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NCT02215161

Selinexor in Treating Patients With Abiraterone Acetate and/or Enzalutamide Refractory Metastatic Castration-Resistant Prostate Cancer

Terminated Phase 2 Results posted Last updated 26 June 2018
What this trial tests

Phase 2 trial testing Selinexor in Castration Levels of Testosterone in 14 participants. Terminated before completion.

Timeline
2 September 2014
Primary endpoint
15 February 2017
2 April 2018

Quick facts

Lead sponsorUniversity of California, San Francisco
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment14
Start date2 September 2014
Primary completion15 February 2017
Estimated completion2 April 2018
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of California, San Francisco

Who can join

18 and older, male only, with Castration Levels of Testosterone or Hormone-Resistant Prostate Cancer. 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.

Radiographic Progression Free Survival (rPFS) Primary · From study start up to 3 years

Defined as the time from study start until one of the following events occurs: \>= 2 new bone lesions on technetium bone scan; Response Evaluation Criteria in Solid Tumors (RECIST)-defined tumor progression; clinical deterioration requiring a change in prostate cancer therapy, or at clinician discretion; surgery or radiation to treat a prostate cancer related indication; or death from any cause.

GroupValue95% CI
Treatment (Selinexor)317 – 47
Time to PSA Progression Secondary · Time between the first evaluation at which the response criteria are met and the first documentation of PSA progression or death or up to 3 years

Time between the first evaluation at which the response criteria are met and the first documentation of PSA (Prostate-Specific Antigen) progression or death. Progression is defined as a rise in PSA of 50% above nadir value or 25% above baseline if there is no decline.

GroupValue95% CI
Treatment (Selinexor)127 – 14
Incidence of Non-serious Adverse Events Secondary · Up to 3 years after treatment start

Incidence of non-serious adverse events, graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0

Anorexia
GroupValue95% CI
Treatment (Selinexor)14
Hypophosphatemia
GroupValue95% CI
Treatment (Selinexor)3
Metabolism and nutrition disorders - Other
GroupValue95% CI
Treatment (Selinexor)2
Hypocalcemia
GroupValue95% CI
Treatment (Selinexor)1
Hyponatremia
GroupValue95% CI
Treatment (Selinexor)2
Weight loss
GroupValue95% CI
Treatment (Selinexor)7
Platelet count decreased
GroupValue95% CI
Treatment (Selinexor)6
INR increased
GroupValue95% CI
Treatment (Selinexor)3
PSA Decline of ≥50% at 12 Weeks Post Therapy Initiation Secondary · At 12 weeks post therapy initiation

The number of patients experiencing a PSA decline from baseline of at least 50% in PSA at 12 weeks following the initiation of study therapy.

GroupValue95% CI
Treatment (Selinexor)1
Reduction in Pain for Symptomatic Patients, Measured Using the Brief Pain Inventory (BPI), Short Form Secondary · At baseline and day 1 of every following cycle until end of treatment or 3 years after study start

The effect of selinexor on persistent pain associated with bone metastasis, measured using the Brief Pain Inventory (BPI), Short Form. 0 denotes ''no pain'' and 10, ''pain as bad as you can imagine".

GroupValue95% CI
Pain at Baseline1.341 – 4
Incidence of Serious Adverse Events Secondary · Up to 3 years after treatment start

Incidence of serious adverse events, graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0

Anemia
GroupValue95% CI
Treatment (Selinexor)1
Eye disorders - Other
GroupValue95% CI
Treatment (Selinexor)2

Adverse events — posted to ClinicalTrials.gov

Time frame: 2 years, 6 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Selinexor)
Serious: 4/14 (29%)
Deaths: 0/14

Serious adverse events (4 terms)

ReactionSystemTreatment (Selinexor)
AnemiaBlood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specifyBlood and lymphatic system disorders
Eye disorders - Other, specifyEye disorders
AnorexiaMetabolism and nutrition disorders
Other adverse events (49 terms — click to expand)

