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Selinexor

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safety and certain health-related quality of life parameters of once-weekly selinexor in combination with once-weekly Velcade® (bortezomib) plus low-dose dexamethasone (SVd) versus twice-weekly Velcade® plus low-dose dexamethasone (Vd). The primary endpoint of the study was progression-free survival (PFS) and key secondary endpoints included overall response rate (ORR), rate of peripheral neuropathy, and others. Additionally, the BOSTON study allowed for patients on the Vd control arm to crossover to the SVd arm following objective (quantitative) progression of disease verified by an Independent Review Committee (IRC). The BOSTON study was conducted at over 150 clinical sites internationally.
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and constitutional symptoms and were consistent with those previously reported from other selinexor studies. Most adverse reactions were manageable with dose modifications and/or standard supportive care. The most common non-hematologic adverse reactions were fatigue (59%), nausea (50%), decreased appetite (35%), and diarrhea (32%) and were mostly Grade 1 and 2 events. The most common Grade 3 and 4 adverse reactions were thrombocytopenia (43%), lymphopenia (38%), fatigue (28%) and anemia (17%).
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increase in median PFS (hazard ratio=0.70; p=0.0075). The SVd group also demonstrated a significantly greater ORR compared to the Vd group (76.4% vs. 62.3%, p=0.0012). Patients who had received only one prior line of therapy also demonstrated a higher ORR on the SVd arm as compared to the Vd arm (80.8% vs. 65.7%, p=0.0082). Importantly, SVd therapy compared to Vd therapy showed consistent PFS benefit and higher ORR across several important subgroups.
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thrombocytopenia, lymphopenia, neutropenia, anemia, and hyponatremia. Serious adverse reactions occurred in 46% of people, most often from infection. Thrombocytopenia was the leading cause of dose modifications. Gastrointestinal toxicity developed in 80% of people and any grade hyponatremia developed in 61%. Central neurological adverse reactions occurred in 25% of people, including dizziness and mental status changes.
31: 740: 906:(EMA) adopted a positive opinion, recommending the granting of a conditional marketing authorization for the medicinal product Nexpovio intended for the treatment of relapsed and refractory multiple myeloma. The applicant for this medicinal product is Karyopharm Europe GmbH. Selinexor was approved for medical use in the European Union in March 2021. 3942: 1751: 1577: 1468: 863:. It was approved in the United States in July 2019, on the basis of a single-arm Phase IIb clinical trial. The FDA decided to grant accelerated approval despite a previous recommendation from an FDA Advisory Committee Panel which had voted 8–5 to delay approving the drug until the results from an ongoing Phase III study were known. 722:
In the clinical study (the BOSTON study) used to support FDA approval in patients with multiple myeloma after at least one prior therapy (once-weekly selinexor in combination with once-weekly bortezomib and dexamethasone),the most common adverse reactions were cytopenias, along with gastrointestinal
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In November 2020, results from the multi-center, Phase III, randomized study (NCT03110562) which evaluated 402 participants with relapsed or refractory multiple myeloma who had received one to three prior lines of therapy were published in The Lancet. The study was designed to compare the efficacy,
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The pivotal clinical trial which served to support approval of selinexor for people with relapsed/refractory multiple myeloma was an open-label study of 122 patients known as the STORM trial. In all of the enrolled patients, patients had been treated with a median of seven prior treatment regimens
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and its function misregulated in several types of cancer. By inhibiting the XPO1 protein, SINEs lead to a buildup of tumor suppressors in the nucleus of malignant cells and reduce levels of oncogene products which drive cell proliferation. This ultimately leads to cell cycle arrest and death of
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Although the study had one of the highest proportions of patients with high-risk cytogenetics (~50%) as compared with other Velcade-based studies in previously treated myeloma, the median PFS in the SVd arm was 13.93 months compared to 9.46 months in the Vd arm, representing a 4.47 month (47%)
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who have received at least four prior therapies and whose disease is refractory to at least two proteosome inhibitors, at least two immunomodulatory agents, and an anti-CD38 monoclonal antibody (so-called "quad-refractory" or "penta-refractory" myeloma), for whom no other treatment options are
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Grosicki S, Simonova M, Spicka I, Pour L, Kriachok I, Gavriatopoulou M, et al. (November 2020). "Once-per-week selinexor, bortezomib, and dexamethasone versus twice-per-week bortezomib and dexamethasone in patients with multiple myeloma (BOSTON): a randomised, open-label, phase 3 trial".
