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A randomized phase II multicenter study with a safety run-in to assess the tolerability and efficacy of the addition of oral selinexor (KPT-330) to standard induction chemotherapy in AML and high risk myelodysplasia (MDS) (IPSS-R > 4.5) in patients aged >66 years .

Recruiting
Conditions
Acute Myeloid Leukemia (AML), MDS
Registration Number
NL-OMON25024
Lead Sponsor
HOVON Data Center
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
230
Inclusion Criteria

• Patients eligible for standard chemotherapy.

• Patients 66 years and older

Exclusion Criteria

• Acute promyelocytic leukemia

• Patients previously treated for AML (any antileukemic therapy including investigational agents), a short treatment period (< 2 weeks) with Hydroxyurea is allowed

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
• Incidence of DLT (part A)<br /><br>• The effect of selinexor on the CR rate (part B of study)
Secondary Outcome Measures
NameTimeMethod
• Overall survival (time from registration till the death of the patient.)<br /><br>• Event free survival (i.e., time from registration to induction failure (i.e. no CR on induction), death or relapse whichever occurs first)<br /><br>• Disease free survival (time from CR on protocol treatment until relapse or death, whichever comes first)<br /><br>• Prognostic value of molecular markers and gene expression profiles of the leukemia assessed at diagnosis<br /><br>• Prognostic value of minimal residual disease (MRD) measurements following therapy by standardized sampling of marrow/blood
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