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A Phase 2 Randomized Single-Blind Study to Evaluate the Activity and Safety of Low Dose Oral Selinexor (KPT-330) in Patients With Severe COVID-19 Infection

Trial Profile

A Phase 2 Randomized Single-Blind Study to Evaluate the Activity and Safety of Low Dose Oral Selinexor (KPT-330) in Patients With Severe COVID-19 Infection

Status: Completed
Phase of Trial: Phase II

Latest Information Update: 23 Jan 2023

At a glance

  • Drugs Selinexor (Primary)
  • Indications COVID-19 respiratory infection
  • Focus Therapeutic Use
  • Sponsors Karyopharm Therapeutics
  • Most Recent Events

    • 23 Dec 2020 Status changed from discontinued to completed.
    • 06 Oct 2020 Results presented in a Karyopharm Therapeutics Media Release.
    • 06 Oct 2020 According to a Karyopharm Therapeutics media release, data will be presented at the International Society for Influenza and Other Respiratory Virus Diseases Antiviral Group (ISIRV-AVG) Virtual Conference on Therapeutics for COVID-19.

Trial Overview

Purpose

The main purpose of this study is to evaluate the activity of low dose oral selinexor (KPT-330) and to evaluate the clinical recovery, the viral load, length of hospitalization and the rate of morbidity and mortality in participants with severe COVID-19 compared to placebo.

Comments

According to a Karyopharm Therapeutics media release, the Data Safety Monitoring Board (DSMB) has recommended to discontinue this trial following a planned interim analysis (115 patients included in the efficacy analysis and 113 patients included in the safety analysis) as the trial is unlikely to demonstrate a statistically significant efficacy benefit across the entire heterogenous patient population studied.

Primary Endpoints

Percentage of Participants With At-least a 2-Point Improvement in Ordinal Scale

description: Ordinal Scale 2-Point improvement was defined as percentage of participants with at least a 2-points improvement (increase from baseline) by Day 14. Baseline score was defined as the last score measured before first dosing. The 8-point ordinal scale ranges from 1 to 8: where 1= death, 2= hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO); 3= hospitalized, on non-invasive ventilation or high flow oxygen devices; 4= hospitalized, requiring supplemental oxygen; 5= hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (coronavirus disease 2019 [COVID-19] related or otherwise); 6= hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7= not hospitalized, limitation on activities and/or requiring home oxygen; 8= not hospitalized, no limitations on activities.
time_frame: Baseline up to Day 14

Absence of fever: oral temperature <38C x 24 hours without antipyretics (acetaminophen) AND one of the following

− Respiratory rate < or =24/minute OR
− Oxygen saturation > or = 94% on room air OR
− Hospital discharge
Timepoint(s) of evaluation of this end point: Throughout the study

Other Endpoints

Percentage of Participants With at Least a 2-Point Improvement in the Ordinal Scale up to Day 7

description: Ordinal Scale 2-points improvement was defined as percentage of participants with at least a 2-points improvement (increase from baseline) by Day 7. Baseline score was defined as the last score measured before first dosing. The 8-point ordinal scale ranges from 1 to 8: where, 1= death, 2= hospitalized, on invasive mechanical ventilation or ECMO; 3= hospitalized, on non-invasive ventilation or high flow oxygen devices; 4= hospitalized, requiring supplemental oxygen; 5= hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 6= hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7= not hospitalized, limitation on activities and/or requiring home oxygen; 8= not hospitalized, no limitations on activities.
time_frame: Baseline up to Day 7

Percentage of Participants With at Least a 1-Point Improvement in the Ordinal Scale

description: Ordinal Scale 1-point improvement was defined as percentage of participants with at least 1-point improvement (increase from baseline) by Day 7 and 14. Baseline score was defined as the last score measured before first dosing. The 8-point ordinal scale ranges from 1 to 8: where 1= death, 2= hospitalized, on invasive mechanical ventilation or ECMO; 3= hospitalized, on non-invasive ventilation or high flow oxygen devices; 4= hospitalized, requiring supplemental oxygen; 5= hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 6= hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7= not hospitalized, limitation on activities and/or requiring home oxygen; 8= not hospitalized, no limitations on activities.
time_frame: Baseline up to Day 7 and 14

