Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02606461
Other study ID # KCP-330-020
Secondary ID 2015-003594-14
Status Completed
Phase Phase 2/Phase 3
First received
Last updated
Start date January 4, 2016
Est. completion date October 26, 2021

Study information

Verified date January 2023
Source Karyopharm Therapeutics Inc
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a randomized, multicenter, double-blind, placebo-controlled, Phase 2-3 study of patients diagnosed with advanced unresectable dedifferentiated liposarcoma. Approximately 342 total patients will be randomized to study treatment (selinexor or placebo).


Description:

In the Phase 2 portion of the study, 57 patients were randomized to selinexor (60 mg) or placebo at a 1:1 allocation ratio. In the Phase 3 portion of the study, approximately 285 patients will be randomized to selinexor (60 mg) or placebo with a 2:1 allocation ratio. Patients who progress during the blinded portion of the study will be unblinded and if receiving: - placebo, may cross over to open-label selinexor (60mg twice-weekly) - selinexor, will be withdrawn from further treatment and followed for survival Study treatment will be given twice-weekly on Day 1 and Day 3 during Weeks 1-6 of each six-week (42 day) cycle until disease progression or intolerability. Treatment will continue until one or more of the following occurs: - Disease progression, as defined by RECIST v1.1 Response Criteria - Clinical progression, as determined by the treating physician - Unacceptable adverse events (AEs) or failure to tolerate study treatment - Patient withdrawal - Patient discontinuation due to non-compliance


Recruitment information / eligibility

Status Completed
Enrollment 342
Est. completion date October 26, 2021
Est. primary completion date October 28, 2020
Accepts healthy volunteers No
Gender All
Age group 12 Years and older
Eligibility Inclusion Criteria: 1. Patients =12 years of age 2. Body surface area (BSA) = 1.2 m2 3. Histologic evidence of DDLS at any time prior to randomization AND current evidence of DDLS requiring treatment 4. Must have measurable disease per RECIST v1.1 Response Criteria 5. Radiologic evidence of disease progression within 6 months prior to randomization. If the patient received other intervening therapy after documented disease progression, further disease progression must be documented after the completion of the intervening therapy 6. Must have had at least 2 prior lines of systemic therapy for liposarcoma (not to exceed 5 prior lines) 7. If patient received any previous systemic therapy, the last dose must have been = 21 days prior to randomization (or = 5 half-lives of that drug, whichever is shorter) with all clinically significant therapy-related toxicities having resolved to = Grade 1 Exclusion Criteria: 1. Patients with pure well-differentiated liposarcoma (WDLS), myxoid/round cell or pleomorphic tumor histologic subtypes 2. Known active hepatitis B (HepB), hepatitis C (HepC) or human immunodeficiency virus (HIV) infection 3. Known central nervous system metastases

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Selinexor
Selinexor 60mg
Placebo