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The most common adverse reactions (incidence ≥20%) in people with diffuse large B-cell lymphoma (DLBCL), excluding laboratory abnormalities, were fatigue, nausea, diarrhea, appetite decrease, weight decrease, constipation, vomiting, and pyrexia. Grade 3-4 laboratory abnormalities in ≥15% were
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for the treatment of adults with relapsed refractory multiple myeloma (RRMM) who have received at least four prior therapies and whose disease is resistant to several other forms of treatment, including at least two proteasome inhibitors, at least two immunomodulatory agents, and an anti-CD38
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In the European Union, selinexor is indicated in combination with dexamethasone for the treatment of multiple myeloma in adults who have received at least four prior therapies and whose disease is refractory to at least two proteasome inhibitors, two immunomodulatory agents and an anti-CD38
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The most common side effects include nausea (feeling sick), vomiting, decreased appetite, weight loss, diarrhea, tiredness, thrombocytopenia (low blood-platelet counts), anaemia (low red-blood cell counts), low levels of white blood cells and hyponatraemia (low blood sodium levels).
1492: 877:(FDA) approved an additional indication for selinexor to treat adults with relapsed or refractory diffuse large B-cell lymphoma (DLBCL), not otherwise specified, including DLBCL arising from follicular lymphoma, after at least two lines of systemic therapy. 710:(FDA) approved an additional indication for selinexor to treat adults with relapsed or refractory diffuse large B-cell lymphoma (DLBCL), not otherwise specified, including DLBCL arising from follicular lymphoma, after at least two lines of systemic therapy. 880:
Approval was based on SADAL (KCP-330-009; NCT02227251), a multicenter, single-arm, open-label trial in participants with DLBCL after two to five systemic regimens. Participants received selinexor 60 mg orally on days one and three of each week.
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was 26%, including two stringent complete responses; 39% of patients had a minimal response or better. The median duration of response was 4.4 months, median progression-free survival was 3.7 months, and median overall survival was 8.6 months.
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Selinexor is approved in combination with bortezomib and dexamethasone for the treatment of adults with multiple myeloma who have received at least one prior therapy. Selinexor is also approved for use in combination with the steroid
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In December 2020, the FDA expanded selinexor's approved indication to include its combination with bortezomib and dexamethasone for the treatment of adults with multiple myeloma who have received at least one prior therapy.
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and dexamethasone for the treatment of adults with multiple myeloma who have received at least one prior therapy. In clinical trials, it was associated with a high incidence of severe side effects, including
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The prescribing information provides warnings and precautions for thrombocytopenia, neutropenia, gastrointestinal toxicity, hyponatremia, serious infection, neurological toxicity, and embryo-fetal toxicity.
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As of 2019, phase I/II and III trials are ongoing, including the use of selinexor in other cancers and in combinations with other drugs used for multiple myeloma.
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Inhibiting XPO1 affects many different cells in the body which may explain the incidence of adverse reactions to selinexor. Thrombocytopenia, for example, is a
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Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
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Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
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Selinexor was developed by Karyopharm Therapeutics, a pharmaceutical company focused on the development of drugs that target
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for "Evaluation of Activity and Safety of Oral Selinexor in Participants With Severe COVID-19 Infection (Coronavirus)" at
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and dose-dependent effect, occurring because selinexor causes a buildup of the transcription factor
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of nuclear transport. Selinexor inhibits this process at the nuclear export receptor (upper right).
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Chen C, Siegel D, Gutierrez M, Jacoby M, Hofmeister CC, Gabrail N, et al. (February 2018).
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Chim CS, Kumar SK, Orlowski RZ, Cook G, Richardson PG, Gertz MA, et al. (February 2018).
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Selinexor in combination with dexamethasone was granted accelerated approval and was granted
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monoclonal antibody. In December 2020, selinexor was approved by the FDA in combination with
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Chari A, Vogl DT, Gavriatopoulou M, Nooka AK, Yee AJ, Huff CA, et al. (August 2019).
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monoclonal antibody, and who have demonstrated disease progression on the last therapy.
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Gandhi UH, Senapedis W, Baloglu E, Unger TJ, Chari A, Vogl D, Cornell RF (May 2018).
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designation. The FDA granted the approval of Xpovio to Karyopharm Therapeutics.
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Under the codename KPT-330, selinexor was tested in several preclinical
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LVHN Among Early Participants to Test Cancer Drug as COVID-19 Treatment
2111: 364: 30: 2320: 946:, and a wide range of advanced or refractory solid tumors, including 283: 1678:"New Treatment for Refractory Multiple Myeloma Granted FDA Approval" 938:. In humans, early clinical trials (phase I) have been conducted in 703:
available. It is the first drug to be approved for this indication.
