A Study of Selinexor in Combination With Standard of Care Therapy for Newly Diagnosed or Recurrent Glioblastoma

• ClinicalTrials.gov Identifier: NCT04421378
• Recruitment Status: Terminated
• First Posted: June 9, 2020
• Last Update Posted: September 6, 2023
• Sponsor: Karyopharm Therapeutics Inc
• Information provided by (Responsible Party): Karyopharm Therapeutics Inc

Tracking Information

• First Submitted Date: June 1, 2020
• First Posted Date: June 9, 2020
• Last Update Posted Date: September 6, 2023
• Actual Study Start Date: June 8, 2020
• Actual Primary Completion Date: July 3, 2023 (Final data collection date for primary outcome measure)

Current Primary Outcome Measures (submitted: June 9, 2021)

• Phase 1a: Maximum Tolerated Dose Per Arm: Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 [ Time Frame: During Cycle 1 of treatment (42 days/cycle) for each participant ]
• Phase 1a: Recommended Phase 2 Dose Per Arm [ Time Frame: Cycle 1 Day 1 up to 14 days after last dose (42 days/cycle) ]
• Phase 1a: Number of Participants with Adverse Events (AEs) with Grade Greater Than or Equal to (>=) 3, Serious Adverse Events (SAEs) and AEs Leading to Treatment Discontinuation [ Time Frame: Up to 30 days post last dose ]
• Phase 1b: Progressive Free Survival at 3 Months for All Arms [ Time Frame: 3 Months ]
• Phase 1b: Overall Survival (OS) for All Arms [ Time Frame: From date of randomization up to death (Up to 24 months) ]
• Phase 2: Progression-free Survival (PFS) in Arms A and B [ Time Frame: From date of randomization to the date of disease progression or death (Up to 24 months) ]
• Phase 2: Overall Survival (OS) for Arm C [ Time Frame: From date of randomization up to death (Up to 24 months) ]

Original Primary Outcome Measures (submitted: June 5, 2020)

• Phase 1: Maximum Tolerated Dose Per Arm: Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 [ Time Frame: During Cycle 1 of treatment (42 days/cycle) for each participant ]
• Phase 1: Recommended Phase 2 Dose Per Arm [ Time Frame: Cycle 1 Day 1 up to 14 days after last dose (42 days/cycle) ]
• Phase 2: Progression-free Survival (PFS) in Newly Diagnosed Glioblastoma Multiforme Participants [ Time Frame: From date of randomization to the date of disease progression or death (Up to 24 months) ]
• Phase 2: Overall Survival (OS) in Recurrent Glioblastoma Multiforme Participants [ Time Frame: From date of randomization up to death (Up to 24 months) ]

Current Secondary Outcome Measures (submitted: June 9, 2021)

