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| Name | Class |
|---|---|
| Karyopharm Therapeutics Inc | INDUSTRY |
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This trial will evaluate the combination treatment of established chemotherapy regimen mFOLFOX6 with Selinexor, an oral Selective Inhibitor Of Nuclear Export, in patients with metastatic Colorectal Cancer. The purpose is to determine the maximum tolerated dose (MTD) of selinexor in combination with mFOLFOX6.
This was a multi center, open-label, non-randomized phase I trial study to determine the MTD of a combination of mFOLFOX6 (Folinic Acid (Leucovorin)-Fluorouracil-Oxaliplatin) and selinexor in patients with metastatic colorectal cancer.
After screening and registration in the study, all enrolled patients were to be treated with oxaliplatin (85 mg/m² IV over 2 hours, Day 1), 5-FU (5-Fluorouracil 400 mg/m2 IV bolus, Day 1), leukovorin (400 mg/m2 IV over 2 hours, Day 1), and 5-FU (2,400 mg/m² continuous infusion, Days 1-3) every 2 weeks and escalating doses of selinexor as follows:
Patients in Dose Level 1 were to receive oral selinexor 40 mg on day 1, 3, and 8.
Patients in Dose Level 2 were to receive oral selinexor 60 mg on day 1, 3, and 8.
Patients in Dose Level 3 were to receive oral selinexor 80 mg on day 1, 3, and 8.
Patients in Dose Level -1 were to receive oral selinexor 20 mg on day 1, 3, and 8.
The MTD was defined as the highest dose level at which six patients had been treated with no toxicity and tolerance of the dose escalation of Selinexor with mFOLFOX6 was evaluated.
Six patients were to be initially treated in a cohort. Safety data were monitored in real time. As soon as last patient of the cohort (either 6th or 9th) reached day 28, safety data of all patients within that cohort were reviewed for decision about opening up a new cohort by moving to the next dose level or expand the cohort or discontinue dose escalation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Selinexor + mFOLFOX6 | Experimental | Different Dose Levels of Selinexor will be evaluated in combination with mFOLFOX6 (see interventions) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Selinexor | Drug | Dose Level 1: 40 mg on day 1, 3 and 8 in a two-weeks cycle. Dose Level 2: 60 mg on day 1, 3 and 8 in a two-weeks cycle. Dose Level 3: 80 mg on day 1, 3 and 8 in a two-weeks cycle. Dose Level -1: 20 mg on day 1, 3 and 8 in a two-weeks cycle. |
| Measure | Description | Time Frame |
|---|---|---|
| Numbers of Patients With Dose Limiting Toxicities | Primary objective is the determination of the maximum tolerated dose (MTD) of selinexor in combination with mFOLFOX6 in patients with metastatic colorectal cancer. Criteria to assess MTD was the experience of AEs > grade 3, discontinuation from study treatment due to adverse events or withdrawal of consent by the patients. | 28 days of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Response Rate | Secondary objectives are to determine the efficacy and tolerability of selinexor in combination with mFOLFOX6 in patients with metastatic colorectal cancer by - Overall response rate (RR) (acc. to RECIST v1.1) Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed byCT or MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. |
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Inclusion Criteria:
Patients with histologically confirmed diagnosis of colorectal cancer presenting with unresectable stage IV (UICC) disease (primary tumor may be present)
Patients who are feasible for treatment with FOLFOX (prior adjuvant or palliative treatment is allowed)
ECOG (Eastern Cooperative Oncology Group) Performance status ≤ 1
Life expectancy > 3 months
Age ≥18 years
Haematologic function as follows (5% deviation allowed):
Adequate liver function as follows (10% deviation allowed)
Adequate renal function as follows (10% deviation allowed)
· creatinine ≤ 1.5 x ULN
Signed written informed consent
Women of child-bearing potential must have a negative pregnancy test
Exclusion Criteria:
adequately controlled with appropriate therapy or would compromise the patient's ability to tolerate this therapy; 2. Treatment with any systemic anticancer therapy ≤ 3 weeks prior to cycle 1 day 1 3. Uncontrolled active infection (Hepatitis B and C infection are NOT exclusion criteria) and/or known HIV infection; 4. Renal failure requiring haemodialysis or peritoneal dialysis; 5. Patients who are pregnant or breast-feeding; 6. Patients with significantly diseased or obstructed gastrointestinal tract, malabsorption, uncontrolled vomiting or diarrhea resulting in inability to swallow oral medications; 7. Presence of symptomatic Central nervous system (CNS) metastasis 8. Unresolved toxicity from previous anti-cancer therapy or incomplete recovery from surgery, in particular oxaliplatin-induced peripheral neuropathy > grade 1.