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C1=CN=C(C=N1)NNC(=O)/C=C\N2C=NC(=N2)C3=CC(=CC(=C3)C(F)(F)F)C(F)(F)F
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This article incorporates text from this source, which is in the
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This article incorporates text from this source, which is in the
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This article incorporates text from this source, which is in the
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of several proteins involved in cancer-cell growth from the
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Although this bond is 111: 21: 1512: 1510: 3316: 2926: 2686: 2401: 2384: 2262: 2221: 2207: 2199: 488: 29: 2110: 2031: 1990: 1980: 1890:"Xpovio (selinexor) FDA Approval History" 1831: 1652: 1436: 1434: 1432: 1430: 1370: 1359:Clinical Lymphoma, Myeloma & Leukemia 1320: 759:(also known as XPO1 or CRM1). XPO1 is a 417: 3937: 1398: 1396: 1394: 1392: 1390: 1185:"Xpovio- selinexor tablet, film coated" 1058: 1016:hematopoietic stem cell transplantation 755:(SINEs), selinexor works by binding to 585: 484: 397: 324: 84: 2056:"KPT-330 OR Selinexor Clinical Trials" 1799:: CS1 maint: archived copy as title ( 1792: 1605:from the original on 16 September 2020 1415:from the original on 25 September 2020 1100:Therapeutic Goods Administration (TGA) 1074:Therapeutic Goods Administration (TGA) 753:selective inhibitors of nuclear export 698:in people with relapsed or refractory 20: 1565:from the original on 20 November 2019 1456:from the original on 20 November 2019 613:. It works by blocking the action of 607:selective inhibitor of nuclear export 457: 70: 7: 2194:. U.S. National Library of Medicine. 1969:Journal of Hematology & Oncology 1936:from the original on 1 February 2021 1531:from the original on 15 January 2021 1266:Union Register of medicinal products 1122:"Summary Basis of Decision - Xpovio" 176: 2490:ribonucleotide reductase inhibitors 2066:from the original on 29 August 2021 2020:The New England Journal of Medicine 1739:from the original on 12 August 2020 1688:from the original on 12 August 2020 1197:from the original on 29 August 2021 437: 368: 2656:Ribonucleotide reductase inhibitor 2612:Ribonucleotide reductase inhibitor 2153:Lehigh Valley Hospital–Cedar Crest 827:compound, developed by means of a 14: 2415:Dihydrofolate reductase inhibitor 1870:from the original on 9 April 2021 1781:from the original on 28 July 2021 1733:U.S. Food and Drug Administration 1599:U.S. Food and Drug Administration 1595:"New Drug Therapy Approvals 2019" 1495:from the original on 8 March 2021 1295:Fung HY, Chook YM (August 2014). 1014:); nearly all had also undergone 637:. It is the first drug with this 335:′-pyrazin-2-ylprop-2-enehydrazide 3940: 1900:from the original on 9 July 2019 1749: 1575: 1466: 1241:from the original on 2 June 2021 529: 523: 517: 1923:"Nexpovio: Pending EC decision" 1856:"Drug Approval Package: Xpovio" 1551:"Drug Trials Snapshots: Xpovio" 1313:10.1016/j.semcancer.2014.03.002 1037:In 2020, selinexor underwent a 823:Selinexor is a fully synthetic 767:of several proteins, including 629:, which ultimately arrests the 2552:Thymidylate synthase inhibitor 2442:Thymidylate synthase inhibitor 1452:(Press release). 3 July 2019. 