Time to Clinical Improvement of 2-points Using Ordinal Scale (TTCI-2)

description: TTCI-2 was defined as the time from randomization to an improvement of 2-points using 8-points Ordinal Scale. The 8-point ordinal scale ranges from 1 to 8: where 1= death, 2= hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO); 3= hospitalized, on non-invasive ventilation or high flow oxygen devices; 4= hospitalized, requiring supplemental oxygen; 5= hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (coronavirus disease 2019 [COVID-19] related or otherwise); 6= hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7= not hospitalized, limitation on activities and/or requiring home oxygen; 8= not hospitalized, no limitations on activities.
time_frame: Baseline up to Day 28

Overall Death Rate

description: Overall death rate was defined as the percentage of participants who died on or before Day 28.
time_frame: Baseline up to Day 28

Rate of Mechanical Ventilation (RMV)

description: The rate of RMV was defined as the percentage of participants who ever used invasive mechanical ventilation or ECMO during the hospital stay.
time_frame: Baseline up to Day 28

Rate of Intensive Care Unit (ICU) Admission

description: The rate of ICU admission was defined as the percentage of participants with ICU admissions.
time_frame: Baseline up to Day 28

Length of Hospitalization

description: Length of hospitalization (days) was defined as (first hospital discharge date - date of randomization + 1).
time_frame: Baseline up to Day 67

Change From Baseline in C-reactive Protein (CRP) Levels

description: The anti-inflammatory and immune effects of selinexor were assessed by CRP levels. Baseline was defined as the most recent non-missing measurement prior to the first administration of study treatment. Change from Baseline at the indicated time points was calculated as the value at the indicated time points minus the value at Baseline.
time_frame: Baseline, Day 3, 5, 8, 12, 15, 19, 22 and 26

Change From Baseline in Ferritin Levels

description: The anti-inflammatory and immune effects of selinexor were assessed by ferritin levels. Baseline was defined as the most recent non-missing measurement prior to the first administration of study treatment. Change from Baseline at the indicated time points was calculated as the value at the indicated time points minus the value at Baseline.
time_frame: Baseline, Day 3, 5, 8, 12, 15, 19, 22 and 26

Change From Baseline in Lactate Dehydrogenase (LDH) Levels

description: The anti-inflammatory and immune effects of selinexor were assessed by LDH levels. Baseline was defined as the most recent non-missing measurement prior to the first administration of study treatment. Change from Baseline at the indicated time points was calculated as the value at the indicated time points minus the value at Baseline.
time_frame: Baseline, Day 3, 5, 8, 12, 15, 19, 22 and 26

Changes From Baseline in Blood Plasma Cytokines Levels-Interleukin-6 (IL-6)

description: The anti-inflammatory and immune effects of selinexor were assessed by blood plasma cytokines like IL-6. Baseline was defined as the most recent non-missing measurement prior to the first administration of study treatment. Change from Baseline at the indicated time points was calculated as the value at the indicated time points minus the value at Baseline.
time_frame: Baseline, Day 3, 5, 8, 12, 15, 22 and 26

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs

description: Adverse events are defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment. Serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAEs are defined as those AEs that develop or worsen after the first dose of study drug. TEAEs included both Serious and non-serious TEAEs.
time_frame: From start of study drug administration up to Day 58 [1]

Diseases Treated

Indication Qualifiers Patient Segments
COVID-19 respiratory infection treatment severe

Biomarker

NCT Number Biomarker Name Biomarker Function
NCT04349098 C-reactive protein (CRP) Eligibility Criteria, Outcome Measure
Ferritin Outcome Measure
Interleukin-6 (IL-6) Outcome Measure
For more detail, check out BiomarkerBase: the leading source of information about biomarkers used in drug development and diagnostic tests, tracking a comprehensive list of biomarker uses worldwide by over 800 companies