• Phase 1a: Overall Survival (OS) for Each Arm [ Time Frame: From first dose of study treatment until death due to any cause (Up to 24 months) ]
• Phase 1a/1b: Time to Progression (TTP) for Each Arm [ Time Frame: From first dose of study treatment until progression or death due to progression (Up to 24 months) ]
• Phase 1a/1b: Progressive Free Survival (PFS) for Each Arm [ Time Frame: From first dose of study treatment until progression or death due to any cause (Up to 24 months) ]
• Phase 1a/1b: Overall Response Rate (ORR) Based on Modified Response Assessment in Neuro-Oncology (RANO) Criteria in Arm C, D and E [ Time Frame: From first dose of study treatment until death due to any cause (Up to 24 months) ]
• Phase 1a/1b: Disease Control Rate (DCR) Based on Modified Response Assessment in Neuro-Oncology Criteria in Arm C, D and E [ Time Frame: From first dose of study treatment until death due to any cause (Up to 24 months) ]
• Phase 1a/1b: Duration of Response (DOR) in Arm C, D and E [ Time Frame: From the date of first evidence of objective response until progression (Up to 24 months) ]
• Phase 1a/1b: Maximum Plasma Concentration (Cmax) of Selinexor [ Time Frame: 2, 4, and 6 hours post-dose ]
• Phase 1a/1b: Area Under the Concentration-time Curve (AUC) of Selinexor [ Time Frame: 2, 4, and 6 hours post-dose ]
• Phase 1a/1b: Apparent Clearance (CL) of Selinexor [ Time Frame: 2, 4, and 6 hours post-dose ]
• Phase 1b: Number of Participants with Adverse Events (AEs) with Grade Greater Than or Equal to (>=) 3, Serious Adverse Events (SAEs) and AEs Leading to Treatment Discontinuation [ Time Frame: Up to 30 days post last dose ]
• Phase 1b: Maximum Tolerated Dose [ Time Frame: Up to 24 months ]
• Phase 1b: Recommended Phase 2 Dose [ Time Frame: Up to 24 months ]
• Phase 2: Progression Free Survival Per (PFS) as Assessed by Investigator per Modified Response Assessment in Neuro-Oncology Criteria in Arms A and B [ Time Frame: From date of randomization to the date of disease progression or death (Up to 24 months) ]
• Phase 2: Overall Survival for Participants With Newly Diagnosed Glioblastoma Multiforme in Arms A and B [ Time Frame: From date of randomization to death (Up to 24 months) ]
• Phase 2: Progression Free Survival (PFS) as Assessed by Independent Review Committee (IRC) per Modified Response Assessment in Neuro-Oncology Criteria in Arm C [ Time Frame: From date of randomization to the date of disease progression or death (Up to 24 months) ]
• Phase 2: Progression Free Survival (PFS) as Assessed by Investigator per Modified Response Assessment in Neuro-Oncology Criteria in Arm C [ Time Frame: From date of randomization to the date of disease progression or death (Up to 24 months) ]
• Phase 2: Overall Response Rate (ORR) as Assessed by IRC in Arm C [ Time Frame: From first dose of study treatment until death due to any cause (Up to 24 months) ]
• Phase 2: Overall Response Rate (ORR) as Assessed by Investigator in Arm C [ Time Frame: From first dose of study treatment until death due to any cause (Up to 24 months) ]
• Phase 2: Disease Control Rate (DCR) as Assessed by IRC in Arm C(TEAEs) by Severity Grade ≥3, Serious Adverse event (SAEs), and AEs Leading to Treatment Discontinuation [ Time Frame: From first dose of study treatment until death due to any cause (Up to 24 months) ]
• Phase 2: Disease Control Rate (DCR) as Assessed by Investigator in Arm C [ Time Frame: From first dose of study treatment until death due to any cause (Up to 24 months) ]
• Phase 2: Duration of Response (DOR) as Assessed by IRC in Arm C [ Time Frame: From the date of first evidence of objective response until progression (Up to 24 months) ]
• Phase 2: Duration of Response (DOR) as Assessed by Investigator in Arm C [ Time Frame: From the date of first evidence of objective response until progression (Up to 24 months) ]
• Phase 2: Progression Free Survival at 6 Months (PFS6) as Assessed by IRC in all Arms [ Time Frame: 6 Months ]
• Phase 2: Progression Free Survival at 6 Months (PFS6) as Assessed by Investigator in all Arms [ Time Frame: 6 Months ]
• Phase 2: Overall Survival Rate at 12 and 24 Months in all Arms [ Time Frame: 12 and 24 Months ]
• Phase 2: Number of Participants With Any Treatment-emergent Adverse Events (TEAEs) by Grade >=3, Serious Adverse event (SAEs), and AEs Leading to Treatment Discontinuation [ Time Frame: Up to 30 days post last dose ]

Original Secondary Outcome Measures (submitted: June 5, 2020)

