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NCT02213133: STARRS

Selinexor Treatment of Advanced Relapsed/Refractory Squamous Cell Carcinomas

Terminated Phase 2 Results posted Last updated 26 January 2023
What this trial tests

Phase 2 trial testing Selinexor (KPT-330) in Squamous Cell Carcinoma in 45 participants. Terminated before completion.

Timeline
22 September 2014
Primary endpoint
10 December 2015
10 December 2015

Quick facts

Lead sponsorKaryopharm Therapeutics Inc
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment45
Start date22 September 2014
Primary completion10 December 2015
Estimated completion10 December 2015
Sites18 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Karyopharm Therapeutics Inc — full company profile →

Who can join

18 and older, any sex, with Squamous Cell Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With Disease Control Rate (DCR) Based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 Primary · up to 14.6 months

DCR was defined as the best overall response of complete response (CR), partial response (PR), or stable disease (SD). CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (\<) 10 millimeters (mm). PR was defined as at least a 30 percent (%) decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diam

GroupValue95% CI
Cohort 1: Head and Neck-SCC21.210.7 – 37.8
Cohort 2: Lungs-SCC0.00.0 – 49.0
Cohort 3: Esophagus-SCC0.00.0 – 79.3
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) Secondary · From the first administration of study drug up to 30 days follow-up (up to 14.6 months)

An adverse event (AE) was defined as any unfavorable sign and unintended sign (including abnormal laboratory finding), symptom, or disease temporarily associated with the use of the study drug, whether or not related to study drug. An SAE was defined as any untoward medical occurrence that occurs at any dose (including after informed consent was signed and prior to dosing) that resulted in death, was life-threatening (participant was at immediate risk of death from event), required in-patient hospitalization (formal admission to a hospital for medical reasons) or prolongation of existing hospi

Participants with TEAEs
GroupValue95% CI
Cohort 1: Head and Neck-SCC37
Cohort 2: Lungs-SCC5
Cohort 3: Esophagus-SCC3
Participants with SAEs
GroupValue95% CI
Cohort 1: Head and Neck-SCC18
Cohort 2: Lungs-SCC2
Cohort 3: Esophagus-SCC3
Number of Participants With Treatment-emergent Adverse Events by Severity: Clinical Terminology Categories for Adverse Events (CTCAE) Grading Scale Secondary · From the first administration of study drug up to 30 days follow-up (up to 14.6 months)

AE:Any unfavorable sign and unintended sign,symptom, or disease temporarily associated with use of study drug, whether or not related to it. SAE:Any untoward medical occurrence that occurs at any dose (after informed consent was signed, prior dosing) that resulted in death, life-threatening, in-patient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, and important medical events. TEAE:Any AE with onset or worsening of existing condition on or after first dose through 30 days following last dose of stu

Mild (Grade 1)
GroupValue95% CI
Cohort 1: Head and Neck-SCC3
Cohort 2: Lungs-SCC0
Cohort 3: Esophagus-SCC0
Moderate (Grade 2)
GroupValue95% CI
Cohort 1: Head and Neck-SCC9
Cohort 2: Lungs-SCC1
Cohort 3: Esophagus-SCC0
Severe (Grade 3)
GroupValue95% CI
Cohort 1: Head and Neck-SCC21
Cohort 2: Lungs-SCC4
Cohort 3: Esophagus-SCC3
Life Threatening (Grade 4)
GroupValue95% CI
Cohort 1: Head and Neck-SCC3
Cohort 2: Lungs-SCC0
Cohort 3: Esophagus-SCC0
Fatal (Grade 5)
GroupValue95% CI
Cohort 1: Head and Neck-SCC1
Cohort 2: Lungs-SCC0
Cohort 3: Esophagus-SCC0

Adverse events — posted to ClinicalTrials.gov

Time frame: From the first administration of study drug up to 30 days after participant's last visit (up to 14.6 months). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1: Head and Neck-SCC
Serious: 18/37 (49%)
Deaths: 16/37
Cohort 2: Lungs-SCC
Serious: 2/5 (40%)
Deaths: 2/5
Esophagus-SCC
Serious: 3/3 (100%)
Deaths: 1/3