ReactionSystemTreatment (Selinexor)
AnorexiaMetabolism and nutrition disorders
NauseaGastrointestinal disorders
Weight lossInvestigations
FatigueGeneral disorders
AnemiaBlood and lymphatic system disorders
HypotensionVascular disorders
Platelet count decreasedInvestigations
VomitingGastrointestinal disorders
Hot flashesVascular disorders
HypophosphatemiaMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
Blood and lymphatic system disorders - Other, specifyBlood and lymphatic system disorders
PsychosisPsychiatric disorders
Metabolism and nutrition disorders - Other, specifyMetabolism and nutrition disorders
PainGeneral disorders
Bone painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
PresyncopeNervous system disorders
Eye painEye disorders
CoughRespiratory, thoracic and mediastinal disorders
Skin and subcutaneous tissue disorders - Other, specifySkin and subcutaneous tissue disorders
HypocalcemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
INR increasedInvestigations
Investigations - Other, specifyInvestigations
Neutrophil count decreasedInvestigations
Abdominal distensionGastrointestinal disorders
Abdominal painGastrointestinal disorders
FlatulenceGastrointestinal disorders
Gastrointestinal disorders - Other, specifyGastrointestinal disorders
Localized edemaGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specifyMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Blurred visionEye disorders
Night blindnessEye disorders
Watering eyesEye disorders
Lung infectionInfections and infestations

Most-reported serious reactions: Anemia, Blood and lymphatic system disorders - Other, specify, Eye disorders - Other, specify, Anorexia.

Data from ClinicalTrials.gov NCT02215161 adverse events section.

Sponsor's own description

This phase II trial studies selinexor in treating patients with prostate cancer that has spread to other parts of the body (metastatic), keeps growing even when the amount of testosterone in the body is reduced to very low levels (castration-resistant), and did not respond to treatment (refractory) with abiraterone acetate and/or enzalutamide. Selinexor may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

Publications & conference data

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

  1. XPO1-dependent nuclear export as a target for cancer therapy.
    Azizian NG, Li Y. · · 2020 · cited 183× · PMID 32487143 · DOI 10.1186/s13045-020-00903-4
  2. 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
  3. Current concepts in bone metastasis, contemporary therapeutic strategies and ongoing clinical trials.
    Gdowski AS, Ranjan A, Vishwanatha JK. · · 2017 · cited 83× · PMID 28800754 · DOI 10.1186/s13046-017-0578-1
  4. Controlling the Gatekeeper: Therapeutic Targeting of Nuclear Transport.
    Kosyna FK, Depping R. · · 2018 · cited 58× · PMID 30469340 · DOI 10.3390/cells7110221
  5. A Phase II Trial of Selinexor, an Oral Selective Inhibitor of Nuclear Export Compound, in Abiraterone- and/or Enzalutamide-Refractory Metastatic Castration-Resistant Prostate Cancer.
    Wei XX, Siegel AP, Aggarwal R, Lin AM, et al · · 2018 · cited 27× · PMID 29487219 · DOI 10.1634/theoncologist.2017-0624
  6. New drugs in prostate cancer.
    Yoo S, Choi SY, You D, Kim CS. · · 2016 · cited 21× · PMID 27358841 · DOI 10.1016/j.prnil.2016.05.001
  7. The nuclear export protein exportin-1 in solid malignant tumours: From biology to clinical trials.
    Lai C, Xu L, Dai S. · · 2024 · cited 16× · PMID 38783482 · DOI 10.1002/ctm2.1684
  8. Down-regulation of AR splice variants through XPO1 suppression contributes to the inhibition of prostate cancer progression.
    Aboukameel A, Muqbil I, Baloglu E, Senapedis W, et al · · 2018 · cited 13× · PMID 30450161 · DOI 10.18632/oncotarget.26239

Verify or expand the search:

Other trials of Selinexor

Trials testing the same drug.

Other recruiting trials for Castration Levels of Testosterone

Currently open trials in the same condition.

Other University of California, San Francisco trials

Trials by the same sponsor.

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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/NCT02215161.

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