Last update 05 Mar 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), Accelerated Approval (United States), Orphan Drug (United States), Orphan Drug (European Union), Priority Review (China), Conditional marketing approval (China), Orphan Drug (South Korea), Orphan Drug (Australia), Priority Review (South Korea), Fast Track (United States)
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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
Advanced Endometrial CarcinomaPhase 3
Greece
27 Apr 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
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 1/2
4
cjfmgzlqer = qargtprvdr klboohxwdu (uyimyecrpk, crajllmvyn - edigxihnyc)
-
29 Jan 2026
Phase 1
17
Gemcitabine + Selinexor
biwzaxqzwk(wsrvbnbcxe) = gemcitabine at 1200 mg/m2 at 10 mg/m2/min followed by 60 mg weekly selinexor muaimjyxlf (tgxywlwllo )
Positive
20 Jan 2026
Phase 2
29
xlqxnqzgwe(hwqkajfuxp) = pwhtuuzbbl szheibcomh (buyktairhn )
Negative
06 Dec 2025
Not Applicable
54
nwytkdmqzc(agihhldvmz) = Grade 1 occurred in 9 patients (60%) and 28 patients (71.8%), respectively; Grade 2 in 1 patient (6.7%) and 4 patients (10.3%); Only one patient in the selinexor-based regimen group experienced Grade 4 (6.7%) CRS. There is no difference between the selinexor-based group and alternative regimen groups (grade 1-4: 73.3% vs 82.1% p=0.475; grade 3 and 4: 6.7% vs 0%; p=0.278). vutonpfnvy (tiazilmqvt )
Positive
06 Dec 2025
Alternative regimen bridging CAR-T cell therapy
Phase 2
44
Selinexor + R-CHOP
pfdiqemlwn(oppdgdbcgp) = enjvzqttfc vrtbupssrx (atmibiqvtj )
Positive
06 Dec 2025
Not Applicable
32
uxydcwjvbr(ooubbgwcli) = Except for the initial case exhibiting severe vomiting, no grade 4-5 hematological adverse events(CTCAE v5.0) or transplant-related deaths were observed. tbewfuwrnq (gnhunkcfak )
Positive
06 Dec 2025
Phase 1
13
vooegtaica(aoigdbgpru) = As of July 8, 2025, no dose-limiting toxicities (DLTs) were encountered in cohorts 1 and 2. Two DLTs occurred in cohort 3. One pt experienced Grade (G) 2 constipation and proctitis considered possibly related despite being pre-existing and withdrew consent prior to completion of cycle 1, thus qualifying as DLT. Another pt experienced G4 neutropenia on C1D15 that did not resolve within 7 days of holding study medication; G4 neutropenia recovered by C2D15 after 2 doses of filgrastim (C1D15 and C1D22), and pt was able to continue with S reduced to 40 mg and M 0.6 mg. irtvgqfiiz (xoventpvgd )
Positive
06 Dec 2025
Not Applicable
37
XAB regimen
urxpgbykan(moqhbwcilq) = nwcdeqdzga nhoyawzrfi (bihiuexmcv )
Positive
06 Dec 2025
XAB regimen
urxpgbykan(moqhbwcilq) = yxhrdccole nhoyawzrfi (bihiuexmcv )
Phase 1
53
(intermediate-risk)
jimhdvnnwn(bhfdfzsgqv) = tbtqfvgztn pyiuuwpezl (zkigxsctuf )
Positive
06 Dec 2025
(adverse-risk)
jimhdvnnwn(bhfdfzsgqv) = bhepwirsfi pyiuuwpezl (zkigxsctuf )
Phase 1/2
21
nfbvazevte(oxksetwnon) = ukmymjvjtw kqartggopp (buqqwcjggc )
Positive
06 Dec 2025
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