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Active, not recruitingNCT05611931XPORT-EC-042Updated Sep 30, 2026

Selinexor in Maintenance Therapy After Systemic Therapy for Participants With p53 Wild-Type, Advanced or Recurrent Endometrial Carcinoma

A Phase 3 interventional study of Selinexor and Matching Placebo for selinexor in Endometrial Cancer, sponsored by Karyopharm Therapeutics Inc. Active, not recruiting at 191 sites in 17 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-30.

Sponsored by Karyopharm Therapeutics Inc · Phase 3, Interventional, and Treatment

Updated Sep 30, 2026Primary completion moved8 sites removedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
257
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of selinexor as a maintenance treatment in patients with p53 wt endometrial carcinoma (EC), who have achieved a partial response (PR) or complete response (CR) (per Response Evaluation Criteria in Solid Tumors version 1.1 [RECIST v 1.1]) after completing at least 12 weeks of platinum-based therapy. A total of 276 participants will be enrolled in the study and randomized in a 1:1 ratio to maintenance therapy with either selinexor or placebo.

02

Conditions studied

  • Endometrial Cancer

Keywords

  • Selinexor
  • KPT-330
  • Advanced or Recurrent Endometrial Carcinoma
  • XPORT-EC
  • ENGOT-EN20
  • GOG-3083
  • XPORT-EC-042
  • p53 wild-type
  • Tumor protein 53 wild-type
03

In context

Endometrial Neoplasms

1,325 studies on the registry are indexed under Endometrial Neoplasms; 447 are open to participants now.

This study's enrollment of 257 is above the median of 70 across 941 interventional studies indexed under Endometrial Neoplasms.

Browse Endometrial Neoplasms studies →

Lead sponsor

Karyopharm Therapeutics Inc is the lead sponsor of 36 studies on the registry; 4 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 14 (82%) have results posted.

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

Eligibility criteria

Inclusion Criteria: Patients must meet all of the following inclusion criteria in order to be eligible to participate in this study:

  • Adults (Aged ≥ 18 years)
  • Histologically confirmed endometrial cancer (endometrioid, serous, undifferentiated, or carcinosarcoma sub-types) that is TP53 wild type by central NGS
  • Must have completed at least 12 weeks of platinum-based chemotherapy (with or without immune checkpoint inhibitors), with a confirmed partial or complete response according to RECIST v1.1
  • Must be able to initiate C1D1 within 3-8 weeks after last platinum dose
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate bone marrow function and organ function

Exclusion Criteria: Patients meeting any of the following exclusion criteria are not eligible to participate in this study:

  • Uterine sarcomas, clear cell or small cell carcinoma with neuroendocrine differentiation
  • Palliative radiotherapy administered within 14 days of intended C1D1
  • Any gastrointestinal dysfunction that could interfere with the absorption of oral study therapy
  • Serious psychiatric or medical conditions that could interfere with study participation or would make study involvement unreasonably hazardous
  • Previous treatment with an XPO1 inhibitor
  • Stable disease or disease progression after platinum-based chemotherapy
  • Pregnancy, breastfeeding, or other legal/ethical restrictions to trial participation
  • Known dMMR/MSI-H EC tumors that are medically eligible to receive an immune checkpoint inhibitor
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
257 participants (actual)

Study arms

  • Experimental
    Selinexor

    Participants will receive a fixed dose of selinexor 60 milligrams (mg) oral tablets once weekly (QW) on Days 1, 8, 15, and 22 of each 28-day cycle.

    Drug: Selinexor

  • Placebo comparator
    Placebo

    Participants will receive matching placebo for selinexor oral tablets QW on Days 1, 8, 15, and 22 of each 28-day cycle.

    Drug: Matching Placebo for selinexor

Interventions

  • DrugSelinexor

    Dose: 60 mg (3 tablets); Dosage form: film-coated, immediate-release tablet of 20 mg each; Route of administration: oral

    Also known as: KPT-330

  • DrugMatching Placebo for selinexor

    Dose:60 mg (3 tablets); Dosage form: film-coated, immediate-release tablet of 20 mg each; Route of administration: oral

06

What researchers measure

Primary outcomes

  1. Investigator assessed Progression Free Survival (PFS) per RECIST v1.1

    Time frame: From randomization until disease progression (PD) or death, whichever occurs first (up to 34 months)

Secondary outcomes

  1. Overall Survival (OS)

    Time from randomization to death due to any cause

    Time frame: Up to 34 months

  2. Safety and tolerability of study drug (selinexor and placebo)

    The safety and tolerability of study drug (selinexor and placebo) will be evaluated based on adverse event (AE) reports, physical examination results (including vital signs), and clinical laboratory results, by means of the occurrence, nature, and severity of AEs via Common Terminology Criteria for Adverse Events (CTCAE) v. 5.0.