• Phase 1: Overall Response Rate (ORR) Based on Modified Response Assessment in Neuro-Oncology (RANO) Criteria Per Arm [ Time Frame: Cycle 1 Day 1 up to 14 days after last dose (42 days/cycle) ]
• Phase 1: Disease Control Rate (DCR) Based on Modified Response Assessment in Neuro-Oncology Criteria Per Arm [ Time Frame: Cycle 1 Day 1 up to 14 days after last dose (42 days/cycle) ]
• Phase 1: Duration of Response (DOR) Per Arm Independently [ Time Frame: From the date of first response to the date of first documentation of progression (Up to 24 months) ]
• Phase 1: Time-to-progression (TTP) Per Arm Independently [ Time Frame: From the date of first dose to disease progression or death (Up to 24 months) ]
• Phase 1: Overall Survival Per Arm Independently [ Time Frame: From the date of randomization to death (Up to 24 months) ]
• Phase 1: Progression Free Survival Per Arm Independently [ Time Frame: Up to 24 months ]
• Phase 1: Maximum Plasma Concentration (Cmax) of Selinexor in Plasma When Administered With Radiation Therapy, Temozolomide, and/or Lomustine [ Time Frame: Cycle 1 Day 1 and Cycle 2 Day 1 at 2, 4, and 6 hours post-dose (42 days/cycle) ]
• Phase 1: Area Under the Concentration-time Curve (AUC) of Selinexor in Plasma When Administered With Radiation Therapy, Temozolomide, and/or Lomustine [ Time Frame: Cycle 1 Day 1 and Cycle 2 Day 1 at 2, 4, and 6 hours post-dose (42 days/cycle) ]
• Phase 1: Apparent Clearance (CL) of Selinexor in Plasma When Administered With Radiation Therapy, Temozolomide, and/or Lomustine [ Time Frame: Cycle 1 Day 1 and Cycle 2 Day 1 at 2, 4, and 6 hours post-dose (42 days/cycle) ]
• Phase 2: Progression Free Survival Per Modified Response Assessment in Neuro-Oncology Criteria in Arms A, B, and C: Per Investigator Assessment [ Time Frame: From date of randomization to the date of disease progression or death (Up to 24 months) ]
• Phase 2: Progression Free Survival Per Modified Response Assessment in Neuro-Oncology Criteria in Participants With Recurrent Glioblastoma Multiforme Per Independent Review Committee Assessment [ Time Frame: From date of randomization to the date of disease progression or death (Up to 24 months) ]
• Phase 2: Overall Survival for Newly Diagnosed Glioblastoma Multiforme Participants in Arms A and B [ Time Frame: From date of randomization to death (Up to 24 months) ]
• Phase 2: Rate of Progression Free Survival at 6-month (PFS6) [ Time Frame: 6 months ]
• Phase 2: Overall Response Rate Per Independent Review Committee and Investigator Assessment [ Time Frame: Cycle 1 Day 1 up to 14 days after last dose (42 days/cycle) ]
• Phase 2: Disease Control Rate Per Independent Review Committee and Investigator Assessment [ Time Frame: Cycle 1 Day 1 up to 14 days after last dose (42 days/cycle) ]
• Phase 2: Duration of Response Per Independent Review Committee and Investigator Assessment [ Time Frame: Cycle1 Day 1 up to 14 days after last dose (42 days/cycle) ]
• Phase 2: 1 and 2-year Overall Survival Rate of Participants in Arms A, B, and C [ Time Frame: Cycle 1 Day 1 up to 14 days after last dose (42 days/cycle) ]
• Number of Participants With Abnormalities Related to Vital Signs, Clinical Laboratory Values, and Physical Examinations [ Time Frame: Up to 30 days post last dose ]
• Number of Participants With Any Treatment-emergent Adverse Events (AEs) (TEAEs) by Severity Grade ≥3, Serious Adverse event (SAEs), and AEs Leading to Treatment Discontinuation [ Time Frame: Up to 30 days post last dose ]

• Current Other Pre-specified Outcome Measures: Not Provided
• Original Other Pre-specified Outcome Measures: Not Provided

Descriptive Information

• Brief Title: A Study of Selinexor in Combination With Standard of Care Therapy for Newly Diagnosed or Recurrent Glioblastoma
• Official Title: A Phase 1/2 Study of Selinexor in Combination With Standard of Care (SoC) Therapy for Newly Diagnosed or Recurrent Glioblastoma

Brief Summary

This is a Phase 1/2 study of selinexor in combination with standard of care (SoC) therapy for newly diagnosed glioblastoma (nGBM) or recurrent glioblastoma (rGBM). This study will be conducted in 2 phases: a Phase 1a dose finding study followed by Phase 1b (dose expansion) and a Phase 2 randomized efficacy exploration study and will independently evaluate 3 different combination regimens in 3 treatment arms in patients with nGBM (Arms A and B) or with rGBM (Arm C).

• Arm A: evaluating the combination of selinexor with radiation therapy (S-RT) in nGBM participants with uMGMT
• Arm B: evaluating the combination of selinexor with radiation therapy and temozolomide (TMZ) (S-TRT) in nGBM participants with methylated-O6-methylguanine-DNA-methyltransferase (mMGMT)
• Arm C: evaluating the combination of selinexor with lomustine (or carmustine, if lomustine is not available) (S-L/C) in rGBM participants regardless of MGMT status
• Arm D: evaluating the combination of selinexor with bevacizumab in rGBM participants regardless of MGMT status
• Arm E: evaluating the combination of selinexor with tumor treating fields (TTField) in rGBM participants regardless of MGMT status