Subjects

  • Subject Type patients
  • Number

    Planned: 300

    Actual: 190

  • Sex male & female
  • Age Group ≥18 years; adult; elderly

Patient Inclusion Criteria

- Confirmed laboratory diagnosis of SARS-CoV2 by standard FDA-approved reverse transcription polymerase chain reaction (RT-PCR) assay or equivalent FDA-approved testing (local labs). - Currently hospitalized. - Informed consent provided as above (it is recommended that participants are dosed with study drug within 12 hours of consent). - Has symptoms of severe COVID-19 as demonstrated by: - At least one of the following: fever, cough, sore throat, malaise, headache, muscle pain, shortness of breath at rest or with exertion, confusion, or symptoms of severe lower respiratory symptoms including dyspnea at rest or respiratory distress. - Clinical signs indicative of lower respiratory infection with COVID-19, with at least one of the following: SaO2 <92% on room air in last 12 hours or requires > 4 liters per minute (LPM) oxygen by nasal canula, non-rebreather/Ventimask or high flow nasal canula in order maintain SaO2 ≥92%, PaO2/FiO2 <300 millimeter per mercury (mm/hg). - Elevated C-reactive protein (CRP) > 2 x upper limit of normal (ULN). - Concurrent anti-viral and/or anti-inflammatory agents (e.g., biologics, hydroxychloroquine) are permitted. If in the physician's judgment, it is in the best interest of the participant to use anti-viral or anti-inflammatory treatments, these treatments are to be documented in the participant's chart and entered in the electronic case report form. - Female participants of childbearing potential must have a negative serum pregnancy test at Screening. Female participants of childbearing potential and fertile male participants must use highly effective methods of contraception throughout the study and for 3 months following the last dose of study treatment.

Patient Exclusion Criteria

- Evidence of critical COVID-19 based on: - Respiratory failure (defined by endotracheal intubation and mechanical ventilation, oxygen delivered by noninvasive positive pressure ventilation, or clinical diagnosis of respiratory failure in setting of resource limitations) - Septic shock (defined by Systolic blood pressure [BP] < 90 mm Hg, or Diastolic BP < 60 mm Hg) - Multiple organ dysfunction/failure - In the opinion of the investigator, unlikely to survive for at least 48 hours from screening or anticipate mechanical ventilation within 48 hours. - Inadequate hematologic parameters as indicated by the following labs: - Participants with severe neutropenia (ANC <1000 x 10^9/L) or - Thrombocytopenia (e.g., platelets <100,000 per microliter of blood) - Inadequate renal and liver function as indicated by the following labs: - Creatinine clearance (CrCL) <20 mL/min using the formula of Cockcroft and Gault - Aspartate transaminase (AST) or alanine transaminase (ALT) > 5 x ULN - Hyponatremia defined as sodium < 135 milliequivalents per liter (mEq/L). - Unable to take oral medication when informed consent is obtained. - Participants with a legal guardian or who are incarcerated. - Treatment with strong CYP3A inhibitors or inducers. - Pregnant and breastfeeding women.

Trial Details

Identifiers

Identifier Owner
NCT04349098 ClinicalTrials.gov: US National Institutes of Health
EudraCT2020-001411-25 European Clinical Trials Database
XPORT-CoV1001 -

Organisations

  • Sponsors Karyopharm Therapeutics
  • Affiliations Karyopharm Therapeutics

Trial Dates

  • Initiation Dates

    Planned : 30 Apr 2020

    Actual : 17 Apr 2020

  • Primary Completion Dates

    Planned : 31 Aug 2020

    Actual : 05 Oct 2020

  • End Dates

    Planned : 31 Aug 2020

    Actual : 05 Oct 2020

Other Details

  • Design multicentre; parallel; prospective; randomised; single-blind
  • Phase of Trial Phase II
  • Location Australia; Austria; Belgium; Canada; England; France; Germany; India; Israel; Italy; Malaysia; Spain; United Kingdom; USA
  • Focus Therapeutic Use

Interventions

Drugs Route Formulation
SelinexorPrimary Drug Oral Tablet

Selinexor 20 mg

Participants will receive 20 milligram (mg) of selinexor oral tablet on Days 1, 3, and 5 of each week for up to 2 weeks (14 days). If the participant is tolerating therapy and clinically benefitting, dosing can continue for an additional 2 weeks (28 days).
Drug: Selinexor (Participants will receive 20 mg of selinexor.) Other Name: KPT-330, XPOVIO

Placebo

Participants will receive 20 mg of placebo matched to selinexor oral tablet on Days 1, 3, and 5 of each week for up to 2 weeks (14 days). If the participant is tolerating therapy and clinically benefitting, dosing can continue for an additional 2 weeks (28 days).
Other: Placebo (Participants will receive 20 mg of placebo matched to selinexor.)