9. Any of the following within the 12 months prior to study drug administration: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident or transient ischemic attack, pulmonary embolism, deep vein thrombosis, or other thromboembolic event.
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| Name | Affiliation | Role |
|---|---|---|
| Carsten Bokemeyer, Prof. Dr. | University Hospital Hamburg | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Antwerpen | Antwerp | 1200 | Belgium | |||
| University Hospital Hamburg |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32598257 | Derived | Nilsson S, Stein A, Rolfo C, Kranich AL, Mann J, Papadimitriou K, Theile S, Amberg S, Bokemeyer C. Selinexor (KPT-330), an Oral Selective Inhibitor of Nuclear Export (SINE) Compound, in Combination with FOLFOX in Patients with Metastatic Colorectal Cancer (mCRC) - Final Results of the Phase I Trial SENTINEL. Curr Cancer Drug Targets. 2020;20(10):811-817. doi: 10.2174/1568009620666200628105727. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Selinexor 40 mg+ mFOLFOX6 | Selinexor: Dose Level 1: 40 mg on day 1, 3 and 8 in a two-weeks cycle. Oxaliplatin: 85 mg/m² IV over 2 hours, Day 1 of a two-weeks cycle 5-FU: 400 mg/m² IV bolus, Day 1 of a two-weeks cycle 2,400 mg/m² continuous infusion IV, Days 1-3 Folinic Acid: 400 mg/m2 IV over 2 hours, Day 1 of a two-weeks cycle |
| FG001 | Selinexor 20mg + mFOLFOX6 | Selinexor: Dose Level -1: 20 mg on day 1, 3 and 8 in a two-weeks cycle. Oxaliplatin: 85 mg/m² IV over 2 hours, Day 1 of a two-weeks cycle 5-FU: 400 mg/m² IV bolus, Day 1 of a two-weeks cycle 2,400 mg/m² continuous infusion IV, Days 1-3 Folinic Acid: 400 mg/m2 IV over 2 hours, Day 1 of a two-weeks cycle |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Selinexor 40mg + mFOLFOX6 | Selinexor: Dose Level 1: 40 mg on day 1, 3 and 8 in a two-weeks cycle. Oxaliplatin: 85 mg/m² IV over 2 hours, Day 1 of a two-weeks cycle 5-FU: 400 mg/m² IV bolus, Day 1 of a two-weeks cycle 2,400 mg/m² continuous infusion IV, Days 1-3 Folinic Acid: 400 mg/m2 IV over 2 hours, Day 1 of a two-weeks cycle |
| BG001 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Numbers of Patients With Dose Limiting Toxicities | Primary objective is the determination of the maximum tolerated dose (MTD) of selinexor in combination with mFOLFOX6 in patients with metastatic colorectal cancer. Criteria to assess MTD was the experience of AEs > grade 3, discontinuation from study treatment due to adverse events or withdrawal of consent by the patients. | The study was closed due to toxicity despite dose reduction to 20 mg Seiinexor. | Posted | Count of Participants | Participants | 28 days of treatment |
|
Adverse Events were monitored from the date of informed consent until 30 days after the last dose of study medication (end of treatment visit). Patients who discontinued for reasons other than withdrawal of consent were followed for a maximum of 24 months for progression-free survival and overall survival, so deaths were monitored for up to 2 years for patients in follow-up.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Selinexor 40mg + mFOLFOX6 | Selinexor: Dose Level 1: 40 mg on day 1, 3 and 8 in a two-weeks cycle. Oxaliplatin: 85 mg/m² IV over 2 hours, Day 1 of a two-weeks cycle 5-FU: 400 mg/m² IV bolus, Day 1 of a two-weeks cycle 2,400 mg/m² continuous infusion IV, Days 1-3 Folinic Acid: 400 mg/m2 IV over 2 hours, Day 1 of a two-weeks cycle |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| PULMONARY EMBOLISM | Vascular disorders | NCI CTC AE v4.03 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| NAUSEA | Gastrointestinal disorders | NCI CTC AE v4.03 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Anne L. Kranich | GSO Global Clinical Research B.V., EBC Amsterdam, Keizersgracht 62-64, 1015 CS Amsterdam | +49 40 44 19 54 60 | kranich@gsoglobal.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jan 22, 2015 | Jun 26, 2019 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| C585161 | selinexor |
