FDA Partial Hold on Karyopharm’s Selinexor
FDA has placed a partial clinical hold on Karyopharm Therapeutics clinical trials for selinexor (KPT-330) due to incomplete information contained in an existing version of the investigator brochure (IB). While the hold remains in effect, patients with stable disease or better may remain on selinexor therapy, the company says, adding that no new patients may be enrolled until the hold is lifted. At FDA’s request, Karyopharm says it has amended and resubmitted the IB and updated the informed consent documents. To date, more than 1,900 patients have been treated with selinexor in clinical trials across a variety of hematological and solid tumor malignancies, it says.
Selinexor (KPT-330) is a first-in-class, oral selective inhibitor of nuclear export compound. The company says it works by binding with and inhibiting the nuclear export protein XPO1 (also called CRM1), leading to the accumulation of tumor suppressor proteins in the cell nucleus. “This reinitiates and amplifies their tumor suppressor function and is believed to lead to the selective induction of apoptosis in cancer cells, while largely sparing normal cells,” it says.