Results

Therapeutic efficacy

COVID-19 infection:
Phase II:
In post hoc analysis indicated treatment with selinexor (n=38) compared to placebo (n=28) was associated with a significantly higher percentage of patients discharged by Day 14 (78.9% vs 57.1%; p=0.029) in 66 patients with either baseline serum lactate dehydrogenase (LDH) = 370 U/L or D-dimer = 600mcg/L FEU (Low LDH/DD). On day 14, the trend was observed to be superior =2-point improvement in the Ordinal Scale (OSI-2) (78.9% vs 64.3%; p=0.095). Compared to placebo, patients treated with the drug indicated a postive trend to convert to a negative COVID-19 PCR test (42.1% vs 28.6%; p=0.13). Within eight days of the treatment reduction in TNF-a levels, IL1-RA, IL-6, IL-7, IP-10 and measurements of inflammation was reported (p<0.05). In phase II study, 115 evaluable patients with COVID-19 infection met its primary endpoint indicating improvement in Ordinal Score at Day 14 and the rate of hospital discharge by Day 14 (all p=0.05).There was also a significant improvement in conversion to SARS-CoV2 PCR negative status on the selinexor arm as compared with the placebo arm across the entire population (p=0.05). There was no improvement seen in the clinical outcomes of patients of age 75 years old or with a COVID-GRAM high risk score; fatalities were higher in the selinexor arm (6/15) than the placebo arm (1/12). The rate of fatalities were high due to severe COVID-19 disease and/or underlying comorbidities without a clear contribution of selinexor [2] .

Adverse events

Adverse events data obtained from the phase II trial indicated 51.9% of patients with placebo compared to 63.2% of treated patients with adverse events. Similar occurrences of deaths were observed across the treatment arms (2 vs 1) [2] .

Publications

  1. Karyopharm Therapeutics. Karyopharm Announces Selinexor Clinical Data to be Presented at the International Society for Influenza and Other Respiratory Virus Diseases Antiviral Group Virtual Conference on Therapeutics for COVID-19. Media-Rel 2020;.

    Media Release
  2. Karyopharm Therapeutics. Karyopharm Reports Second Quarter 2020 Financial Results and Highlights Recent Company Progress. Media-Rel 2020;.

    Media Release

Authors

Author Total Publications First Author Last Author
Karyopharm Therapeutics 2 2 2

Trial Centres

Investigators

Investigator Centre Name Trial Centre Country
Arnaud Desclaux CHU Bordeaux France
Benito Almirante Hospital Universitari Vall d'Hebron Spain
Catherine Small Weill Cornell Medical College USA
Charles Hare Kaiser Permanente San Francisco USA
Don Stevens Norton Healthcare USA
Dror Diker Hasharon Medical Center Israel
Enrico Lallana Kaiser Permanente Sacramento USA
Florent Valor CHU Lyon France
Francois Raffi CHU Nantes France
Gennatas Spyridon The Royal Marsden Hospital United-Kingdom
George Lyon Emory University USA
George Thompson UC Davis Health USA
Guenther Koehne Miami Cancer Institute at Baptist Health USA
Itzchak Levy Sheba Medical Center Israel
Jacek Skarbinksi Kaiser Permanente Oakland USA
Jatin Shah, Chief Medical Officer
(617) 658-0600
jshah@karyopharm.com
show details
Karyopharm Therapeutics
-
Jeff Zonder Karmanos USA
Khalid Rao Michigan Center of Medical Research USA
Kurt Redlich Hospital Hietzing, 2. Medical department - Center for Diagnosis and Therapy of Rheumatic Diseases Austria
Mansour Ceesay Princess Royal University Hospital United-Kingdom
Marcelo Gareca Lehigh Valley Hospital USA
Matthew Cramp University Hospitals Plymouth NHS Trust United-Kingdom
Matthew Ingham Columbia University USA
Mezgebe Berhe Baylor Scott & White Dallas
-
Miguel Marcos Martin Servicio de Medicina Interna, Hospital Universitario de Salamanca, Universidad de Salamanca Spain
Nathan Bahr University of Kansas Medical Center USA
Otto Yang UCLA USA
Piers Patten Kings College Hospital United-Kingdom
Ran Nir-Paz Hadassah MC Israel
Ronda Oram Advocate Christ Medical Center USA
Sharon Shacham, President and CSO
(617) 658-0600
sshacham@karyopharm.com
show details
Karyopharm Therapeutics
-
Steven Katzman Michigan Center of Medical Research USA
Vaishali Sanchorawala Boston Medical Center USA
Vinay Malhotra MultiCare Institute for Research & Innovation (Puget Sound)
-
Zainab Shahid Levine Cancer Institute-Atrium Health University City USA