    Time frame: From start of study drug administration up to 34 months

  3. Time to First Subsequent Therapy (TFST)

    Time from randomization until date of initiation of first therapy after discontinuation of study drug or death, whichever occurs first

    Time frame: From randomization until date of initiation of first therapy after discontinuation of study drug or death, whichever occurs first (up to 34 months)

  4. Time to Second Subsequent Therapy (TSST)

    Time from randomization until date of initiation of second therapy after discontinuation of study drug or death, whichever occurs first

    Time frame: From randomization until date of initiation of second therapy after discontinuation of study drug or death, whichever occurs first (up to 34 months)

  5. Progression-free survival after initiating a next-line treatment (PFS2)

    Time from randomization until the progression event after initiating a next-line treatment or death due to any cause, whichever occurs first

    Time frame: From randomization until the next-line progression event or death due to any cause, up to 34 months

  6. Progression-free Survival (PFS) as assessed by a Blinded Independent Central Review (BICR), per RECIST v1.1

    Time frame: From randomization until disease progression (PD) or death, whichever occurs first (up to 34 months)

  7. EuroQol-5 Dimensions-5 Levels Quality of Life Questionnaire (EQ-5D-5L)

    EQ-5D-5L is a generic questionnaire that assesses health status as perceived by the patient across 5 categories (mobility, self-care, usual activities, pain/discomfort and anxiety/depression) and overall.