Locations

Country Name City State
Belgium UCL Saint-Luc Brussels
Belgium UZ Brussel Brussels
Belgium UZ Gent Ghent
Canada Cross Cancer Center - Alberta Health Services Edmonton Alberta
Canada McGill University Montréal Quebec
Canada The Ottawa Hospital Cancer Ottawa Ontario
Canada Princess Margaret Hospital Toronto Ontario
France Institut Bergonie Bordeaux,
France Oscar Lambret Center Lille Cedex 307
France Centre Leon Berard Lyon Cedex
France Timone University Hospital Marseille Cedex 5
France Institut Régional du Cancer de Montpellier (ICM) Montpellier
France CLCC Antoine Lacassagne Nice
France Institut Curie Paris
France Institut Claudius Regaud Toulouse
France Institut Gustave Roussy Villejuif
Germany Helios Hospital Berlin-Buch Berlin
Germany Technische Universitaet Dresden Med. Fakultaet Carl Gustav Carus Med. Klinik u. Poliklinik I Dresden
Germany National Center for Tumor Diseases, Univeristy Hospital Heidelberg Heidelberg
Germany University Hospital Mannheim Mannheim
Germany Klinik und Poliklinik für Innere Medizin III, Hämatologie und Onkologie Klinikum rechts der Isar der TU Muenchen Muenchen
Israel Soroka University Medical Center Be'er Sheva
Israel Hadassah Medical Center Jerusalem
Israel Rabin Medical Center Petach Tikva
Israel Sheba Medical Center Ramat Gan
Israel Tel Aviv Sourasky Medical Tel Aviv
Israel Assaf Harofe Medical Center Zerifin
Italy Candiolo Cancer Institute Candiolo
Italy Istituto Nazionale dei Tumori, Milan Milano
Italy U.O.C. Oncologia Medica Oncology Department Palermo
Italy Policlinico Universitario Campus Biomedico Roma
Spain "Germans Trias Pujol" University Hospital Badalona
Spain Hospital ICO Bellvitge Barcelona
Spain Hospital Sant Pau Barcelona Barcelona
Spain Vall d´hebron University Hospital Barcelona
Spain Hospital Universitario Clínico San Carlos Madrid
Spain Hospital Universitario Virgen Del Rocio Sevilla
Spain Hospital La Fe Valencia Valencia
Sweden Sahlgrenska Universitetssjukhuset Göteborg
Sweden Skane University Hospital Lund
Sweden Onkologiska Kliniken Stockholm
United Kingdom Cambridge University Hospitals NHS Foundation Trust Cambridge
United Kingdom The Royal Marsden NHS Foundation Trust London
United Kingdom University College London Hospitals London
United Kingdom The Christie Manchester
United States University of Michigan Ann Arbor Michigan
United States Johns Hopkins Baltimore Maryland
United States Dana Farber Cancer Institute Boston Massachusetts
United States Massachusetts General Hospital Boston Massachusetts
United States Northwestern Memorial Hospital Chicago Illinois
United States James Cancer Center, Ohio State University Columbus Ohio
United States University of Colorado-Denver Denver Colorado
United States Duke Institute of Cancer Durham North Carolina
United States MD Anderson Houston Texas
United States Mayo Clinic Jacksonville Florida
United States Cedars-Sinai Medical Center Los Angeles California
United States University of California, Los Angeles Los Angeles California
United States Vanderbilt Nashville Tennessee
United States Yale Cancer Center New Haven Connecticut
United States Columbia University Medical Center New York New York
United States Memorial Sloan Kettering Cancer Center New York New York
United States Northwell Health Physicians Partners New York New York
United States Fox Chase Cancer Center Philadelphia Pennsylvania
United States University of Pennsylvania Philadelphia Pennsylvania
United States University of Pittsburgh Medical Center (UPMC) Pittsburgh Pennsylvania
United States Oregon Health and Science Portland Oregon
United States Mayo Clinic Rochester Rochester Minnesota
United States Washington University School of Medicine Saint Louis Missouri
United States Sarcoma Oncology Center Santa Monica California
United States Fred Hutchinson Cancer Research Center Seattle Washington
United States Stanford University Stanford California

Sponsors (1)