Centres

Centre Name Location Trial Centre Country
Advocate Christ Medical Center Oak Lawn, Illinois USA
Baylor Scott & White Dallas Dallas, Texas USA
Boston Medical Center Boston, Massachusetts USA
CHU Bordeaux Bordeaux France
CHU Lyon Lyon France
CHU Nantes Nantes France
Columbia University New York, New York USA
Emory University Atlanta, Georgia USA
Hadassah MC Jerusalem Israel
Hasharon Medical Center Petah Tiqva Israel
Hospital Hietzing, 2. Medical department - Center for Diagnosis and Therapy of Rheumatic Diseases Vienna Austria
Hospital Universitari Vall d'Hebron Barcelona Spain
Kaiser Permanente Oakland Oakland, California USA
Kaiser Permanente Sacramento Sacramento, California USA
Kaiser Permanente San Francisco San Francisco, California USA
Karmanos Detroit, Michigan USA
Karyopharm Therapeutics
-
-
Karyopharm Therapeutics Inc.
Clinical Trial Information Desk
Street Address 85 Wells Ave
Town/ city Newton
Post code MA 02459
Country United States
Telephone number +34923 291 100
clinicaltrials@karyopharm.com
show details
Newton, Massachusetts USA
Kings College Hospital London United-Kingdom
Lehigh Valley Hospital Allentown, Pennsylvania USA
Levine Cancer Institute-Atrium Health University City Charlotte, North Carolina USA
Miami Cancer Institute at Baptist Health Miami, Florida USA
Michigan Center of Medical Research Farmington Hills, Michigan USA
Michigan Center of Medical Research Royal Oak, Michigan USA
MultiCare Institute for Research & Innovation (Puget Sound) Tacoma, Washington USA
Norton Healthcare Louisville, Kentucky USA
Princess Royal University Hospital Kent United-Kingdom
Servicio de Medicina Interna, Hospital Universitario de Salamanca, Universidad de Salamanca Salamanca Spain
Sheba Medical Center Tel HaShomer Israel
The Royal Marsden Hospital London United-Kingdom
UC Davis Health Sacramento, California USA
UCLA Los Angeles, California USA
University Hospitals Plymouth NHS Trust Plymouth United-Kingdom
University of Kansas Medical Center Kansas City, Kansas USA
Weill Cornell Medical College New York, New York USA

