active, not recruiting Phase 2

Selinexor (KPT-330) in Patients With Relapsed/Refractory Diffuse Large B-Cell Lymphoma (DLBCL)

NCT02227251 · tracked via the Priya Life Science India tracker
Sponsor
Karyopharm Therapeutics Inc
Phase
Phase 2
Started
2014-11
Last updated
2026-07-02

Condition(s) studied

Diffuse Large B-cell Lymphoma

Investigational drug(s) / intervention(s)

SelinexorSelinexorSelinexor

Selinexor: Dose: 60 mg (BIW); Dosage form: film-coated (20 mg each) immediate release tablets; Route of administration: Oral

Selinexor: Dose: 40 mg (BIW); Dosage form: film-coated (20 mg each) immediate release tablets; Route of administration: Oral

Selinexor: Dose: 60 mg (BIW) and 60 mg (QW); Dosage form: film-coated (20 mg each) immediate release tablets; Route of administration: Oral

Study summary

A multicenter, open-label Phase 2b study of selinexor (KPT-330) in participants with relapsed/refractory (R/R) diffuse large B-cell lymphoma (DLBCL) who have no therapeutic options of demonstrated clinical benefit.

Eligibility

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Inclusion Criteria (Parts 1 and 2): * Written informed consent in accordance with federal, local, and institutional guidelines. The participant must provide informed consent prior to the first screening procedure. * Age greater than or equal to (≥) 18 years. * ECOG performance status of less than or equal to (≤) 2. * Participants should have estimated life expectancy of greater than (\>) 3 months at study entry. * Previously treated, pathologically confirmed de novo DLBCL, or DLBCL transformed from previously diagnosed indolent lymphoma (e.g., follicular lymphoma). * Participants must have received at least 2 but no more than 5 previous systemic regimens for the treatment of their de novo or transformed DLBCL including (i) at least 1 course of anthracycline-based chemotherapy (unless absolutely contraindicated due to cardiac dysfunction, in which case other active agents such as etoposide, bendamustine, or gemcitabine must have been given) and (ii) at least 1 course of anti-CD20 immunotherapy (e.g., rituximab), unless contraindicated due to severe toxicity. Participants who were considered ineligible for standard multi-agent immunochemotherapy must have received at least 2 and no more than 5 prior treatment regimens including at least 1 course of anti-CD20 antibodies and must be approved by the Medical Monitor. Prior stem cell transplantation is allowed; induction, consolidation, stem cell collection, preparative regimen and transplantation ± maintenance are considered a single line of therapy. * Female participants of child-bearing potential must have a negative serum pregnancy test at screening and agree to use reliable methods of contraception for 3 months after their last dose of medication. Male participants must use a reliable method of contraception if sexually active with a female of child-bearing potential. For both male and female participants, effective methods of contraception must be used throughout the study and for 3 months following the last dose. Part 1 additional inclusion criteria: * For participants whose most recent systemic anti-DLBCL therapy induced a PR or CR, at least 60 days must have elapsed since the end of that therapy. For all other participants, at least 14 weeks (98 days) must have elapsed since the end of their most recent systemic anti-DLBCL therapy. . Palliative localized radiation within the therapy-free interval is allowed. Non-chemotherapy maintenance will not be considered anti DLBCL therapy, and therefore is allowed during the therapy-free interval. * Documented clinical or radiographic evidence of progressive DLBCL prior to dosing. * Participants must have measurable disease per the revised criteria for response assessment of lymphoma. Lymph nodes should be considered abnormal if the long axis is \>1.5 centimeter (cm), regardless of the short axis. If a lymph node has a long axis of 1.1 to 1.5 cm, it should only be considered abnormal if its short axis is \>1.0. Lymph nodes ≤1.0 by ≤1.0 will not be considered abnormal for relapse or PD. Part 2 additional inclusion criteria: • At least 3 weeks (21 days) must have elapsed since the end of participant's most recent systemic anti-DLBCL therapy (prior to Cycle 1 Day 1). Palliative localized radiation within the therapy-free interval is allowed.Non-chemotherapy maintenance will not be considered anti-DLBCL therapy, and therefore is allowed during the therapy-free interval. • Adequate hematopoietic function: (i) Hemoglobin ≥10.0 grams per deciliters (g/dL) within 14 days of starting therapy (participant may receive red blood cell \[RBC\] transfusion within 14 days). (ii) Absolute neutrophil count ≥1000 cells/millimeter (mm\^3) (use of granulocyte growth factors prior to and during the study is acceptable). (iii) Platelet count ≥100,000/mm\^3 within 14 days of starting therapy (use of platelet growth factors prior to and during the study is acceptable). * Participants must have measurable disease per the revised criteria for response assessment of lymphoma. Lymph nodes should be considered abnormal if the long axis is \>1.5 cm, regardless of the short axis. Extranodal