• Detailed Description: Not Provided
• Study Type: Interventional
• Study Phase: Phase 1; Phase 2
• Study Design: Allocation: Randomized; Intervention Model: Sequential Assignment; Masking: None (Open Label); Primary Purpose: Treatment
• Condition: Glioblastoma Multiforme

Intervention

• Drug: Selinexor
  Dose and Formulation: 20 milligram (mg); Tablet Route of Administration: Oral
  Other Names:

  • KPT-330
  • XPOVIO
• Drug: Temozolomide (TMZ)
  Dose strength and Formulation: 5, 20, 100, 140, 180, or 250 mg; Capsule Route of Administration: Oral
  Other Name: Temodar
• Drug: Lomustine (CCNU)
  Dose and Formulation: 10, 40, or 100 mg; Capsule Route of Administration: Oral
• Radiation: Standard Fractionated Radiation therapy (RT)
  Radiation Therapy Oncology Group (RTOG) or European Organisation for Research and Treatment of Cancer (EORTC) methodologies of approximately 60 Gy in 30 fractions.
• Drug: Bevacizumab
  Dose and Formulation: 10 mg/kg; Route of Administration: Intravenous
• Device: TTField
  Dose and Formulation: 200 kHz ≥18h/day; Route of administration: Scalp application of transducer arrays.
• Drug: Carmustine
  Dose and Formulation: 150 or 200 mg/m^2; Route of Administration: Intravenous

Study Arms

• Experimental: Phase 1: Arm A: Selinexor+Radiation Therapy
  Participants with nGBM uMGMT will receive 60 to 80 milligram (mg) of selinexor oral tablet once weekly (QW) across dose level -1, 1, 2, and 3 in combination with 2 Gray (Gy) radiation therapy (RT) daily for 5 days per week in a 42-day cycle during Cycle 1 radiation period followed by 80 mg of selinexor oral tablet on Day 1 and 15 in a 28-day Cycle 2 and subsequently will continue at 80 mg QW until progressive disease (PD) during adjuvant therapy period.
  Interventions:

  • Drug: Selinexor
  • Radiation: Standard Fractionated Radiation therapy (RT)
• Active Comparator: Arm A Control: Temozolomide+Radiation Therapy
  Participants with nGBM uMGMT will receive 75 milligram per meter square (mg/m^2) of temozolomide oral capsule once daily (QD) in combination with 2 Gy RT daily for 5 days per week in a 42-day cycle during Cycle 1 radiation period followed by 150 mg/m^2 (started from Cycle 3) and increase to 200 mg/m^2 as tolerated per Investigator's judgment, daily for 5 days in a 28-day cycle during Cycles 4 to 8 cycles during adjuvant therapy period.
  Interventions:

  • Drug: Temozolomide (TMZ)
  • Radiation: Standard Fractionated Radiation therapy (RT)
• Experimental: Phase 1: Arm B: Selinexor+Temozolomide+Radiation Therapy
  Participants with nGBM mMGMT will receive 40-80 mg of selinexor oral tablet QW across dose level -1, 1, 2, 2a, 2b and 3a and 75 mg/m^2 of temozolomide oral capsule QD in combination with 2 Gy RT daily for 5 days per week in a 42-day cycle during Cycle 1 radiation period followed by 60 mg (dose level 2a) or 80 mg (dose level 2b and 3a) of selinexor oral tablet on Day 1 and 15 in a 28-day Cycle 2, followed by 150 mg/m^2 (started from Cycle 3) and increase to 200 mg/m^2 as tolerated per Investigator's judgment, daily for 5 days in a 28-day cycle during Cycle 4 to 8 during adjuvant therapy period. Participants will continue selinexor weekly per dose level assigned until PD.
  Interventions:

  • Drug: Selinexor
  • Drug: Temozolomide (TMZ)
  • Radiation: Standard Fractionated Radiation therapy (RT)
• Active Comparator: Arm B Control: Temozolomide+Radiation Therapy
  Participants with nGBM mMGMT will receive 75 mg/m^2 of temozolomide oral capsule QD in combination with 2 Gy RT daily for 5 days per week in a 42-day cycle during Cycle 1 radiation period followed by 150 mg/m^2 (started from Cycle 3) and increase to 200 mg/m^2 as tolerated per Investigator's judgment, daily for 5 days in a 28-day cycle during Cycles 4 to 8 during adjuvant therapy period.
  Interventions:

