| Eligibility |
Inclusion Criteria:
- Must have histologically confirmed solid tumor malignancy that is metastatic or
unresectable for which standard curative measures do not exist, or are associated with
minimal patient survival benefit, and for whom irinotecan therapy may be appropriate.
- Any prior therapy must have been completed > 2 weeks prior to enrollment on the
protocol in patients participating and must have recovered to eligibility levels
(CTCAE grade </= 1) from prior toxicity. Prior radiation or surgery should have been
completed > 2 weeks prior to study enrollment and all associated toxicities resolved
to eligibility levels.
- Age >/= 18 years. Because no dosing or adverse event (AE) data are currently available
on the use of selinexor in patients < 18 years of age, children are excluded from this
study, but may be eligible for future pediatric Phase 1 combination trials.
- Eastern Cooperative Group (ECOG) performance status </= 2 (Karnofsky >/= 60%).
- Life expectancy >/= 3 months.
- Patients must have normal organ and marrow function as defined below:
- Absolute Neutrophil count >/= 1,500u/L
- Platelets >/= 125,000u/L
- Total Bilirubin </= 1.5x institution upper limit of normal
- AST (SGOT)/ALT(SGPT) </= 2.5x institutional upper limit of normal, if liver metastasis
</= 5x institutional upper limit.
- Creatinine </= 1.5x institutional upper limit of normal. or
- Creatinine clearance >/= 50mL/minute for patients with creatininelevels > 1.5x
institutional upper limit of normal.
- The effects of selinexor on the developing human fetus are unknown. For this reason,
and because Irinotecan used in this trial are known to be teratogenic, women of
childbearing potential and men must agree to use adequate contraception (hormonal
barrier method of birth control; abstinence) prior to study entry, for the duration of
study participation and for 30 days after completion of study. Should a woman become
pregnant or suspect she is pregnant while participating in this study, she should
inform her treating physician immediately.
- Ability to understand and the willingness to sign a written informed consent document.
- Patients who have previously
Exclusion Criteria:
- Patients who have had chemotherapy or radiotherapy within 2 weeks (6 weeks for
nitrosoureas or mitomycin C) prior to entering the study, or those who have not
recovered from AEs due to agents administered more than 2 weeks earlier. Patients must
be >/= 2 weeks since any investigational agent was administered as part of an
exploratory IND study and should have recovered to eligibility levels from any
toxicity.
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active
infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac
arrythmia, prolonged QTc interval (>500 msec), or psychiatric illness/social
situations that would limit compliance with study requirements.
- In the Food and Drug Administration (FDA) Use-in-Pregnancy Ratings for Drugs,
Irinotecan is classified as category D drugs, indicating that investigational or
postmarketing data show risk to the fetus. For this reason, women of childbearing
potential and men must agree to use adequate contraception (hormonal or barrier method
of birth control; abstinence) prior to study entry, for the duration of study
participation, and for 30 days after completion of study. Should a woman become
pregnant or suspect she is pregnant while participating in the study, she should
inform her treating physician immediately. Because there is a risk for AEs in nursing
infants secondary to treatment of the mother with these drugs, breastfeeding should be
discontinued while the patient is on this trial and for 30 days after completion of
treatment on this trial.
- Patients with known brain metastases are excluded from this clinical trial, with the
exception of patients whose brain metastatic disease status is stable with or without
treatment without steroids (except for maintenance replacement doses of steroids).
- Patients with clinically significant illnesses which could compromise participation in
the study, including, but not limited to, active or uncontrolled infection, immune
deficiencies or confirmed diagnosis of HIV infection, Hepatitis B, Hepatitis C,
uncontrolled diabetes, uncontrolled hypertension, symptomatic congestive heart
failure, unstable angina pectoris, myocardial infarction within the past 6 months,
uncontrolled cardiac arrhythmia, or psychiatric illness/social situations that would
limit compliance with study requirements are excluded from this trial.
- Grade >/= 3 toxicity related to irinotecan for patients who have received prior
irinotecan.
- Both men and women of all races and ethnic groups are eligible for this trial.
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