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RecruitingNCT05478993SPODUMENEUpdated Jan 31, 2024

Selinexor, Pomalidomide, and Dexamethasone For Multiple Myeloma With CNS Involvement

A Phase 2 interventional study of SPD:Selinexor Oral Tablet, Pomalidomide, Dexamethasone in Multiple Myeloma, sponsored by Peking University People's Hospital. Recruiting at 2 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-01-31.

Sponsored by Peking University People's Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2024, 2 years 2 months ago, but the record still lists the study as recruiting.
  • Started Oct 2022; still recruiting 3 years 11 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
21
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a single-arm, open-label, multicenter, exploratory study initiated by investigator to evaluate the efficacy and safety of Selinexor (S) combined with pomalidomide (P) and dexamethasone (D) in the treatment of multiple myeloma with CNS involvement.

Read the detailed description

This is a single-arm, open-label, multicenter, exploratory study. The study plans to enroll patients diagnosed with multiple myeloma with CNS involvement to receive Selinexor (60 mg QW), pomalidomide (4 mg/day, on Days 1-21), and dexamethasone (40 mg/day, on Days 1, 8, 15, 22), with all agents dosed 28 days per cycle.

If patients reach maximum efficacy and have received SPD treatment for 8-12 cycles, maintenance treatment of Selinexor (20-60mg QW, optimal dose determined by the investigator) will be started and continued until disease progression or intolerable adverse events.

02

Conditions studied

  • Multiple Myeloma

Keywords

  • Central Nervous System
03

In context

Multiple Myeloma

3,632 studies on the registry are indexed under Multiple Myeloma; 745 are open to participants now.

This study's planned enrollment of 21 is below the median of 41 across 2,907 interventional studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

Peking University People's Hospital is the lead sponsor of 584 studies on the registry; 233 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age ≥ 18 years.
  2. Patients with multiple myeloma with measurable lesions as assessed using the updated International Myeloma Working Group Response Criteria.
  3. Multiple myeloma patients with central nervous system involvement (CNS-MM): the presence of plasma cells in the cerebrospinal fluid (CSF), and/or leptomeningeal, dural, or intraparenchymal involvement as assessed using imaging modalities (MRI, CT or PET-CT), and/or tissue biopsy; or eye involvement confirmed by ophthalmologists, with or without neurological symptoms.
  4. ECOG ≤ 2, with expected survival of more than 3 months.
  5. No active infectious diseases.
  6. Major organs without serious organic diseases (except renal insufficiency caused by multiple myeloma).
  7. Female patients are not during pregnancy or breastfeeding; fertile men or women agree to use appropriate methods of contraception 4 weeks before study treatment, during treatment and drug suspension, and within 4 weeks after the end of study treatment.
  8. Be able to cooperate with study follow-up. Patients understand the disease characteristics and voluntarily join this study to receive treatments and study follow-ups.
  9. Have signed informed consent. Informed consent was signed by the patient or by an immediate family member. Considering the patient 's condition, if the patient' s signature is unfavorable for disease treatment, the informed consent form should be signed by the legal guardian or the patient 's immediate family member.

Exclusion criteria

Exclusion Criteria:

  1. Patients with active hepatitis B (HBV), hepatitis C (HCV), and other acquired, congenital immunodeficiency diseases;
  2. According to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) 5.0, baseline with grade 2 or higher peripheral neuropathy or neuralgia;
  3. Severe thrombotic events before treatment;
  4. Patients with uncontrolled or severe cardiovascular disease, including myocardial infarction within 6 months before enrollment, New York Heart Association (NYHA) defined grade III-IV heart failure, uncontrolled angina pectoris, clinically significant pericardial disease or cardiac amyloidosis;
  5. Major surgery within 30 days before enrollment;
  6. Epilepsy and dementia which requires drug treatment, and other mental disorders which cannot understand or follow the study protocol;
  7. According to the protocol or the investigator 's judgment, any severe physical illness or mental illness may interfere with participation in this clinical study;
  8. Drug abuse, medical, psychological or social conditions that may interfere with the participation of subjects in the study or evaluation of study results;
  9. Patients who are receiving other experimental treatment;
  10. Pregnant or lactating women;
  11. Not suitable for enrollment per investigators' judgements.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
21 participants (estimated)

Study arms

  • Experimental
    Selinexor, pomalidomide and dexamethasone

    Patients diagnosed with multiple myeloma with CNS involvement to receive SPD treatment.

    Drug: SPD:Selinexor Oral Tablet, Pomalidomide, Dexamethasone

Interventions

  • DrugSPD:Selinexor Oral Tablet, Pomalidomide, Dexamethasone

    Patients diagnosed with multiple myeloma with CNS involvement to receive Selinexor (60 mg QW), pomalidomide (4 mg/day, on Days 1-21), and dexamethasone (40 mg/day, on Days 1, 8, 15, 22), with all agents dosed 28 days per cycle. If patients reach maximum efficacy and have received SPD treatment for 8-12 cycles, maintenance treatment of Selinexor (20-60mg QW, optimal dose determined by the investigator) will be started and continued until disease progression or intolerable adverse events.

06

What researchers measure

Primary outcomes

  1. Progression free survival

    Assessed using the updated International Myeloma Working Group Response Criteria

    Time frame: From date of enrollment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months.

Secondary outcomes

  1. Overall survival

    Assessed using the updated International Myeloma Working Group Response Criteria

    Time frame: From date of enrollment until date of death from any cause, assessed up to 24 months.

  2. Overall response rate

    Assessed using the updated International Myeloma Working Group Response Criteria

    Time frame: From date of enrollment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months.

  3. Adverse Events

    Assessed using the CTCAE criteria.

    Time frame: From date of enrollment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months.

07

Study locations

2 of 2 sites recruiting
  • Peking University People's Hospital
    Beijing, Beijing 100044, China
    • Xuelin Dou · Contact · dxldw@163.com · +86-010-82816999
    • Jin Lu · Principal investigator
    Recruiting
  • Qingdao Municipal Hospital
    Qingdao, Shandong, China
    • Xudong Dai · Contact · qdsslyylunli@163.com · +86-0532-82789053
    • Yuping Zhong, M.D. · Principal investigator
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 31, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05478993
Lead sponsor
Peking University People's Hospital
Collaborators
Qingdao Municipal Hospital
Responsible party
Jin Lu, MD (Professor, Peking University People's Hospital) — Principal investigator
First posted
Jul 28, 2022
Start date
Oct 12, 2022
Primary completion
Jul 10, 2024 (estimated)
Completion
Jul 10, 2025 (estimated)
Last update
Jan 31, 2024

Study contacts

Xuelin Dou, M.D.
Contact
dxldw@163.com
+86-010-82816999 ext. 7003
Jin Lu, M.D.
principal investigator · Peking University People's Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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