  • Drug: Temozolomide (TMZ)
  • Radiation: Standard Fractionated Radiation therapy (RT)
• Experimental: Arm C: Selinexor+Lomustine/Carmustine
  Participants with rGBM uMGMT or mMGMT will receive 40-80 mg of selinexor oral tablet QW across dose level -1, 1, 2, 2a, and 3 and 90-110 mg/m^2 of lomustine or 150-200 mg/m^2 of carmustine (substituted if lomustine is not available) capsule on Day 1 of each cycle across dose level -1, 1, 2, 2a, and 3 in a 42-day cycle for all cycles.
  Interventions:

  • Drug: Selinexor
  • Drug: Lomustine (CCNU)
  • Drug: Carmustine
• Active Comparator: Arm C Control: Lomustine/Carmustine
  Participants with rGBM uMGMT or mMGMT will receive 110 mg/m^2 of lomustine or 200 mg/m^2 of Carmustine (substituted if lomustine is not available) capsule on Day 1 of each cycle in a 42-day cycle for all cycles.
  Interventions:

  • Drug: Lomustine (CCNU)
  • Drug: Carmustine
• Experimental: Arm D: Selinexor+Bevacizumab
  Participants with rGBM will receive 60-80 mg of selinexor oral tablet QW across dose level -1, 1 and 10 mg/kg of Bevacizumab intravenous (IV) infusion every 2 weeks (Q2W) in 28-day cycle for all cycles.
  Interventions:

  • Drug: Selinexor
  • Drug: Bevacizumab
• Experimental: Arm E: Selinexor+TTField
  Participants with rGBM will receive 60-80 mg of selinexor oral tablet QW across dose level -1, 1 and will receive scalp application of 200 kilohertz (kHz) of transducer array ≥18 hours/day daily for each cycle in 28 day cycle for all cycles.
  Interventions:

  • Drug: Selinexor
  • Device: TTField

• Publications *: Not Provided

Recruitment Information

• Recruitment Status: Terminated
• Actual Enrollment (submitted: August 31, 2023): 74
• Original Estimated Enrollment (submitted: June 5, 2020): 402
• Actual Study Completion Date: July 3, 2023
• Actual Primary Completion Date: July 3, 2023 (Final data collection date for primary outcome measure)

Eligibility Criteria

Inclusion Criteria

• Written informed consent in accordance with federal, local, and institutional guidelines.
• Age ≥18 years at the time of informed consent and ≥22 year for Arm E.
• Pathologically confirmed glioblastoma (including all histological variants; documentation to be provided) that are newly diagnosed (for Arms A and B) or relapsed disease (for Arm C, D and E) after 1 to 2 line of systemic therapy (RT ± TMZ or RT ± TMZ in combination with other drug) (surgical resection of recurrent disease allowed). For Arms A and B, MGMT status should be available.

• Prior therapy:

  1. Arms A and B: participants who have not received RT or any systemic therapy for brain tumor and must be eligible for definitive external beam RT and TMZ
  2. Arm C, D and E: participants must have received prior treatment with RT with or without TMZ and only 1 prior line of therapy (RT ± TMZ in combination with other drug is allowed).
• Measurable disease according to RANO/modified RANO guidelines is required only for Arm C, D and E; it is not required for Arms A or B.
• Participants enrolling into Arms C, D, and E must be on a stable or decreasing dose of corticosteroids (or none) for at least 5 days prior to the baseline magnetic resonance imaging (MRI).
• Karnofsky Performance Score (KPS) ≥70 (for Arms A and B) and 60 (for Arms C, D, and E).

• Participants must have adequate organ function ≤2 weeks of study treatment as defined by the following laboratory criteria:

  1. Hematological function ≤7 days prior to Cycle 1 Day 1 (C1 D1): Absolute neutrophil count (ANC) ≥1.5*10^9 per Liter (/L); platelet count ≥150*10^9/L; and hemoglobin (Hb) ≥10.0 gram per deciliter (g/dL). Transfusion is not allowed within 7 days prior to C1 D1
  2. Hepatic function: bilirubin ≤2*the upper limit of normal (ULN), alanine transaminase (ALT) ≤2.5*ULN, aspartate transaminase (AST) ≤2.5*ULN; unless bilirubin elevation is related to Gilbert's Syndrome for which bilirubin must be <4*ULN
  3. Renal function: calculated (Cockcroft-Gault) or measured creatinine clearance ≥30 milliliter per minute (mL/min)
• Female participants of childbearing potential must have a negative serum pregnancy test at Screening and agree to use highly effective methods of contraception throughout the study and for 6 months following the last dose of study treatment.
• Fertile male participants who are sexually active with a female of childbearing potential must use highly effective methods of contraception throughout the study and for 6 months following the last dose of study treatment.
• For Arms A and B: participants must have had surgery and/or biopsy not greater than [>] 8 weeks prior to initial screening.
• Participants must consent to provide tumor tissue and blood samples to be used for future molecular testing for correlative studies.
• Limited to supratentorial disease for Arm E only.