    Time frame: From baseline and at specified timepoints up to 34 months

07

Study locations

191 sites
  • The University of Alabama at Birmingham
    Birmingham, Alabama 35205, United States
  • Honor Health
    Phoenix, Arizona 85016, United States
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
  • UC DAVIS
    Davis, California 95616, United States
  • City of Hope National Medical Center
    Duarte, California 91010, United States
  • City of Hope at Irvine Lennar
    Irvine, California 92618, United States
  • Cancer and Blood Specialty Clinic
    Los Alamitos, California 90720, United States
  • UCLA - Women's Health Clinical Research Unit
    Los Angeles, California 90095, United States
  • Long Beach Memorial Medical Center
    Los Angeles, California 90806, United States
  • Stanford University
    Palo Alto, California 94304, United States
  • California Pacific Medical Center
    San Francisco, California 94109, United States
  • Broward Health Medical Center
    Fort Lauderdale, Florida 33316, United States
  • Mount Sinai Comprehensive Cancer Center
    Miami Beach, Florida 33140, United States
  • Advent Health
    Orlando, Florida 32804, United States
  • Grady Hospital
    Atlanta, Georgia 30303, United States
  • Emory University
    Atlanta, Georgia 30322, United States
  • Georgia Cancer Center at Augusta University
    Augusta, Georgia 30912, United States
  • Illinois Cancer Specialists
    Arlington Heights, Illinois 60005, United States
  • NorthShore University Health System
    Evanston, Illinois 60201, United States
  • Northwest Cancer Center
    Dyer, Indiana 46311, United States
  • Goshen Health
    Goshen, Indiana 46526, United States
  • St Vincent Hospital
    Indianapolis, Indiana 46260, United States
  • Memorial Hospital of South Bend
    South Bend, Indiana 46601, United States
  • University of Iowa
    Iowa City, Iowa 52242, United States
  • Our Lady of the Lake Hospital, Inc.
    Baton Rouge, Louisiana 70808, United States
  • LSU Health Sciences Center New Orleans
    New Orleans, Louisiana 70119, United States
  • Tufts Medical Center
    Boston, Massachusetts 02111, United States
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • USON - Minnesota Oncology Hematology
    Minneapolis, Minnesota 55404, United States
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • St. Dominic's Gynecologic Oncology
    Jackson, Mississippi 39216, United States
  • Midwest Ventures Group HCA MId America Division
    Kansas City, Missouri 64132, United States
  • Intermountain Health St. Vincent Regional Hospital
    Billings, Montana 59101, United States
  • Women's Cancer Center of Nevada
    Las Vegas, Nevada 89106, United States
  • Center Of Hope
    Reno, Nevada 89511, United States
  • Women's Cancer Care Associates, LLC
    Albany, New York 12208, United States
  • NYU Langone Hospital-Long Island
    Mineola, New York 11501, United States
  • Northwell Health - Zuckerberg Cancer Center
    New Hyde Park, New York 11042, United States
  • Perlmutter Cancer Center at NYU Langone Health
    New York, New York 10016, United States
  • Lenox Hill Hospital
    New York, New York 10075, United States
  • Northwell Health - Queens Cancer Center
    Rego Park, New York 11374, United States
  • University of Rochester
    Rochester, New York 14642, United States
  • Atrium Health Levine Cancer Institute
    Charlotte, North Carolina 28209, United States
  • Duke Cancer Center
    Durham, North Carolina 27710, United States
  • MetroHealth
    Cleveland, Ohio 44109, United States
  • Zangmeister Cancer Center
    Columbus, Ohio 43219, United States
  • ProMedica Flower Hospital
    Sylvania, Ohio 43560, United States
  • University of Oklahoma Health Sciences Center
    Oklahoma City, Oklahoma 73104, United States
  • Oklahoma Cancer Specialists and Research Institute, LLC
    Tulsa, Oklahoma 74146, United States
  • Oncology Associates of Oregon
    Eugene, Oregon 97401, United States
  • Providence Portland Medical Center
    Portland, Oregon 97213, United States
  • Alliance Cancer Specialists
    Langhorne, Pennsylvania 19047, United States
  • Magee - Women's Hospital
    Pittsburgh, Pennsylvania 15213, United States
  • Allegheny Health Network - West Penn Hospital
    Pittsburgh, Pennsylvania 15224, United States
  • Avera
    Sioux Falls, South Dakota 57105, United States
  • University of Tennessee Medical Center
    Knoxville, Tennessee 37920, United States
  • University of Tennessee Health Science Center
    Memphis, Tennessee 38103, United States
  • USON - Texas Oncology, Austin Central
    Austin, Texas 78731, United States
  • Parkland Health & Hospital System
    Dallas, Texas 75235, United States
  • Texas Oncology - Dallas
    Dallas, Texas 75246, United States
  • University of Texas Southwestern Medical Center
    Dallas, Texas 75390, United States
  • Houston Methodist
    Houston, Texas 77030, United States
  • Texas Oncology - San Antonio
    San Antonio, Texas 78240, United States
  • Texas Oncology - The Woodlands
    The Woodlands, Texas 77380, United States
  • Texas Oncology, PC, Tyler
    Tyler, Texas 75702, United States
  • University of Utah
    Salt Lake City, Utah 84112, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
  • University of Wisconsin Hospital and Clinics
    Madison, Wisconsin 53792, United States
  • Border Medical Oncology & Haematology
    Albury, New South Wales 2640, Australia
  • Macarthur Cancer Therapy Centre
    Campbelltown, New South Wales 2560, Australia
  • Chris O'Brien Lifehouse
    Camperdown, New South Wales 2050, Australia
  • Central Coast LHD - Gosford & Wyong Hospitals
    Gosford, New South Wales 2250, Australia
  • Newcastle Private Hospital
    New Lambton Heights, New South Wales 2305, Australia
  • Royal North Shore Hospital
    Saint Leonards, New South Wales, Australia
  • Westmead Hospital
    Wentworthville, New South Wales 2145, Australia
  • ICON Cancer Centre Southport
    Southport, Queensland 4215, Australia
  • Toowoomba Hospital
    Toowoomba, Queensland 4350, Australia
  • Royal Hobart Hospital
    Hobart, Tasmania 7000, Australia
  • Box Hill Hospital - Eastern Health (Oncology)
    Box Hill, Victoria 3128, Australia
  • Monash Health
    Clayton, Victoria 3168, Australia
  • Frankston Hospital
    Frankston, Victoria 3199, Australia
  • Cabrini Health
    Malvern, Victoria 3144, Australia
  • The Royal Adelaide Hospital
    Southport, 5000, Australia
  • Cliniques Universitaires St. Luc
    Brussels, 1200, Belgium
  • AZ Sint Lucas
    Ghent, 9000, Belgium
  • UZ Leuven
    Leuven, 3000, Belgium
  • CHU Ambroise Pare
    Mons, 7000, Belgium
  • CHU UCL Namur, Site Sainte-Elisabeth
    Namur, 5000, Belgium
  • Tom Baker Cancer Centre
    Calgary, Alberta T3H2G5, Canada
  • Cross Cancer Institute
    Edmonton, Alberta T6G 1Z2, Canada
  • Princess Margaret
    Toronto, Ontario M5G 2M9, Canada
  • Sunnybrook Research Institute
    Toronto, Ontario M9L 2H9, Canada
  • Centre Hospitalier de l'Université de Montréal
    Montreal, Quebec H2X 0C1, Canada
  • McGill University Health Centre (MUHC)
    Montreal, Quebec H4A3J1, Canada
  • Hospital Maisonneuve-Rosemont
    Montreal, Quebec, Canada
  • University Hospital Brno
    Brno, 60200, Czechia
  • University Hospital Ostrava
    Ostrava, 70852, Czechia
  • UH Královské Vinohrady
    Prague, 10034, Czechia
  • General University Hospital in Prague
    Prague, 12851, Czechia
  • Hospital Na Bulovce
    Prague, 18100, Czechia

Showing the first 100 of 191 sites across 17 countries.