| D000077150 | Oxaliplatin |
| D005472 | Fluorouracil |
| D002955 | Leucovorin |
| ID | Term |
|---|---|
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D014498 | Uracil |
| D011744 | Pyrimidinones |
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Dose level 1: Oxaliplatin at a dose of 85 mg/m2 IV over two hours (Day 1) 5-FU 400 mg/m2 IV bolus (Day 1) Leucovorin 400 mg/m2 IV over two hours (Day 1) 5-FU 2400 mg/m2 IV over 46 hours (Day 1-3) Selinexor 40 mg, PO (Day 1, 3 and 8) Dose level 2: Oxaliplatin at a dose of 85 mg/m2 IV over two hours (Day 1) 5-FU 400 mg/m2 IV bolus (Day 1) Leucovorin 400 mg/m2 IV over two hours (Day 1) 5-FU 2400 mg/m2 iv over 46 hours (Day 1-3) Selinexor 60 mg, PO (Day 1, 3 and 8) Dose level 3: Oxaliplatin at a dose of 85 mg/m2 iv over two hours (Day 1) 5-FU 400 mg/m2 iv bolus (Day 1) Leucovorin 400 mg/m2 iv over two hours (Day 1) 5-FU 2400 mg/m2 iv over 46 hours (Day 1-3) Selinexor 80 mg, PO (Day 1, 3 and 8) Dose level -1: Oxaliplatin at a dose of 85 mg/m2 IV over two hours (Day 1) 5-FU 400 mg/m2 IV bolus (Day 1) Leucovorin 400 mg/m2 IV over two hours (Day 1) 5-FU 2400 mg/m2 IV over 46 hours (Day 1-3) Selinexor 20 mg, PO (Day 1, 3 and 8)
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|
| Oxaliplatin | Drug | 85 mg/m² IV over 2 hours, Day 1 of a two-weeks cycle |
|
|
| 5-FU | Drug | 400 mg/m² IV bolus, Day 1 of a two-weeks cycle 2,400 mg/m² continuous infusion IV, Days 1-3 |
|
|
| Folinic Acid | Drug | 400 mg/m2 IV over 2 hours, Day 1 of a two-weeks cycle |
|
|
| 2 years |
| Progression Free Survival (PFS) | Secondary objectives are to determine the efficacy and tolerability of selinexor in combination with mFOLFOX6 in patients with metastatic colorectal cancer by - Progression free survival (PFS) The disease status was measured by CT/MRI and evaluated according to RECIST 1.1 criteria every 8 weeks during treatment, at End of Treatment and every 3 weeks during Follow-up to determine time until patient has Progressive Disease (PD). PD is defined according to RECIST v1.1 at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. | 2 years |
| Number of Patients Still Alive at End of Study (Overall Survival) | Secondary objectives are to determine the efficacy and tolerability of selinexor in combination with mFOLFOX6 in patients with metastatic colorectal cancer by - Overall survival (OS) Overall survial is defined as length of time from start of treatment that patients are still alive. For this time-to-event variables the Kaplan-Meier method was intended to be used | 2 years |
| Number of Patients Experiencing Adverse Events | Secondary objectives are to determine the efficacy and tolerability of selinexor in combination with mFOLFOX6 in patients with metastatic colorectal cancer by - Toxicity (acc. to NCI Common Terminology Criteria for Adverse Events (CTC AE) v4.03) | treatment start to up to 30 days after last dose |
| Hamburg |
| 20246 |
| Germany |
| Selinexor 20mg + mFOLFOX6 |
Selinexor: Dose Level -1: 20 mg on day 1, 3 and 8 in a two-weeks cycle. Oxaliplatin: 85 mg/m² IV over 2 hours, Day 1 of a two-weeks cycle 5-FU: 400 mg/m² IV bolus, Day 1 of a two-weeks cycle 2,400 mg/m² continuous infusion IV, Days 1-3 Folinic Acid: 400 mg/m2 IV over 2 hours, Day 1 of a two-weeks cycle |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG001 | Selinexor 20mg + mFOLFOX6 | Selinexor: Dose Level -1: 20 mg on day 1, 3 and 8 in a two-weeks cycle. Oxaliplatin: 85 mg/m² IV over 2 hours, Day 1 of a two-weeks cycle 5-FU: 400 mg/m² IV bolus, Day 1 of a two-weeks cycle 2,400 mg/m² continuous infusion IV, Days 1-3 Folinic Acid: 400 mg/m2 IV over 2 hours, Day 1 of a two-weeks cycle |
