OncoMatch

OncoMatch/Clinical Trials/NCT06225310

A Trial of Selinexor, Ruxolitinib and Methylprednisolone

Is NCT06225310 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Selinexor and Ruxolitinib for multiple myeloma in relapse.

Phase 1RecruitingOncotherapeuticsNCT06225310Data as of May 2026

Treatment: Selinexor · Ruxolitinib · MethylprednisoloneSelinexor, a first-in-class, oral selective exportin 1 (XPO1) inhibitor, has shown promise in pre-clinical and clinical studies. It functions by inhibiting the nuclear export protein XPO1, resulting in the accumulation of tumor suppressor proteins and inhibition of oncoprotein mRNAs, which is selectively lethal to myeloma cells. Selinexor has demonstrated activity in combination with various drugs, including glucocorticoids and proteasome inhibitors, leading to its FDA approval for the treatment of relapsed or refractory multiple myeloma.

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Extracted eligibility criteria

Cancer type

Multiple Myeloma

Prior therapy

Min 3 prior lines

Must have received: anti-CD38 antibody

Received an Anti-CD38 antibody

Must have received: immunomodulatory agent

Received an Immunomodulatory agent (IMiD)

Must have received: proteasome inhibitor

Received a Proteasome inhibitor (PI)

Cannot have received: JAK inhibitor (ruxolitinib)

Patients who had prior exposure to ruxolitinib

Cannot have received: XPO1 inhibitor (selinexor)

Patients who had prior exposure to selinexor

Lab requirements

Blood counts

WBC ≥1500/mm3, ANC ≥1000/mm3, hemoglobin ≥8.5 g/dL, platelet count ≥75,000/mm3 (<50% BM plasma cells) or ≥50,000/mm3 (≥50% BM plasma cells)

Kidney function

estimated CrCl > 60 mL/min (Cockcroft and Gault formula)

Liver function

Total bilirubin < 1.5 × ULN (except Gilbert's syndrome < 3 × ULN), AST and ALT normal to < 2 × ULN

Adequate hepatic function within 14 days prior to C1D1: Total bilirubin < 1.5 × ULN (except patients with Gilbert's syndrome who must have a total bilirubin of < 3 × ULN), and AST and ALT normal to < 2 × ULN. Adequate renal function within 14 days prior to C1D1 as determined by OR estimated CrCl of > 60 mL/min, calculated using the Cockcroft and Gault formula. Adequate hematopoietic function within 14 days prior to C1D1: total WBC count ≥1500/mm3, ANC ≥1000/mm3, hemoglobin ≥8.5 g/dL and platelet count ≥75,000/mm3 (<50% BM nucleated cells are plasma cells) or ≥50,000/mm3 (≥50% BM nucleated cells are plasma cells).

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

US trial sites

  • Berenson Cancer Center · West Hollywood, California

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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