lesion should be considered abnormal if the long axis is \>1.0 cm. Exclusion Criteria (Parts 1 and 2): * Participants who are pregnant or lactating. * Primary mediastinal (thymic) large B-cell lymphoma (PMBL) * Participants must not be eligible for high-dose chemotherapy with autologous stem cell transplantation rescue (Investigator must provide detailed documentation for ineligibility). * Participants who have not recovered to Grade ≤1 clinically significant adverse events, or to their baseline, from their most recent systemic anti-DLBCL therapy. * Major surgery within 2 weeks of first dose of study treatment. * Participants with active hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infections. * Psychiatric illness or substance use that would prevent the participant from giving informed consent or being compliant with the study procedures. * Any of the following laboratory abnormalities: (i) A circulating lymphocyte count of \>50,000/L. (ii) Hepatic dysfunction: bilirubin \>2.0 times the upper limit of normal (ULN) (except participants with Gilbert's syndrome: total bilirubin of \>3\*ULN) and alanine aminotransferase (ALT) and aspartate aminotransferase (AST) \>2.5 times ULN. In participants with known liver involvement of their DLBCL, AST and ALT \>5\*ULN. (iii) Severe renal dysfunction: estimated creatinine clearance of \<30 mL/min, measured in 24-hour urine or calculated using the formula of Cockroft and Gault \[(140-Age)\*Mass (kg)/(72\*creatinine mg/dL); multiply by 0.85 if female\]. * Any life-threatening illness, medical condition, or organ system dysfunction which, in the Investigator's opinion, could compromise the participant's safety. * Participants with active graft-versus-host disease after allogeneic stem cell transplantation. At least 4 months must have elapsed since completion of allogeneic stem cell transplantation. * Uncontrolled (i.e., clinically unstable) infection requiring parenteral antibiotics, antivirals, or antifungals on Cycle 1 Day 1; however, prophylactic use of these agents is acceptable even if parenteral. * Participants unable to swallow tablets, participants with malabsorption syndrome, or any other gastrointestinal disease or gastrointestinal dysfunction that could interfere with absorption of study treatment. Part 1 additional exclusion criteria: * For participants whose most recent systemic anti-DLBCL therapy induced a PR or CR: Radiation, chemotherapy, immunotherapy, radio-immunotherapy, or any other anticancer therapy other than glucocorticoids \<60 days or \<14 weeks prior to Cycle 1 Day 1. * Known central nervous system lymphoma or meningeal involvement. * DLBCL with mucosa-associated lymphoid tissue \[MALT\] lymphoma, composite lymphoma (Hodgkin's lymphoma+NHL), or DLBCL transformed from diseases other than indolent NHL. * Unstable cardiovascular function: (i) Symptomatic ischemia, or (ii) Uncontrolled clinically significant conduction abnormalities (i.e., ventricular tachycardia on anti-arrhythmia are excluded; 1st degree atrioventricular block or asymptomatic left anterior fascicular block /right bundle branch block will not be excluded), or (iii) Congestive heart failure of New York Heart Association Class ≥3, or (iv) Myocardial infarction within 3 months. * Participants with a BSA \<1.4 m\^2 as calculated per Dubois 1916 or Mosteller 1987. * Any of the following laboratory abnormalities: (i) Absolute neutrophil count (ANC) \<1000 cells/mm\^3 or platelet count \<75,000/mm\^3 during screening and on Cycle 1 Day 1. Use of granulocyte-stimulating factors and platelet growth factors prior to and during the study is acceptable. (ii) Hematopoietic dysfunction: hemoglobin \< 10.0 g/dL within 14 days of and including Cycle 1 Day 1 and/or patients receiving red blood cell (RBC) transfusion within 14 days of and including Cycle 1 Day 1. * Participants who have been committed to an institution by official or judicial order. * Participants with dependency on the Sponsor, Investigator or study site. Part 2 additional exclusion criteria: * Participants with active HBV, HVC, or HIV infections. Participants with active HBV are allowed if antiviral therapy for hepatitis B has been given for \>8 weeks and viral load is \<100 International units per milliliters (IU/mL) prior to first dose of study treatment. Participants with known history of HCV or found to be HCV antibody positive on screening, are allowed if there is documentation of negative viral load per institutional standard. Participants with HIV who have CD4+T-cell counts ≥350 cells/microliter (mcL), negative viral load per institutional standard, and no history of acquired immune deficiency syndrome (AIDS)-defining opportunistic infections in the last year are allowed. * Known active central nervous system lymphoma or meningeal involvement. Participants with a history of CNS disease treated into remission may be enrolled. * DLBCL with MALT lymphoma, composite lymphoma (Hodgkin's lymphoma + NHL), DLBCL arising from CLL (Richter's transformation), or high-grade B-cell lymphoma. * Received strong cytochrome P450 3A (CYP3A) inhibitors ≤7 days prior to Day 1 dosing or strong CYP3A inducers ≤14 days prior to Day 1 dosing.