Lead Sponsor Collaborator
Karyopharm Therapeutics Inc

Countries where clinical trial is conducted

United States,  Belgium,  Canada,  France,  Germany,  Israel,  Italy,  Spain,  Sweden,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Phase 3 Double Blind: Progression-free Survival (PFS) as Per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 PFS was defined as the time from the date of randomization until the first date of Independent Review Committee (IRC)-confirmed PD per RECIST version 1.1, or death due to any cause. PD was defined as at least a 20% increase in the sum of the longest diameter (SLD), taking as reference the smallest sum of the longest diameter (SLD) recorded from baseline or the appearance of 1 or more new lesions. From the date of randomization until the first date of disease progression, or death due to any cause whichever occurred first (up to 57 months)
Primary Phase 3 Open Label: Progression-free Survival (PFS) as Per RECIST Version 1.1 PFS was defined as the time from the date of randomization in the Phase 3 open-label period until the first date of IRC-confirmed PD per RECIST version 1.1, or death due to any cause. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. From the date of randomization in the Phase 3 open label period until the first date of disease progression, or death due to any cause whichever occurred first (up to 57 months)
Primary Phase 2 Double Blind: Progression-free Survival (PFS) as Per RECIST Version 1.1 PFS was defined as the time from date of randomization until the first date of IRC-confirmed PD per RECIST version 1.1, or death due to any cause. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. From date of randomization until the first date of PD or death due to any cause, whichever occurred first (up to 57 months)
Primary Phase 2 Open Label: Progression-free Survival (PFS) as Per RECIST Version 1.1 PFS was defined as the time from date of randomization in the Phase 2 open-label period until the first date of IRC-confirmed PD per RECIST version 1.1, or death due to any cause. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. From date of randomization in the Phase 2 open label period until the first date of PD or death due to any cause, whichever occurred first (up to 57 months)
Secondary Phase 3 Double Blind: Overall Survival (OS) OS was defined as the duration (in months) from the date of randomization to death from any cause. Participants last known to be alive were censored at the date of discontinuation from the study, or database cut date, whichever was earlier. From date of randomization until death due to any cause, whichever occurred first (up to 70 months)
Secondary Phase 3 Open Label: Overall Survival (OS) OS was defined as the duration (in months) from the date of randomization in the Phase 3 open-label period to death from any cause. Participants last known to be alive were censored at the date of discontinuation from the study, or database cut date, whichever was earlier. From date of randomization in phase 3 open label period until death due to any cause, whichever occurred first (up to 70 months)
Secondary Phase 2 Double Blind: Overall Survival (OS) OS was defined as the duration (in months) from the date of randomization to death from any cause. Participants last known to be alive were censored at the date of discontinuation from the study, or database cut date, whichever was earlier. From the date of randomization until death due to any cause, whichever occurred first (up to 70 months)
Secondary Phase 2 Open Label: Overall Survival (OS) OS was defined as the duration (in months) from the date of randomization in the Phase 2 open-label period to death from any cause. Participants last known to be alive were censored at the date of discontinuation from the study, or database cut date, whichever was earlier. From date of randomization in the Phase 2 open-label period until death due to any cause, whichever occurred first (up to 70 months)
Secondary Phase 3 Double Blind: Time-to-Progression (TTP) as Per RECIST Version 1.1 TTP was defined as the time from date of randomization until ICR-determined PD per RECIST version 1.1, or death due to disease progression, whichever occurred first. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. From date of randomization until the first date of PD or death due to any cause, whichever occurred first (up to 70 months)
Secondary Phase 3 Open Label: Time-to-Progression (TTP) as Per RECIST Version 1.1 TTP was defined as the time from date of randomization in the Phase 3 open-label period until ICR-determined PD per RECIST version 1.1, or death due to disease progression, whichever occurred first. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. From date of randomization in the Phase 3 open label period until the first date of PD or death due to any cause, whichever occurred first (up to 70 months)
Secondary Phase 2 Double Blind: Time-to-Progression (TTP) as Per RECIST Version 1.1 TTP was defined as the time from date of randomization until ICR-determined PD as per RECIST version 1.1, or death due to disease progression, whichever occurred first. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. From date of randomization until the first date of PD or death due to any cause, whichever occurred first (up to 70 months)
Secondary Phase 2 Open Label: Time-to-Progression (TTP) as Per RECIST Version 1.1 TTP was defined as the time from date of randomization in the Phase 2 open-label period until ICR-determined PD per RECIST version 1.1, or death due to disease progression, whichever occurred first. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. From date of randomization in the Phase 2 open-label period until the first date of PD or death due to any cause, whichever occurred first (up to 70 months)
Secondary Phase 3 Double Blind: Overall Response Rate (ORR) ORR was defined as the percentage of participants who achieved complete response (CR) or partial response (PR), per RECIST v.1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. From date of randomization until the documentation of CR or PR (up to 70 months)
Secondary Phase 3 Open Label: Overall Response Rate (ORR) ORR was defined as the percentage of participants who achieved CR or PR, per RECIST v.1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. From date of randomization in the Phase 3 open label period until the documentation of CR or PR (up to 70 months)
Secondary Phase 2 Double Blind: Overall Response Rate (ORR) ORR was defined as the percentage of participants who achieved CR or PR, per RECIST v.1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. From date of randomization until the documentation of CR or PR (up to 70 months)