1262:"Nexpovio Product information" 743:Schematic illustration of the 535: 511: 1: 2472:Adenosine deaminase inhibitor 2313:Block microtubule disassembly 2103:10.1016/S0140-6736(20)32292-3 1862:Food and Drug Administration 1833:10.1182/blood-2017-08-797886 1557:Food and Drug Administration 1448:Food and Drug Administration 1403:Feuerstein A (3 July 2019). 1049:(23% vs. 16%) than placebo. 875:Food and Drug Administration 708:Food and Drug Administration 679:Food and Drug Administration 654:Food and Drug Administration 331:)-3-{3--1,2,4-triazol-1-yl}- 829:structure-based drug design 681:(FDA) considers it to be a 4009: 2155:(LVHN) website, 7 May 2020 1372:10.1016/j.clml.2018.03.003 1301:Seminars in Cancer Biology 928:non-small-cell lung cancer 601:sold under the brand name 501:Chemical and physical data 3993:Trifluoromethyl compounds 3891: 3772:Omacetaxine mepesuccinate 3652:Ciltacabtagene autoleucel 3642:Brexucabtagene autoleucel 1982:10.1186/s13045-014-0078-0 1928:European Medicines Agency 1676:Barrett J (3 July 2019). 1517:Mulcahy N (3 July 2019). 1233:European Medicines Agency 904:European Medicines Agency 683:first-in-class medication 576: 315: 28: 3824:Talimogene laherparepvec 3757:Nadofaragene firadenovec 3727:Lisocabtagene maraleucel 2676:Topoisomerase inhibitors 2595:DNA polymerase inhibitor 974:has also been reported. 934:, and acute and chronic 898:On 28 January 2021, the 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lymphoma 650:accelerated approval 3662:Denileukin diftitox 3562:Retinoid X receptor 3262:Aminolevulinic acid 3084:Triethylenemelamine 2916:Crosslinking of DNA 2647:Deoxyribonucleotide 2586:+gimeracil/oteracil 1932:. 29 January 2021. 1237:. 25 January 2021. 1148:"Product monograph" 1004:monoclonal antibody 889:Society and culture 833:induced-fit docking 735:Mechanism of action 668:low platelet counts 639:mechanism of action 605:among others, is a 212:(Prescription only) 25: 3918:Never to phase III 2720:Etirinotecan pegol 2172:ClinicalTrials.gov 2060:ClinicalTrials.gov 1193:. 19 August 2019. 1102:. 21 December 2022 807:in the nucleus of 749: 3928: 3927: 3887: 3886: 3844:Tigilanol tiglate 3321:Enzyme inhibitors 3244: 3243: 3240: 3239: 2940:Nitrogen mustards 2910: 2909: 2670: 2669: 2372: 2371: 1128:. 23 October 2014 1041:for treatment of 970:in patients with 968:Compassionate use 920:pancreatic cancer 861:nuclear transport 831:process known as 769:tumor suppressors 765:nuclear transport 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1385: 1384: 1374: 1350: 1335: 1334: 1324: 1292: 1277: 1276: 1274: 1272: 1258: 1252: 1250: 1248: 1246: 1224: 1207: 1206: 1204: 1202: 1181: 1166: 1165: 1163: 1161: 1152: 1144: 1138: 1137: 1135: 1133: 1118: 1112: 1111: 1109: 1107: 1092: 1086: 1085: 1083: 1081: 1066: 984:targeted therapy 835:. It binds to a 788:cancer cells by 700:multiple myeloma 569: 549: 537: 531: 525: 519: 513: 493: 492: 478: 476: 461: 441: 421: 401: 381: 371: 370: 356: 302: 241: 238: 229: 226: 218: 215: 205: 202: 180: 136: 133: 115: 104: 101: 88: 74: 48:Xpovio, Nexpovio 33: 26: 24: 16:Anti-cancer drug 4008: 4007: 4003: 4002: 4001: 3999: 3998: 3997: 3953: 3952: 3951: 3941: 3939: 3931: 3929: 3924: 3923: 3908:Clinical trials 3883: 3589:Other/ungrouped 3584: 3535: 3308: 3288:Porfimer sodium 3236: 3198: 3131: 3088: 2918: 2906: 2790: 2760: 2678: 2666: 2641: 2537: 2457: 2393: 2391:antimetabolites 2389: 2388:DNA precursors/ 2380: 2378:DNA replication 2368: 2308: 2278:Vinca alkaloids 2254: 2242: 2227: 2186: 2183: 2178: 2177: 2163: 2159: 2149:Wayback Machine 2140: 2136: 2087: 2086: 2079: 2069: 2067: 2054: 2053: 2049: 2013: 2012: 2008: 1962: 1961: 1950: 1939: 1937: 1921: 1920: 1913: 1903: 1901: 1896:. 