Trial History

Event Date Event Type Comment
23 Jan 2023 Other trial event Last checked against ClinicalTrials.gov record. Updated 23 Jan 2023
01 Nov 2021 Biomarker Update Biomarkers information updated Updated 03 Nov 2021
04 May 2021 Other trial event Last checked against European Clinical Trials Database record. Updated 04 May 2021
23 Dec 2020 Status change - completed Status changed from discontinued to completed. Updated 29 Dec 2020
06 Oct 2020 Results Results presented in a Karyopharm Therapeutics Media Release. Updated 09 Oct 2020
06 Oct 2020 Other trial event According to a Karyopharm Therapeutics media release, data will be presented at the International Society for Influenza and Other Respiratory Virus Diseases Antiviral Group (ISIRV-AVG) Virtual Conference on Therapeutics for COVID-19. Updated 09 Oct 2020
04 Aug 2020 Interim results Results published in the Karyopharm Therapeutics financial media release. Updated 06 Aug 2020
04 Aug 2020 Other trial event According to a Karyopharm Therapeutics media release, the protocol was amended to allow enrollment of patients with more severe disease in May 2020. Updated 06 Aug 2020
04 Aug 2020 Other trial event According to a Karyopharm Therapeutics media release, will continue to analyze the data to further characterize the specific subpopulation that will likely benefit from selinexor and will work with the FDA to identify a path forward for future clinical development and seek potential partners and external funding to advance future clinical studies. Updated 06 Aug 2020
04 Aug 2020 Other trial event According to a Karyopharm Therapeutics media release, the Data Safety Monitoring Board (DSMB) has recommended to discontinue this trial following a planned interim analysis (115 patients included in the efficacy analysis and 113 patients included in the safety analysis) as the trial is unlikely to demonstrate a statistically significant efficacy benefit across the entire heterogenous patient population studied. Updated 06 Aug 2020
04 Aug 2020 Status change - discontinued Status changed from recruiting to discontinued, according to a Karyopharm Therapeutics media release. Updated 06 Aug 2020
16 Jul 2020 Other trial event This trial has been discontinued in Austria, as per European Clinical Trials Database record. Updated 16 Jul 2020
10 Jul 2020 Other trial event This trial has been suspended in Spain, as per European Clinical Trials Database record. Updated 10 Jul 2020
10 Jul 2020 Other trial event This trial has been discontinued in Germany, as per European Clinical Trials Database record. Updated 10 Jul 2020
24 May 2020 Other trial event Planned number of patients changed from 230 to 300. Updated 26 May 2020
30 Apr 2020 Other trial event According to a PROMETRIKA and Karyopharm Therapeutics media release, this study will be conducted in collaboration of the PROMETRIKA. Updated 05 May 2020
22 Apr 2020 Other trial event According to a Precision for Medicine media release, Precision will be responsible for ensuring site engagement, obtaining regulatory and clinical governing authority approvals, documentation preparation, as well as collecting and monitoring data. Updated 22 Apr 2020
22 Apr 2020 Other trial event According to a Precision for Medicine media release, Precision for Medicine is collaborating with Karyopharm Therapeutics to help conduct this first global randomized clinical trial for low dose selinexor in hospitalized patients with severe COVID-19.Precision for Medicine will oversee implementation of the clinical trial in Europe. The countries planning to participate in the study and where sites will be located include the United Kingdom, Italy, France, Spain, Germany, and Austria. Updated 22 Apr 2020
21 Apr 2020 Other trial event New source identified and integrated (European Clinical Trials Database EudraCT2020-001411-25). Updated 21 Apr 2020
20 Apr 2020 Other trial event According to a Karyopharm Therapeutics media release, first patient has been dosed. Updated 22 Apr 2020
20 Apr 2020 Other trial event New source identified and integrated(ClinicalTrials.gov: US National Institutes of Health;NCT04349098). Updated 20 Apr 2020
19 Apr 2020 Status change - recruiting Status changed from not yet recruiting to recruiting. Updated 22 Apr 2020
14 Apr 2020 Other trial event Status changed from planning to not yet recruiting. Updated 21 Apr 2020
08 Apr 2020 Other trial event According to a Karyopharm Therapeutics media release, Komodo Health announced a collaboration with Karyopharm Therapeutics to accelerate clinical trial recruitment and site identification in an effort to speed patient access to a potential new treatment for COVID-19. Within hours of determining the project scope and appropriate patient cohort, Komodos Healthcare Map provided a snapshot of virology and infectious disease patterns to inform trial site identification. Updated 13 Apr 2020
08 Apr 2020 New trial record New trial record Updated 08 Apr 2020
07 Apr 2020 Other trial event According to a Karyopharm media release, the company plans to initiate a global randomized clinical trial for low dose oral selinexor in hospitalized patients with severe COVID-19. Selinexor, marketed as XPOVIO, is currently approved at higher doses by the Food and Drug Administration (FDA) as a treatment for patients with relapsed or refractory multiple myeloma Updated 08 Apr 2020

References

  1. ClinicalTrials.gov: US National Institutes of Health. Trial-Reg 2023;.

    Available from: URL: http://clinicaltrials.gov
  2. Karyopharm Therapeutics. Karyopharm Announces Selinexor Clinical Data to be Presented at the International Society for Influenza and Other Respiratory Virus Diseases Antiviral Group Virtual Conference on Therapeutics for COVID-19. Media-Rel 2020;.

    Media Release
  3. Karyopharm Therapeutics, Komodo Health. Komodo Health Teams Up with Karyopharm Therapeutics to Accelerate New Global Clinical Trial to Treat Patients with COVID-19. Media-Rel 2020;.

    Media Release
  4. Karyopharm Therapeutics. Karyopharm to Evaluate Low Dose Selinexor as a Potential Treatment for Hospitalized Patients with COVID-19. Media-Rel 2020;.

    Media Release
  5. PROMETRIKA, Karyopharm. PROMETRIKA and Karyopharm: Partners in Global COVID-19 Trial. Media-Rel 2020;.

    Media Release
  6. European Clinical Trials Database. Trial-Reg 2023;.

    Available from: URL: https://www.clinicaltrialsregister.eu
  7. Karyopharm Therapeutics. Karyopharm Announces Dosing of First Patient in Randomized Study Evaluating Low Dose Selinexor in Patients with Severe COVID-19 . Media-Rel 2020;.

    Media Release
  8. Karyopharm Therapeutics. Karyopharm Reports Second Quarter 2020 Financial Results and Highlights Recent Company Progress. Media-Rel 2020;.

    Media Release
  9. Precision for Medicine. Precision For Medicine Partners With Karyopharm Therapeutics To Initiate New Global Clinical Trial To Treat Patients With COVID-19. Media-Rel 2020;.

    Media Release
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