Secondary Phase 2 Open Label: Overall Response Rate (ORR) ORR was defined as the percentage of participants who achieved CR or PR, per RECIST v.1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. From date of randomization in the Phase 2 open-label period until the documentation of CR or PR (up to 70 months)
Secondary Phase 3 Double Blind: Duration of Response (DOR) DOR was defined as the time from first occurrence of CR or PR until the first date of PD per RECIST version 1.1 or death. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. From first occurrence of CR or PR until the first date of PD (up to 70 months)
Secondary Phase 3 Double Blind: Progression-free Survival (PFS) as Per Investigator Assessment PFS was defined as the time from date of randomization until the first date of PD, per RECIST version 1.1, or death due to any cause as defined by the Investigator based on clinical and/or radiologic criteria. PD was defined as at least a 20% increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions. From the date of randomization until the first date of disease progression, or death due to any cause whichever occurred first (up to 70 months)
Secondary Phase 3 Double Blind: Time to Next Treatment (TTNT) TTNT was defined as time since randomization until the first new antineoplastic therapy or death due to any cause, whichever occurs first. Time from randomization to the first new antineoplastic therapy or death due to any cause (up to 70 months)
Secondary Phase 2 Double Blind: Time to Next Treatment (TTNT) TTNT was defined as time since randomization until the first new antineoplastic therapy or death due to any cause, whichever occurs first. Time from randomization to the first new antineoplastic therapy or death due to any cause (up to 70 months)
Secondary Phase 3 Double Blind: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs An adverse event was 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. A 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. A TEAE was defined as those AEs that develop or worsen after the first dose of study drug. TEAEs included both serious and non-serious TEAEs. From start of study drug administration up to 70 months
Secondary Phase 3 Open Label: Number of Participants With TEAEs and Serious TEAEs An adverse event was 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. An 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 were defined as those AEs that develop or worsen after the first dose of study drug. TEAEs included both serious and non-serious TEAEs. From start of study drug administration up to 70 months
Secondary Phase 2 Double Blind: Number of Participants With TEAEs and Serious TEAEs An adverse event was 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. A 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 were defined as those AEs that develop or worsen after the first dose of study drug. TEAEs included both serious and non-serious TEAEs. From start of study drug administration up to 70 months
Secondary Phase 2 Open Label: Number of Participants With TEAEs and Serious TEAEs An adverse event was 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. An 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 were defined as those AEs that develop or worsen after the first dose of study drug. TEAEs included both serious and non-serious TEAEs. From start of study drug administration up to 70 months
Secondary Phase 3 Double Blind: Change From Baseline in Quality-of-life Questionnaire 30 Item (QLQ-C30) The QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of patients with cancer. QLQ-C30 contains 30 questions that include five functional scales (physical, role, emotional, social, and cognitive functioning); three symptom scales (fatigue, nausea/vomiting and pain); six single-item symptom items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties); and global health status/quality of life (QoL). Most questions used a 4-point scale (from 1 'Not at all' to 4 'Very much'); 2 questions used a 7-point scale (from 1 'very poor' to 7 'Excellent'). Scores were averaged and transformed to a 0-100 scale. For the functional scales and the global health status/QoL, a higher score represents a better level of functioning (better health status); for the symptom scales/items, a higher score represents a higher level of symptomatology/problems (worse health status). Baseline up to Day 1387
Secondary Phase 3 Open Label: Change From Baseline in Quality-of-life Questionnaire 30 Item (QLQ-C30) The QLQ-C30 is a 30-item questionnaire developed to assess the quality of life of patients with cancer. QLQ-C30 contains 30 questions that include five functional scales (physical, role, emotional, social, and cognitive functioning); three symptom scales (fatigue, nausea/vomiting and pain); six single-item symptom items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties); and global health status/quality of life (QoL). Most questions used a 4-point scale (from 1 'Not at all' to 4 'Very much'); 2 questions used a 7-point scale (from 1 'very poor' to 7 'Excellent'). Scores were averaged and transformed to a 0-100 scale. For the functional scales and the global health status/QoL, a higher score represents a better level of functioning (better health status); for the symptom scales/items, a higher score represents a higher level of symptomatology/problems (worse health status). Baseline up to Day 379
See also
  Status Clinical Trial Phase
Active, not recruiting NCT03307616 - Nivolumab With and Without Ipilimumab and Radiation Therapy in Treating Patients With Recurrent or Resectable Undifferentiated Pleomorphic Sarcoma or Dedifferentiated Liposarcoma Before Surgery Phase 2
Completed NCT01913652 - Ph II Cabazitaxel DD Liposarcoma Phase 2
Not yet recruiting NCT06389799 - A Phase 2, Open Label Study of PEmigatinib and REtifanlimab in Advanced Dedifferentiated LIposarcoma (PERELI) Phase 2
Recruiting NCT05886634 - A Study of Etrumadenant and Zimberelimab in People With Dedifferentiated Liposarcoma Phase 2
Completed NCT06115681 - Real-world Study of Dedifferentiated Liposarcoma Patients in China
Active, not recruiting NCT02846987 - Study of Abemaciclib in Dedifferentiated Liposarcoma Phase 2
Terminated NCT04979442 - Treatment of Milademetan Versus Trabectedin in Patient With Dedifferentiated Liposarcoma Phase 3
Active, not recruiting NCT04242238 - Study of DCC-3014 in Combination With Avelumab in Patients With Advanced or Metastatic Sarcomas Phase 1
Withdrawn NCT00969917 - Study Evaluating the Efficacy and Safety of IPI 504 in Patients With Advanced Dedifferentiated Liposarcoma Phase 2
Active, not recruiting NCT03651375 - Hypofractionated Radiotherapy With Sequential Chemotherapy in Marginally Resectable Soft Tissue Sarcomas of Extremities or Trunk Wall Phase 2
Terminated NCT03604783 - Phase 1, First-in-human Study of Oral TP-1287 in Patients With Advanced Solid Tumors Phase 1
Not yet recruiting NCT05496569 - TQB3616 Capsules in the Treatment of Dedifferentiated Liposarcoma Phase 2