3 July 2019. 1888: 1887: 1883: 1873: 1871: 1854: 1853: 1849: 1813: 1812: 1808: 1791: 1784: 1782: 1778: 1771: 1769:"Archived copy" 1767: 1766: 1762: 1750: 1742: 1740: 1727: 1726: 1701: 1691: 1689: 1675: 1674: 1670: 1626: 1625: 1618: 1608: 1606: 1593: 1592: 1588: 1576: 1568: 1566: 1549: 1548: 1544: 1534: 1532: 1516: 1515: 1508: 1498: 1496: 1487: 1486: 1479: 1467: 1459: 1457: 1440: 1439: 1428: 1418: 1416: 1402: 1401: 1388: 1352: 1351: 1338: 1294: 1293: 1280: 1270: 1268: 1260: 1259: 1255: 1244: 1242: 1228:"Nexpovio EPAR" 1226: 1225: 1210: 1200: 1198: 1183: 1182: 1169: 1159: 1157: 1150: 1146: 1145: 1141: 1131: 1129: 1120: 1119: 1115: 1105: 1103: 1094: 1093: 1089: 1079: 1077: 1076:. 24 March 2022 1068: 1067: 1060: 1055: 964:prostate cancer 912: 896: 891: 857: 847:, it is slowly 839:residue in the 821: 763:which performs 737: 720: 718:Adverse effects 691: 592: 589: 584: 583: 572: 547: 534: 528: 522: 516: 496: 486:DTXSID801026013 472: 464: 444: 424: 404: 384: 367: 359: 339: 336: 323: 322: 300: 280:glucuronidation 261:Protein binding 253:Pharmacokinetic 247: 184: 152: 145: 125: 118: 17: 12: 11: 5: 4006: 4004: 3996: 3995: 3990: 3985: 3980: 3975: 3970: 3965: 3955: 3954: 3950: 3949: 3926: 3925: 3922: 3921: 3920: 3919: 3916: 3905: 3899: 3893: 3892: 3889: 3888: 3885: 3884: 3882: 3881: 3876: 3871: 3866: 3861: 3856: 3851: 3846: 3841: 3836: 3831: 3826: 3821: 3816: 3811: 3806: 3801: 3795: 3784: 3779: 3774: 3769: 3764: 3759: 3754: 3749: 3744: 3739: 3734: 3729: 3724: 3719: 3714: 3709: 3704: 3699: 3694: 3689: 3684: 3679: 3674: 3669: 3664: 3659: 3654: 3649: 3644: 3639: 3634: 3629: 3624: 3608: 3603: 3598: 3592: 3590: 3586: 3585: 3583: 3582: 3570: 3558: 3545: 3543: 3537: 3536: 3534: 3533: 3527: 3522: 3517: 3512: 3500: 3494: 3489: 3484: 3479: 3468: 3462: 3457: 3449: 3442:PARP inhibitor 3438: 3426: 3414: 3402: 3401: 3400: 3395: 3390: 3385: 3373: 3367: 3362: 3357: 3352: 3338: 3325: 3323: 3314: 3310: 3309: 3307: 3306: 3300: 3295: 3290: 3279: 3274: 3269: 3264: 3258: 3256: 3246: 3245: 3242: 3241: 3238: 3237: 3235: 3234: 3228: 3223: 3218: 3208: 3206: 3200: 3199: 3197: 3196: 3190: 3185: 3174: 3169: 3164: 3159: 3147: 3141: 3139: 3133: 3132: 3130: 3129: 3124: 3119: 3114: 3109: 3104: 3098: 3096: 3094:Platinum-based 3090: 3089: 3087: 3086: 3081: 3076: 3071: 3059: 3058: 3052: 3036: 3035: 3030: 3025: 3020: 3010: 3005: 2993: 2992: 2987: 2982: 2972: 2967: 2961: 2952: 2947: 2935: 2933: 2924: 2912: 2911: 2908: 2907: 2905: 2904: 2899: 2894: 2889: 2884: 2878: 2873: 2862: 2856: 2851: 2846: 2841: 2836: 2831: 2821: 2816: 2809:Anthracyclines 2804: 2802: 2792: 2791: 2789: 2788: 2782: 2770: 2768: 2762: 2761: 2759: 2758: 2752: 2747: 2742: 2737: 2732: 2727: 2722: 2717: 2712: 2707: 2695: 2693: 2684: 2672: 2671: 2668: 2667: 2665: 2664: 2651: 2649: 2643: 2642: 2640: 2639: 2633: 2621: 2620: 2607: 2606: 2590: 2589: 2579: 2574: 2569: 2564: 2559: 2547: 2545: 2539: 2538: 2536: 2535: 2529: 2527:Mercaptopurine 2518: 2513: 2508: 2502: 2497: 2481: 2480: 2467: 2465: 2459: 2458: 2456: 2455: 2449: 2438: 2432: 2427: 2422: 2410: 2408: 2399: 2382: 2374: 2373: 2370: 2369: 2367: 2366: 2354: 2348: 2343: 2338: 2333: 2328: 2316: 2314: 2310: 2309: 2307: 2306: 2300: 2295: 2290: 2285: 2273: 2271: 2260: 2244: 2243: 2229:Intracellular 2228: 2226: 2225: 2218: 2211: 2203: 2197: 2196: 2182: 2181:External links 2179: 2176: 2175: 2157: 2134: 2077: 2047: 2026:(8): 727–738. 