Serious adverse events (20 terms)

ReactionSystemCohort 1: Head and Neck-SCCCohort 2: Lungs-SCCEsophagus-SCC
PneumoniaInfections and infestations
Lung InfectionInfections and infestations
TracheitisInfections and infestations
Mouth HaemorrhageGastrointestinal disorders
Arthritis BacterialInfections and infestations
Skin InfectionInfections and infestations
Streptococcal BacteraemiaInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Laryngeal ObstructionRespiratory, thoracic and mediastinal disorders
Obstructive Airways DisorderRespiratory, thoracic and mediastinal disorders
Pneumonia AspirationRespiratory, thoracic and mediastinal disorders
DeliriumPsychiatric disorders
AnxietyPsychiatric disorders
Spinal Compression FractureInjury, poisoning and procedural complications
Tracheal ObstructionInjury, poisoning and procedural complications
DeathGeneral disorders
Platelet Count DecreasedInvestigations
HyponatraemiaMetabolism and nutrition disorders
HypotensionVascular disorders
Other adverse events (61 terms — click to expand)

ReactionSystemCohort 1: Head and Neck-SCCCohort 2: Lungs-SCCEsophagus-SCC
NauseaGastrointestinal disorders
FatigueGeneral disorders
HyponatraemiaMetabolism and nutrition disorders
VomitingGastrointestinal disorders
Decreased AppetiteMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
DehydrationMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HyperglycaemiaMetabolism and nutrition disorders
Weight DecreasedInvestigations
Vision BlurredEye disorders
DiarrhoeaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
DizzinessNervous system disorders
Face OedemaGeneral disorders
HypokalaemiaMetabolism and nutrition disorders
Gastrooesophageal Reflux DiseaseGastrointestinal disorders
PyrexiaGeneral disorders
AstheniaGeneral disorders
ChillsGeneral disorders
Platelet Count DecreasedInvestigations
DysgeusiaNervous system disorders
HeadacheNervous system disorders
InsomniaPsychiatric disorders
AgitationPsychiatric disorders
HypotensionVascular disorders
DyspepsiaGastrointestinal disorders
DysphagiaGastrointestinal disorders
Productive CoughRespiratory, thoracic and mediastinal disorders
DysphoniaRespiratory, thoracic and mediastinal disorders
Blood Creatinine IncreasedInvestigations
Alanine Aminotransferase IncreasedInvestigations
AnxietyPsychiatric disorders
Confusional StatePsychiatric disorders
HallucinationPsychiatric disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pain In JawMusculoskeletal and connective tissue disorders
Lung InfectionInfections and infestations
Urinary Tract InfectionInfections and infestations

Most-reported serious reactions: Pneumonia, Lung Infection, Tracheitis, Mouth Haemorrhage, Arthritis Bacterial, Skin Infection, Streptococcal Bacteraemia, Dyspnoea.

Data from ClinicalTrials.gov NCT02213133 adverse events section.

Sponsor's own description

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.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The past, present, and future of CRM1/XPO1 inhibitors.
    Wang AY, Liu H. · · 2019 · cited 85× · PMID 30976603 · DOI 10.21037/sci.2019.02.03
  2. Personalized targeted therapy for esophageal squamous cell carcinoma.
    Kang X, Chen K, Li Y, Li J, et al · · 2015 · cited 42× · PMID 26167067 · DOI 10.3748/wjg.v21.i25.7648
  3. Therapeutic Targeting of Nuclear Export Inhibition in Lung Cancer.
    Gupta A, Saltarski JM, White MA, Scaglioni PP, et al · · 2017 · cited 28× · PMID 28647672 · DOI 10.1016/j.jtho.2017.06.013
  4. Prognostic and functional role of the nuclear export receptor 1 (XPO1) in gastrointestinal cancers: a potential novel target?
    Sokolova V, Gruber R, Pammer LM, Kocher F, et al · · 2024 · cited 1× · PMID 39729162 · DOI 10.1007/s11033-024-10169-5

Verify or expand the search:

Other recruiting trials for Squamous Cell Carcinoma

Currently open trials in the same condition.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02213133.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing