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OncoMatch/Clinical Trials/NCT02343042

Selinexor and Backbone Treatments of Multiple Myeloma Patients

Is NCT02343042 recruiting? Yes, currently enrolling (Sep 2026). This Phase 1/2 trial studies multiple treatments for multiple myeloma.

Phase 1/2RecruitingKaryopharm Therapeutics IncNCT02343042Data as of Sep 2026Location: United States · Canada

Treatment: Selinexor · Dexamethasone · Lenalidomide · Pomalidomide · Bortezomib · Daratumumab · Carfilzomib · Ixazomib · Elotuzumab · Clarithromycin · Belantamab Mafodotin · MezigdomideThis study will independently assess the efficacy and safety of 11 combination therapies in 12 arms, in dose-escalation/-evaluation and expansion phases, for the treatment of patients with relapsed/refractory multiple myeloma (RRMM) and newly diagnosed multiple myeloma (NDMM). The combinations to be evaluated are: * Arm 1: Selinexor + dexamethasone + pomalidomide (SPd); enrollment complete * Arm 2: Selinexor + dexamethasone + bortezomib (SVd); enrollment complete * Arm 3: Selinexor + dexamethasone + lenalidomide (SRd) in RRMM; enrollment complete * Arm 4: Selinexor + dexamethasone + pomalidomide + bortezomib (SPVd); enrollment complete * Arm 5: Selinexor + dexamethasone + daratumumab (SDd); enrollment complete * Arm 6: Selinexor + dexamethasone + carfilzomib (SKd); enrollment complete * Arm 7: Selinexor + dexamethasone + lenalidomide (SRd) in NDMM; enrollment complete * Arm 8: Selinexor + dexamethasone + ixazomib (SNd); enrollment complete * Arm 9: Selinexor + dexamethasone + pomalidomide + elotuzumab (SPEd); enrollment complete * Arm 10: Selinexor + dexamethasone + belantamab mafodotin (SBd); enrollment complete * Arm 11: Selinexor + dexamethasone + pomalidomide + daratumumab (SDPd); enrollment complete * Arm 12: Selinexor + dexamethasone + mezigdomide (SMd); actively recruiting Selinexor pharmacokinetics: * PK Run-in (Days 1-14): Starting in protocol version 8.0, patients enrolled to any arm in the Dose Escalation Phase (i.e., Arm 4 \[SPVd\], Arm 6 \[SKd\], Arm 8 \[SNd\], Arm 9 \[SPEd\], Arm 10 \[SBd\], and Arm 11 \[SDPd\]) will also first be enrolled to a pharmacokinetics (PK) Run-in period until 9 patients have been enrolled to this period to evaluate the PK of selinexor before and after co-administration with a strong CYP3A4 inhibitor. This run-in period does not apply to Arm 12 (SMd).

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Extracted eligibility criteria

Treatments studied

Immunotherapy

DaratumumabElotuzumab

Targeted therapy

SelinexorBortezomibCarfilzomibIxazomibBelantamab MafodotinMezigdomide

Endocrine / hormonal

LenalidomidePomalidomide

Other

DexamethasoneClarithromycin

Cancer type

Multiple Myeloma

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Cannot have received: selective inhibitor of nuclear export (sine) compound (selinexor)

Lab requirements

Blood counts

ANC ≥ 1,000/mm^3, hemoglobin ≥ 8.0 g/dL, platelet count ≥ 100,000/mm^3 (with arm-specific exceptions).

Kidney function

Estimated creatinine clearance (CrCl) thresholds vary by arm; see protocol for details.

Liver function

Total bilirubin and AST/ALT thresholds vary by arm; see protocol for details.

Cardiac function

No symptomatic ischemia, uncontrolled conduction abnormalities, CHF NYHA Class ≥ 3, MI within 3 months, or EF < 50% (Arms 1-11 only).

Adequate hepatic, renal, and hematopoietic function within 28 days prior to C1D1; cardiac function as specified.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Banner MD Anderson Cancer Center · Gilbert, Arizona
  • Jonnsson Comprehensive Cancer Center / University of Los Angeles · Los Angeles, California
  • Sarah Cannon-Colorado Blood Cancer Institute · Denver, Colorado
  • Massachusetts General Hospital · Boston, Massachusetts
  • Dana Farber Cancer Institute · Boston, Massachusetts

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT02343042 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior selective inhibitor of nuclear export (sine) compound disqualifies patients from enrollment.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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