|
|
| Secondary | Overall Response Rate | Secondary objectives are to determine the efficacy and tolerability of selinexor in combination with mFOLFOX6 in patients with metastatic colorectal cancer by - Overall response rate (RR) (acc. to RECIST v1.1) Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed byCT or MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. | Due to the low number of patients, no conclusions can be drawn from analysis of the efficacy data. | Posted | Count of Participants | Participants | No | 2 years |
|
|
|
| Secondary | Progression Free Survival (PFS) | Secondary objectives are to determine the efficacy and tolerability of selinexor in combination with mFOLFOX6 in patients with metastatic colorectal cancer by - Progression free survival (PFS) The disease status was measured by CT/MRI and evaluated according to RECIST 1.1 criteria every 8 weeks during treatment, at End of Treatment and every 3 weeks during Follow-up to determine time until patient has Progressive Disease (PD). PD is defined according to RECIST v1.1 at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. | Four patients withdrew consent to further participate in the study before the first tumour assessment had been performed. No data on PD were available for those patients. Additionally, for two patients in cohort 2, no information on PD during the follow-up period is available. | Posted | Mean | Standard Deviation | months | 2 years |
|
|
|
| Secondary | Number of Patients Still Alive at End of Study (Overall Survival) | Secondary objectives are to determine the efficacy and tolerability of selinexor in combination with mFOLFOX6 in patients with metastatic colorectal cancer by - Overall survival (OS) Overall survial is defined as length of time from start of treatment that patients are still alive. For this time-to-event variables the Kaplan-Meier method was intended to be used | Due to sparse data set, no analysis with Kaplan-Meier methods was done. | Posted | Count of Participants | Participants | 2 years |
|
|
|
| Secondary | Number of Patients Experiencing Adverse Events | Secondary objectives are to determine the efficacy and tolerability of selinexor in combination with mFOLFOX6 in patients with metastatic colorectal cancer by - Toxicity (acc. to NCI Common Terminology Criteria for Adverse Events (CTC AE) v4.03) | All 10 patients were treated with at least one dose of Selinexor. | Posted | Count of Participants | Participants | No | treatment start to up to 30 days after last dose |
|
|
|
| 0 |
| 4 |
| 2 |
| 4 |
| 4 |
| 4 |
| EG001 | Selinexor 20mg + mFOLFOX6 | Selinexor: Dose Level -1: 20 mg on day 1, 3 and 8 in a two-weeks cycle. Oxaliplatin: 85 mg/m² IV over 2 hours, Day 1 of a two-weeks cycle 5-FU: 400 mg/m² IV bolus, Day 1 of a two-weeks cycle 2,400 mg/m² continuous infusion IV, Days 1-3 Folinic Acid: 400 mg/m2 IV over 2 hours, Day 1 of a two-weeks cycle | 2 | 6 | 3 | 6 | 6 | 6 |
| HYPERGLYCEMIA | Metabolism and nutrition disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| CONSTIPATION | Gastrointestinal disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| HERPES ZOSTER | Infections and infestations | NCI CTC AE v4.03 | Systematic Assessment |
|
