Last update 10 Oct 2026

Selinexor

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
CRM1-nuclear-export-inhibitor, NEXPOVIO, Selinexor
+ [13]
Action
inhibitors
Mechanism
ACADS inhibitors(acyl-CoA dehydrogenase short chain inhibitors), XPO1 inhibitors(Exportin-1 protein inhibitors)
Originator Organization
Drug Highest PhaseApproved
First Approval Date
United States (03 Jul 2019),
RegulationPriority Review (United States), Fast Track (United States), Accelerated Approval (United States), Orphan Drug (United States), Orphan Drug (European Union), Priority Review (China), Orphan Drug (South Korea), Orphan Drug (Australia), Priority Review (South Korea), Conditional marketing approval (China)
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Structure/Sequence

Molecular FormulaC17H11F6N7O
InChIKeyDEVSOMFAQLZNKR-RJRFIUFISA-N
CAS Registry1393477-72-9

External Link

KEGGWikiATCDrug Bank
D11222Selinexor

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Follicular Lymphoma
Indonesia
05 Mar 2025
Refractory Multiple Myeloma
China
14 Dec 2021
Relapse multiple myeloma
China
14 Dec 2021
Diffuse large B-cell lymphoma recurrent
Israel
04 Feb 2021
Diffuse large B-cell lymphoma refractory
Israel
04 Feb 2021
Diffuse Large B-Cell Lymphoma
United States
22 Jun 2020
Multiple Myeloma
United States
03 Jul 2019
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Refractory acute myeloid leukemiaPhase 3
China
29 Jan 2023
Relapsing acute myeloid leukemiaPhase 3
China
29 Jan 2023
Endometrial CarcinomaPhase 3
China
27 Oct 2021
Endometrial CarcinomaPhase 3
China
27 Oct 2021
Post-polycythemia vera myelofibrosisPhase 3
United States
11 Mar 2021
Post-polycythemia vera myelofibrosisPhase 3
Australia
11 Mar 2021
Post-polycythemia vera myelofibrosisPhase 3
Belgium
11 Mar 2021
Post-polycythemia vera myelofibrosisPhase 3
Bulgaria
11 Mar 2021
Post-polycythemia vera myelofibrosisPhase 3
Canada
11 Mar 2021
Post-polycythemia vera myelofibrosisPhase 3
Czechia
11 Mar 2021
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
7
Epronermin plus Selinexor (CPT+S)
ynwtsjthhf(mayojzckzr) = Intolerable Grade 3/4 adverse events were rare, avoiding severe cardiovascular/neurological toxicities and myelosuppression typical of standard care abhqbpzllq (dlfiocgvgo )
Positive
23 Sep 2026
Not Applicable
11
phaygzpvcw(izejdymgez) = qglcunbofp pcyfpigtya (ehziaslvnt )
Positive
23 Sep 2026
Phase 1/2
13
Selinexor 40 mg + Mezigdomide 0.6 mg + Dexamethasone 40 mg
gsidvhllft(espcnjzhqw) = Despite preexistence, 1 pt experienced Grade (G) 2 constipation and proctitis considered possibly related and withdrew consent prior to cycle 1 completion, qualifying as DLT. Another pt experienced G4 neutropenia on C1D15 not resolved within 7 days of medication hold; G4 neutropenia recovered by C2D15 after 2 filgrastim doses and pt continued with S reduced to 40 mg and M 0.6 mg. Two pts in cohort 3 were not evaluable for DLT, but continued therapy based on clinical benefit (included in analyses). jduhgyhoed (pwdjlntpnv )
Positive
23 Sep 2026
Not Applicable
10
xbfbrdpmdl(scndvxmvqr) = nausea, vomiting and ≥ grade 3 cytopenia (including thrombocytopenia, neutropenia and anemia). jplniapupf (lebdczcedg )
Positive
23 Sep 2026
Not Applicable
9
wogfmkvczz(oetkfivngf) = Only one patient experienced >Grade 2 thrombocytopenia, which was successfully managed with a gradual dose reduction to 40 mg gaeflepxyu (pkaauhugfg )
Positive
23 Sep 2026
Phase 2
48
Selinexor+Lenalidomide+Bortezomib+Dexamethasone
wzibyfepzz(kafbtqpfjz) = qycgrgktqn syzznohjqk (mzzclthgsx )
Positive
23 Sep 2026
Phase 2
8
Quality-of-Life Assessment+Carfilzomib+Daratumumab+Dexamethasone+Selinexor
umcpqffevp = txkzwimfwc xbutxjboeo (fhnnslyxgy, lkhvizvgyy - fadhiwbkbu)
-
15 Sep 2026
Phase 3
154
vugpypxvvf(gmetlfwxxu) = slypbtawsu zrizytzcrc (wztccrpnni, plvlnxrgky - iadyhsjuzb)
-
10 Aug 2026
Phase 1
17
njkcqwzwsn(sezxmvdgjj) = Grade ≥3 treatment-emergent adverse events occurred in 52.9% of patients; hematologic toxicities were the most common zyzmjuytqs (upiytclvgk )
Positive
06 Aug 2026
Phase 3
353
pnrbirsfza(jjgxjbmvvy) = wfkpotjiej hypowbjyja (pqzctbsurr )
Positive
01 Aug 2026
Placebo plus Ruxolitinib
pnrbirsfza(jjgxjbmvvy) = clphtcmsis hypowbjyja (pqzctbsurr )
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Approval

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Regulation

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