Primary outcome measure(s)

Trial sites (175)

FacilityCityRegionStatus
UACC Arizona Tucson Arizona
University of California San Francisco San Francisco California
University of California Los Angeles (UCLA) Santa Monica California
Boca Raton Cancer Research Medical Center Plantation Florida
University of Chicago Chicago Illinois
Robert H. Lurie Comprehensive Cancer Center/Northwestern University Chicago Illinois
Norton Cancer Institute Louisville Kentucky
Dana Farber Cancer Institute Boston Massachusetts
Tufts Medical Center Boston Massachusetts
Lahey Clinic Burlington Massachusetts
University of Massachusetts Medical School Worcester Massachusetts
John Theurer Cancer Center at Hackensack University Medical Center Hackensack New Jersey
Clinical Research Alliance Lake Success New York
New York Presbyterian Hospital/ Cornell Medical College New York New York
Stony Brook University Hospital Stony Brook New York
Gabrail Cancer Center Canton Ohio
Cleveland Clinic Foundation Cleveland Ohio
University Hospitals Seidman Cancer Center Cleveland Ohio
University of Oklahoma Oklahoma City Oklahoma
Greenville Hospital System Greenville South Carolina
MD Anderson Houston Texas
Swedish Cancer Institute Seattle Washington
Virginia Mason Hospital & Medical Center Seattle Washington
St. Vincent's Hospital Sydney Darlinghurst New South Wales
Liverpool Hospital, Ingham Institute of Medical Research Liverpool New South Wales
Calvary Mater Newcastle Hospital Waratah New South Wales
Icon Cancer Care South Brisbane Queensland
Royal Adelaide Hospital Adelaide South Australia
Ashford Cancer Centre Kurralta Park South Australia
Monash Medical Centre Clayton Victoria
Epworth Hospital East Melbourne Victoria
St. Vincent's Melbourne Fitzroy Victoria
The Alfred Hospital Melbourne Victoria
Fiona Stanley Hospital Murdoch Western Australia
Medical University of Graz Graz Austria
Medizinische Universität Innsbruck für Innere Medizin Innsbruck Austria
LKH Leoben Department for Haemato-Oncology Leoben Austria
Akh Linz Innere Med III - Zentrum für Hämatologie und med. Onkologie Linz Austria
Krankenhaus Barmherzigen Schwestern Linz Linz Austria
Krankenhaus der Elisabethinen Linz GmbH Linz Austria

+ 135 more sites — see the full list on the official registry below.

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT02227251 on ClinicalTrials.gov ↗ ← All trials in India