2006: 1948: 1911: 1881: 1847: 1826:(8): 855–863. 1806: 1760: 1699: 1682:Pharmacy Times 1668: 1639:(2): 252–262. 1616: 1586: 1542: 1506: 1477: 1426: 1386: 1365:(5): 335–345. 1336: 1278: 1253: 1208: 1167: 1139: 1113: 1087: 1070:"Xpovio APMDS" 1057: 1056: 1054: 1051: 1039:clinical trial 960:ovarian cancer 911: 908: 902:(CHMP) of the 895: 892: 890: 887: 856: 853: 825:small-molecule 820: 817: 813:megakaryocytes 783:; it is often 736: 733: 719: 716: 690: 687: 594: 593: 591: 590: 587: 579: 578: 577: 574: 573: 571: 570: 562: 560: 552: 551: 545: 539: 538: 532: 526: 520: 514: 509: 503: 502: 498: 497: 495: 494: 481: 479: 466: 465: 463: 462: 454: 452: 446: 445: 443: 442: 434: 432: 426: 425: 423: 422: 414: 412: 406: 405: 403: 402: 394: 392: 386: 385: 383: 382: 374: 372: 361: 360: 358: 357: 349: 347: 341: 340: 338: 337: 326: 318: 317: 316: 313: 312: 308: 307: 304: 295: 294: 273: 267: 266: 263: 257: 256: 249: 248: 246: 245: 236: 224: 213: 199: 197: 191: 190: 186: 185: 183: 182: 169: 167: 161: 160: 155: 153:administration 147: 146: 144: 143: 140: 130: 128: 120: 119: 117: 116: 98: 96: 90: 89: 82: 76: 75: 68: 58: 57: 54: 50: 49: 46: 40: 39: 35: 34: 15: 13: 10: 9: 6: 4: 3: 2: 4005: 3994: 3991: 3989: 3986: 3984: 3981: 3979: 3976: 3974: 3971: 3969: 3966: 3964: 3961: 3960: 3958: 3948: 3938: 3934: 3917: 3915: 3912: 3911: 3909: 3906: 3903: 3900: 3898: 3895: 3894: 3890: 3880: 3877: 3875: 3872: 3870: 3867: 3865: 3862: 3860: 3857: 3855: 3852: 3850: 3847: 3845: 3842: 3840: 3837: 3835: 3832: 3830: 3827: 3825: 3822: 3820: 3817: 3815: 3812: 3810: 3807: 3805: 3802: 3799: 3796: 3794: 3790: 3789: 3785: 3783: 3782:Tabelecleucel 3780: 3778: 3775: 3773: 3770: 3768: 3765: 3763: 3760: 3758: 3755: 3753: 3750: 3748: 3745: 3743: 3742:Lurbinectedin 3740: 3738: 3735: 3733: 3730: 3728: 3725: 3723: 3720: 3718: 3715: 3713: 3710: 3708: 3705: 3703: 3700: 3698: 3695: 3693: 3690: 3688: 3685: 3683: 3680: 3678: 3675: 3673: 3670: 3668: 3665: 3663: 3660: 3658: 3655: 3653: 3650: 3648: 3645: 3643: 3640: 3638: 3635: 3633: 3630: 3628: 3625: 3622: 3618: 3614: 3613: 3609: 3607: 3604: 3602: 3599: 3597: 3594: 3593: 3591: 3587: 3580: 3576: 3575: 3571: 3568: 3564: 3563: 3559: 3556: 3552: 3551: 3547: 3546: 3544: 3542: 3538: 3531: 3528: 3526: 3523: 3521: 3518: 3516: 3513: 3511: 3507: 3505: 3501: 3498: 3495: 3493: 3490: 3488: 3485: 3483: 3480: 3478: 3474: 3473: 3469: 3466: 3463: 3461: 3458: 3456: 3453: 3450: 3448: 3444: 3443: 3439: 3436: 3432: 3431: 3427: 3424: 3420: 3419: 3415: 3412: 3408: 3407: 3403: 3399: 3396: 3394: 3391: 3389: 3386: 3384: 3381: 3380: 3379: 3378: 3374: 3371: 3368: 3366: 3363: 3361: 3358: 3356: 3353: 3351: 3347: 3346: 3343: 3339: 3336: 3332: 3331: 3327: 3326: 3324: 3322: 3318: 3315: 3311: 3304: 3301: 3299: 3296: 3294: 3291: 3289: 3285: 3284: 3280: 3278: 3275: 3273: 3270: 3268: 3265: 3263: 3260: 3259: 3257: 3255: 3251: 3247: 3232: 3229: 3227: 3224: 3222: 3219: 3217: 3213: 3210: 3209: 3207: 3205: 3204:Intercalation 3201: 3194: 3191: 3189: 3186: 3184: 3180: 3179: 3175: 3173: 3170: 3168: 3165: 3163: 3160: 3157: 3153: 3152: 3148: 3146: 3143: 3142: 3140: 3138: 3134: 3128: 3125: 3123: 3120: 3118: 3115: 3113: 3112:Dicycloplatin 3110: 3108: 3105: 3103: 3100: 3099: 3097: 3095: 3091: 3085: 3082: 3080: 3077: 3075: 3072: 3070: 3067: 3065: 3061: 3060: 3056: 3053: 3051: 3047: 3044: 3042: 3038: 3037: 3034: 3031: 3029: 3026: 3024: 3021: 3018: 3014: 3011: 3009: 3006: 3004: 3001: 