Exclusion Criteria

- Participants who are receiving any other investigational agents and /or have had prior therapy including:

For Arms A and B only:

1. Participants who have previously received RT to the brain
2. Participants who received chemotherapy for the treatment of their glioma

3. Participants who are being treated with implanted Gliadel wafers

   For Arm C:

4. Prior nitrosoureas

   For Arms C, D, and E:

5. <4 weeks from prior TMZ or other chemotherapy, or <4 weeks or 5 half-lives (whichever is shorter) for investigational agents prior to start of study treatment
6. Prior treatment bevacizumab or other direct Vascular endothelial growth factor/Vascular endothelial growth factor receptor (VEGF/VEGFR) inhibitors. For any questions of the definition of a direct VEGF/VEGFR inhibitor, consult the study Medical Monitor

7. Any AE which has not recovered to Grade <=1, or returned to baseline, related to the previous GBM therapy, except alopecia, and some other Grade 2 AEs that have been stabilized (upon Medical Monitor approval)

   • Participants who are being treated or plan to be treated during this study with TTField for participants in Arms A to D.
   • Major surgery <2 weeks prior to the start of study treatment for Arms A to C and E, <4 weeks for Arm D.
   • History of allergic reactions attributed to compounds of similar chemical or biological composition to selinexor or other study treatment.
   • Participants must not have significantly diseased or obstructed gastrointestinal tract malabsorption, uncontrolled vomiting or diarrhea, or inability to swallow oral medication.
   • Participants with coagulation problems and medically significant bleeding in the month prior to start of treatment (peptic ulcers, epistaxis, intracranial hemorrhage, spontaneous bleeding). Prior history of deep vein thrombosis or pulmonary embolism is not exclusionary.
   • Currently pregnant or breastfeeding.
   • For Arms A and B: participants with pre-existing known or suspected radiation sensitivity syndromes will be excluded due to potential confounding effect on outcome.
   • Any life-threatening illness, active medical condition, organ system dysfunction, or serious active psychiatric issue which, in the Investigator's opinion, could compromise the participant's safety or the participant's ability to remain compliant with study procedures.
   • Uncontrolled (i.e., clinically unstable) infection requiring parenteral antibiotics, antivirals, or antifungals within 7 days prior to first dose of study treatment; however, prophylactic use of these agents is acceptable even if parenteral.
   • Participants with mutated isocitrate dehydrogenase (IDH) should be excluded for Phase 2.
   • For participants in Arm C, Forced Vital Capacity (FVC) or Carbon Monoxide Diffusing Capacity (DLCO) below 70% of predicted.
   • For Arm E: implanted active electronic medical devices such as programmable intraventricular shunts, spinal cord, vagus nerve or deep brain stimulators, pacemakers or implantable automatic defibrillators, skull defect (i.e. missing bone with no replacement), sensitivity to conductive hydrogels as used in electrocardiograms (ECGs), an underlying serious scalp condition that may interfere with placement of arrays, or bullet fragments, or documented clinically significant arrhythmias.

Sex/Gender

• Sexes Eligible for Study: All

• Ages: 18 Years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Contacts: Contact information is only displayed when the study is recruiting subjects
• Listed Location Countries: Canada, United States

Administrative Information

• NCT Number: NCT04421378
• Other Study ID Numbers: XPORT-GBM-029; 2021-000080-67 ( EudraCT Number )
• Has Data Monitoring Committee: Yes

U.S. FDA-regulated Product

• Studies a U.S. FDA-regulated Drug Product: Yes
• Studies a U.S. FDA-regulated Device Product: No

IPD Sharing Statement

• Plan to Share IPD: No

• Current Responsible Party: Karyopharm Therapeutics Inc
• Original Responsible Party: Same as current
• Current Study Sponsor: Karyopharm Therapeutics Inc
• Original Study Sponsor: Same as current
• Collaborators: Not Provided

Investigators

• Principal Investigator: Andrew B Lassman, MD; Columbia University

• PRS Account: Karyopharm Therapeutics Inc
• Verification Date: August 2023