| ACUTE CORONARY SYNDROME | Cardiac disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| GENERAL MALAISE | General disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| SEIZURE | Nervous system disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| VOMITING | Gastrointestinal disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| DEEP VEIN THROMBOSIS | Vascular disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| DIARRHEA | Gastrointestinal disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| ANEMIA | Blood and lymphatic system disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| VERTIGO | Ear and labyrinth disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| FATIGUE | General disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| HYPONATREMIA | Metabolism and nutrition disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| PLATELET COUNT DECREASED | Investigations | NCI CTC AE v4.03 | Systematic Assessment |
|
| WEIGHT LOSS | Investigations | NCI CTC AE v4.03 | Systematic Assessment |
|
| ANOREXIA | Metabolism and nutrition disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| ASTHENIA | General disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| INFECTION OF UNKNOWN ORIGIN | Infections and infestations | NCI CTC AE v4.03 | Systematic Assessment |
|
| DIZZINESS | Nervous system disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| HEADACHE | Nervous system disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| INSOMNIA | Psychiatric disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| NECK PAIN | Musculoskeletal and connective tissue disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| CONSTIPATION | Gastrointestinal disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| BODY PAIN | General disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| DOUBLE VISION | Eye disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| PAIN INGUINAL RIGHT | Musculoskeletal and connective tissue disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| BACK PAIN | Musculoskeletal and connective tissue disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| SENSORY NEUROPATHY | Nervous system disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| NEUTROPHIL COUNT DECREASED | Investigations | NCI CTC AE v4.03 | Systematic Assessment |
|
| BLURRED VISION | Eye disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| COUGH | Respiratory, thoracic and mediastinal disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| DYSGEUSIA | Nervous system disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| HEARING IMPAIRMENT | Ear and labyrinth disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| FLU-LIKE SYMPTOMS | General disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| DYSPNEA | Respiratory, thoracic and mediastinal disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| MALAISE | General disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| HYPOKALEMIA | Metabolism and nutrition disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
| POLYNEUROPATHY | Nervous system disorders | NCI CTC AE v4.03 | Systematic Assessment |
|
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| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011743 |
| Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D005575 | Formyltetrahydrofolates |
| D013763 | Tetrahydrofolates |
| D005492 | Folic Acid |
| D011622 | Pterins |
| D011621 | Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D003067 | Coenzymes |
| D045762 | Enzymes and Coenzymes |
| Patients with Selinexor related AEs of any Grade |
|
| Patients with Selinexor related AEs of at least Grade 3 |
|
| Patients with chemotherapy related AEs of any Grade |
|
| Patients with chemotherapy related AEs of at least Grade 3 |
|
| Patients with AEs leading to discontinuation |
|
| Patients with at least 1 SAE |
|
| Patients with at least 1 SAE related to Selinexor |
|
| Patients with at least 1 SAE related to chemotherapy |
|