Safety Study of the Selective Inhibitor of Nuclear Export (SINE) KPT-330 in Patients With Advanced Hematological Cancer
- Registration Number
- NCT01607892
- Lead Sponsor
- Karyopharm Therapeutics Inc
- Brief Summary
The purpose of this research study is to find out more information relating to the highest dose of KCP-330 that can be given safely and side effects it may cause, to examine how the body affects KCP-330 concentrations in the blood (pharmacokinetics or PK), to examine the effects of KCP-330 on the body (pharmacodynamics or PDn) and to obtain information on its effectiveness in treating cancer.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 286
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description selinexor KPT-330 -
- Primary Outcome Measures
Name Time Method Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs) From first dose of study drug administration to end of treatment (up to 27 months) An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product during the course of a study and which does not necessarily have to have a causal relationship with this treatment. An Serious adverse event (SAE) was an AE resulting in any of the following outcomes: death; life-threatening event; required or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. TEAEs are any untoward medical incidence in a participant during administered study treatment, whether or not these events were related to study treatment.
Recommended Phase 2 Dose (RP2D) of Selinexor From first dose of study drug administration to end of treatment (up to 27 months) Recommended Phase 2 dose was determined by maximum tolerated dose (MTD). MTD was defined as the next lower dose level below the one in which \> 1 of 3 participants or ≥ 2 of 6 participants experienced dose-limiting toxicity (DLT), provided that that dose level is ≤25% lower than the highest dose tested. If the projected MTD was \>25% lower than the highest dose tested, then an additional cohort of ≥3 participants were added at a dose that was intermediate between the intolerable dose and the next lower dose.
- Secondary Outcome Measures
Name Time Method Maximum Observed Plasma Concentration (Cmax) of Selinexor 0 (pre-dose), 0.5, 1, 2, 4, 8, 24 and 48 hours post-dose on Day 1, 8 of Cycle 1 and Days 15, 16 or 17 of Cycle 2 Cmax was defined as the maximum observed concentration, taken directly from the plasma concentration.
Average Concentration From Time 0 to 24 Hours (Cavg0-24h) of Selinexor 0 (pre-dose), 0.5, 1, 2, 4, 8, 24 and 48 hours post-dose on Day 1, 8 of Cycle 1 and Days 15, 16 or 17 of Cycle 2 Cavg0-24h was defined as average concentration from time 0 to 24 hours.
Area Under the Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of Selinexor 0 (pre-dose), 0.5, 1, 2, 4, 8, 24 and 48 hours post-dose on Day 1, 8 of Cycle 1 and Days 15, 16 or 17 of Cycle 2 AUC0-inf was defined as the area under the concentration-time curve from time zero to infinity (extrapolated).
Time to Maximum Observed Concentration (Tmax) of Selinexor 0 (pre-dose), 0.5, 1, 2, 4, 8, 24 and 48 hours post-dose on Day 1, 8 of Cycle 1 and Days 15, 16 or 17 of Cycle 2 Tmax was defined as time of first observation of Cmax, taken directly from the plasma concentration data.
Area Under the Concentration-Time Curve From Time 0 to t (AUC0-t) of Selinexor 0 (pre-dose), 0.5, 1, 2, 4, 8, 24 and 48 hours post-dose on Day 1, 8 of Cycle 1 and Days 15, 16 or 17 of Cycle 2 AUC0-t was defined as area under the concentration-time curve from time zero to the last non-zero concentration.
Apparent Volume of Distribution Uncorrected for Fraction Absorbed (Vd/F) of Selinexor 0 (pre-dose), 0.5, 1, 2, 4, 8, 24 and 48 hours post-dose on Day 1, 8 of Cycle 1 and Days 15, 16 or 17 of Cycle 2 Apparent volume of distribution was calculated as Dose/ (kel \*AUC0-inf), uncorrected for fraction absorbed, reported normalized by participant body weight (kilogram \[kg\]).
Apparent Total Body Clearance, Uncorrected for Fraction Absorbed (Cl/F) of Selinexor 0 (pre-dose), 0.5, 1, 2, 4, 8, 24 and 48 hours post-dose on Day 1, 8 of Cycle 1 and Days 15, 16 or 17 of Cycle 2 Cl/F was calculated as Dose/AUC0-inf, uncorrected for fraction absorbed, reported normalized by participant body weight (kg).
Terminal Half-Life (t½) of Selinexor 0 (pre-dose), 0.5, 1, 2, 4, 8, 24 and 48 hours post-dose on Day 1, 8 of Cycle 1 and Days 15, 16 or 17 of Cycle 2 t½ was, calculated as ln(2)/kel, where kel is elimination rate constant, calculated using linear regression on the terminal portion of the log-linear concentration versus time curve.
Number of Participants With Overall Response of Selinexor From first dose of study drug administration to end of treatment (up to 27 months) Objective response for each malignancy was defined using the disease response criteria by malignancy; For NHL (including DLBCL, PTCL, and CTCL), objective response included complete response (CR) and partial response (PR). For MM, objective response included stringent complete response (sCR), CR, very good partial response (VGPR), and PR. For WM, objective response included CR, VGPR, and PR. For CLL, ALL, and AML, objective response included complete remission and Partial remission. For CML, objective response includes complete cytogenic response, and complete hematologic response (CHR).
Duration of Response From first dose of study drug administration to end of treatment (up to 27 months) Duration of response was defined as the time from the first occurrence of objective response to first documented evidence of disease recurrence or progression. Participants without evidence of progression were censored at time of last evaluable disease assessment. Objective response was defined as any response of partial response/remission or better for all malignancies; for AML, a response of morphologic leukemia-free state is also included for ORR. Duration of response was calculated by Kaplan-Meier method.
Progression-free Survival Cycle 1 Day 1 to End of Treatment (up to 27 months) Progression-free survival (PFS) was calculated from the date of first dose of study drug to first documented evidence of disease recurrence or progression or death due to any cause. Participants who were last known to be alive and without evidence of progression were censored at time of last evaluable disease assessment. If date of progression or death occurred after more than 1 missed disease assessment interval, participants were censored at the time of last evaluable disease assessment prior to the missed assessment.
Duration of at Least Stable Disease Cycle 1 Day 1 to End of Treatment (up to 27 months) Duration of at least stable disease was defined as the time from the date of first dose of study drug to first documented evidence of disease recurrence or progression. Participants without evidence of progression were censored at time of last evaluable disease assessment.
Overall Survival Cycle 1 Day 1 to End of Treatment (up to 27 months) Overall Survival was calculated from the date of first dose of study drug to date of death due to any cause. Participants who were last known to be alive were censored at time of last contact. Overall survival was calculated by Kaplan-Meier method.
Trial Locations
- Locations (12)
The Ohio State University
🇺🇸Columbus, Ohio, United States
Rigshospitalet
🇩🇰Copenhagen, Denmark
Tom Baker Cancer Centre
🇨🇦Calgary, Alberta, Canada
Hackensack University Medical Center
🇺🇸Hackensack, New Jersey, United States
Weill Cornell Medical Center
🇺🇸New York, New York, United States
Sarah Cannon Research Institute
🇺🇸Nashville, Tennessee, United States
MD Anderson Cancer Center
🇺🇸Houston, Texas, United States
Gabrail Cancer Center Research
🇺🇸Canton, Ohio, United States
Moffitt Cancer Center
🇺🇸Tampa, Florida, United States
Washington University School of Medicine
🇺🇸Saint Louis, Missouri, United States
Princess Margaret Hospital
🇨🇦Toronto, Ontario, Canada
Dana-Farber Cancer Institute
🇺🇸Boston, Massachusetts, United States