08

References and documents

Publications

  • Secord AA, Powell MA, McAlpine J. Molecular Characterization and Clinical Implications of Endometrial Cancer. Obstet Gynecol. 2025 Nov 1;146(5):660-671. doi: 10.1097/AOG.0000000000006080. Epub 2025 Sep 18. PubMed 40966692 ↗
  • Makker V, Perez-Fidalgo JA, Valabrega G, Hamilton E, Van Gorp T, Sehouli J, Reginacova K, Richardson DL, Perri T, Oza AM, Miller DS, Alia EMG, De Giorgi U, Henry S, Spitz DL, Wimberger P, Bednarikova M, Chon HS, Martinez-Garcia J, Pisano C, Berek JS, Romero I, Scambia G, Farinas-Madrid L, Buscema J, Schochter F, Li K, Kalyanapu P, Walker CJ, Vergote I. Long-term follow-up of efficacy and safety of selinexor maintenance treatment in patients with TP53wt advanced or recurrent endometrial cancer: A subgroup analysis of the ENGOT-EN5/GOG-3055/SIENDO study. Gynecol Oncol. 2024 Jun;185:202-211. doi: 10.1016/j.ygyno.2024.05.016. Epub 2024 Jun 3. PubMed 38834399 ↗
  • Vergote I, Perez Fidalgo A, Valabrega G, Monk BJ, Herzog T, Cibula D, Colombo N, Pothuri B, Sehouli J, Korach J, Barlin J, Papadimitriou CA, van Gorp T, Richardson D, McCarthy M, Antill Y, Mirza MR, Li K, Kalyanapu P, Slomovitz B, Coleman RL. ENGOT-EN20/GOG-3083/XPORT-EC-042 - A phase III, randomized, placebo-controlled, double-blind, multicenter trial of selinexor in maintenance therapy after systemic therapy for patients with p53 wild-type, advanced, or recurrent endometrial carcinoma: rationale, methods, and trial design. Int J Gynecol Cancer. 2024 Aug 5;34(8):1283-1289. doi: 10.1136/ijgc-2024-005412. PubMed 38627035 ↗

Individual participant data

Plan to share: Undecided

09

Updates

1 registry update since Sep 25, 2026
Sites
8 sites removed
Show 8 removed
  • Trials365, LLC · Shreveport, United States
  • University of Cincinnati Medical Center · Cincinnati, United States
  • Soon Chun Hyang University Hospital Cheonan · Cheonan, South Korea
  • Severance Hospital (Yonsei University Health System) · Seoul, South Korea
  • Samsung Changwon Hospital · Changwon, South Korea
  • National Cancer Center (NCC) · Goyang-si, South Korea
  • Seoul National University Bundang Hospital · Seoul, South Korea
  • Asan Medical Center · Seoul, South Korea
Sep 30, 2026
Primary completion
Aug 2026→May 22, 2026 (actual)
Sep 30, 2026
Show all 1 update
  1. Sep 30, 2026
    8 sites removed
    Show 8 removed
    • Trials365, LLC · Shreveport, United States
    • University of Cincinnati Medical Center · Cincinnati, United States
    • Soon Chun Hyang University Hospital Cheonan · Cheonan, South Korea
    • Severance Hospital (Yonsei University Health System) · Seoul, South Korea
    • Samsung Changwon Hospital · Changwon, South Korea
    • National Cancer Center (NCC) · Goyang-si, South Korea
    • Seoul National University Bundang Hospital · Seoul, South Korea
    • Asan Medical Center · Seoul, South Korea
    Primary completion Aug 2026→May 22, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05611931
Lead sponsor
Karyopharm Therapeutics Inc
Collaborators
GOG Foundation, European Network of Gynaecological Oncological Trial Groups (ENGOT), Belgian Gynaecological Oncology Group, North Eastern German Society of Gynaecological Oncology, The Central and Eastern European Gynecologic Oncology Group, Israeli Society of Gynecologic Oncology, Australia New Zealand Gynaecological Oncology Group, Multicenter Italian Trials in Ovarian Cancer (MITO), Grupo Español de Investigación en Cáncer de Ovario, Hellenic Cooperative Oncology Group, Cancer Trials Ireland (CTI), Mario Negri Gynecologic Oncology group (MaNGO)
Responsible party
Sponsor
First posted
Nov 10, 2022
Start date
Apr 18, 2023
Primary completion
May 22, 2026
Completion
Jan 2028 (estimated)
Last update
Sep 30, 2026

Oversight

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

Not currently enrolling

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