2999: 2995: 2994: 2991: 2988: 2986: 2985:Prednimustine 2983: 2980: 2976: 2973: 2971: 2968: 2965: 2962: 2960: 2956: 2953: 2951: 2948: 2946: 2943: 2941: 2937: 2936: 2934: 2932: 2928: 2925: 2922: 2917: 2913: 2903: 2900: 2898: 2895: 2893: 2890: 2888: 2885: 2882: 2879: 2877: 2874: 2872: 2868: 2867: 2863: 2860: 2857: 2855: 2852: 2850: 2847: 2845: 2842: 2840: 2837: 2835: 2832: 2829: 2825: 2822: 2820: 2817: 2815: 2811: 2810: 2806: 2805: 2803: 2801: 2800:Intercalation 2797: 2793: 2786: 2783: 2781: 2777: 2776: 2772: 2771: 2769: 2767: 2763: 2756: 2753: 2751: 2748: 2746: 2743: 2741: 2738: 2736: 2733: 2731: 2728: 2726: 2723: 2721: 2718: 2716: 2713: 2711: 2708: 2706: 2702: 2701: 2697: 2696: 2694: 2692: 2688: 2685: 2682: 2677: 2673: 2662: 2658: 2657: 2653: 2652: 2650: 2648: 2644: 2637: 2634: 2632: 2628: 2627: 2623: 2622: 2618: 2614: 2613: 2609: 2608: 2604: 2603:+daunorubicin 2601: 2597: 2596: 2592: 2591: 2587: 2583: 2580: 2578: 2575: 2573: 2570: 2568: 2567:Doxifluridine 2565: 2563: 2560: 2558: 2554: 2553: 2549: 2548: 2546: 2544: 2540: 2533: 2530: 2528: 2524: 2523: 2519: 2517: 2516:Rabacfosadine 2514: 2512: 2509: 2506: 2503: 2501: 2498: 2496: 2492: 2491: 2487: 2483: 2482: 2478: 2474: 2473: 2469: 2468: 2466: 2464: 2460: 2453: 2450: 2448: 2444: 2443: 2439: 2436: 2433: 2431: 2428: 2426: 2423: 2421: 2417: 2416: 2412: 2411: 2409: 2407: 2403: 2400: 2397: 2392: 2386: 2383: 2379: 2375: 2364: 2360: 2359: 2355: 2352: 2349: 2347: 2344: 2342: 2339: 2337: 2334: 2332: 2329: 2327: 2323: 2322: 2318: 2317: 2315: 2311: 2304: 2301: 2299: 2296: 2294: 2291: 2289: 2286: 2284: 2280: 2279: 2275: 2274: 2272: 2269: 2264: 2261: 2258: 2253: 2249: 2245: 2240: 2236: 2232: 2224: 2219: 2217: 2212: 2210: 2205: 2204: 2201: 2193: 2189: 2185: 2184: 2180: 2173: 2169: 2168: 2161: 2158: 2154: 2150: 2146: 2143: 2138: 2135: 2130: 2126: 2122: 2118: 2113: 2108: 2104: 2100: 2096: 2092: 2084: 2082: 2078: 2065: 2061: 2057: 2051: 2048: 2043: 2039: 2034: 2029: 2025: 2021: 2017: 2010: 2007: 2002: 1998: 1993: 1988: 1983: 1978: 1974: 1970: 1966: 1959: 1957: 1955: 1953: 1949: 1935: 1931: 1929: 1924: 1918: 1916: 1912: 1899: 1895: 1891: 1885: 1882: 1869: 1865: 1863: 1857: 1851: 1848: 1843: 1839: 1834: 1829: 1825: 1821: 1817: 1810: 1807: 1802: 1796: 1777: 1770: 1764: 1761: 1757: 1756:public domain 1738: 1734: 1730: 1724: 1722: 1720: 1718: 1716: 1714: 1712: 1710: 1708: 1706: 1704: 1700: 1687: 1683: 1679: 1672: 1669: 1664: 1660: 1655: 1650: 1646: 1642: 1638: 1634: 1630: 1623: 1621: 1617: 1604: 1600: 1596: 1590: 1587: 1583: 1582:public domain 1564: 1560: 1558: 1552: 1546: 1543: 1530: 1526: 1525: 1520: 1513: 1511: 1507: 1494: 1490: 1484: 1482: 1478: 1474: 1473:public domain 1455: 1451: 1449: 1443: 1437: 1435: 1433: 1431: 1427: 1414: 1410: 1406: 1399: 1397: 1395: 1393: 1391: 1387: 1382: 1378: 1373: 1368: 1364: 1360: 1356: 1349: 1347: 1345: 1343: 1341: 1337: 1332: 1328: 1323: 1318: 1314: 1310: 1306: 1302: 1298: 1291: 1289: 1287: 1285: 1283: 1279: 1267: 1263: 1257: 1254: 1240: 1236: 1234: 1229: 1223: 1221: 1219: 1217: 1215: 1213: 1209: 1196: 1192: 1191: 1186: 1180: 1178: 1176: 1174: 1172: 1168: 1156: 1149: 1143: 1140: 1127: 1126:Health Canada 1123: 1117: 1114: 1101: 1097: 1091: 1088: 1075: 1071: 1065: 1063: 1059: 1052: 1050: 1048: 1044: 1040: 1035: 1031: 1027: 1024: 1021: 1017: 1013: 1009: 1005: 1001: 997: 993: 989: 985: 981: 975: 973: 969: 965: 961: 957: 953: 949: 945: 941: 937: 933: 929: 925: 924:breast cancer 921: 917: 916:animal models 909: 907: 905: 901: 893: 888: 886: 882: 878: 876: 871: 869: 864: 862: 854: 852: 850: 846: 842: 838: 834: 830: 826: 818: 816: 814: 810: 806: 802: 797: 795: 791: 786: 785:overexpressed 782: 778: 774: 770: 766: 762: 758: 754: 746: 741: 734: 732: 728: 724: 717: 715: 711: 709: 704: 701: 697: 696:dexamethasone 688: 686: 684: 680: 675: 673: 669: 664: 659: 658:dexamethasone 655: 651: 646: 642: 640: 636: 633:and leads to 632: 628: 624: 620: 616: 612: 608: 604: 600: 586: 582: 575: 568: 564: 563: 561: 558: 553: 546: 544: 540: 510: 508: 504: 499: 491: 487: 483: 482: 480: 471: 467: 460: 456: 455: 453: 451: 447: 440: 436: 435: 433: 431: 427: 420: 416: 415: 413: 411: 407: 400: 396: 395: 393: 391: 387: 380: 376: 375: 373: 366: 362: 355: 351: 350: 348: 346: 342: 334: 330: 325: 321: 314: 309: 305: 303: 296: 293: 289: 285: 281: 277: 274: 272: 268: 264: 262: 258: 254: 250: 244: Rx-only 237: 235: 225: 223: 214: 211: 201: 200: 198: 196: 192: 187: 179: 174: 171: 170: 168: 166: 162: 159: 156: 154: 148: 141: 132: 131: 129: 127: 121: 114: 109: 100: 99: 97: 95: 91: 87: 83: 81: 77: 73: 69: 67: 63: 59: 55: 51: 47: 45: 41: 38:Clinical data 36: 32: 27: 19: 3973:Orphan drugs 3829:Tazemetostat 3803: 3793:Alitretinoin 3786: 3697:Estramustine 3677:Elsamitrucin 3667:Eflornithine 3621:Pegaspargase 3617:Asparaginase 3610: 3579:Testolactone 3572: 3560: 3548: 3502: 3487:Panobinostat 3470: 3440: 3428: 3416: 3404: 3375: 3340: 3328: 3281: 3277:Padeliporfin 3216:Dactinomycin 3212:Streptomyces 3193:Temozolomide 3188:Mitozolomide 3176: 3167:Mitobronitol 3156:Procarbazine 3149: 3137:Nonclassical 3062: 3039: 3033:Streptozocin 2998:Nitrosoureas 2996: 2970:Chlorambucil 2964:Trofosfamide 2950:Chlormethine 2945:Bendamustine 2938: 2876:Mitoxantrone 2871:Losoxantrone 2864: 2824:Daunorubicin 2807: 2773: 2710:Camptothecin 2698: 2654: 2624: 2610: 2593: 2577:Fluorouracil 2557:Capecitabine 2550: 2520: 2484: 2470: 2440: 2435:Pralatrexate 2425:Methotrexate 2413: 2356: 2319: 2276: 2191: 2165: 2160: 2137: 2094: 2090: 2068:. 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Retrieved 1073: 1036: 1032: 1028: 1025: 1000:pomalidomide 996:lenalidomide 980:chemotherapy 976: 948:colon cancer 944:blast crisis 913: 897: 894:Legal status 883: 879: 872: 865: 858: 822: 798: 793: 777:cell nucleus 750: 729: 725: 721: 712: 705: 692: 689:Medical uses 676: 652:by the U.S. 647: 643: 623:cell nucleus 602: 598: 597: 459:CHEBI:229764 354:1393477-72-9 332: 328: 299:Elimination 195:Legal status 189:Legal status 94:License data 18: 3904:from market 3874:Vorasidenib 3854:Trabectedin 3839:Tiazofurine 3834:Tebentafusp 3819:Tagraxofusp 3777:Plitidepsin 3747:Mitoguazone 3687:Epacadostat 3657:Demecolcine 3601:Aflibercept 3574:Sex steroid 3447:Fuzuloparib 3388:Carfilzomib 3360:Palbociclib 3350:Abemaciclib 3303:Verteporfin 3267:Efaproxiral 3183:Dacarbazine 3145:Altretamine 3127:Satraplatin 3122:Oxaliplatin 3102:Carboplatin 3079:Triaziquone 3050:Mannosulfan 3028:Ranimustine 3008:Fotemustine 2849:Pirarubicin 2834:Doxorubicin 2828:+cytarabine 2814:Aclarubicin 2775:Podophyllum 2700:Camptotheca 2631:Azacitidine 2617:Gemcitabine 2572:Floxuridine 2505:Fludarabine 2500:Clofarabine 2486:Halogenated 2477:Pentostatin 2452:Raltitrexed 2420:Aminopterin 2363:Ixabepilone 2358:Epothilones 2326:Cabazitaxel 2303:Vinorelbine 2288:Vincristine 2283:Vinblastine 2268:microtubule 2188:"Selinexor" 2167:NCT04349098 2112:2436/623569 2070:20 November 1904:20 November 1569:20 November 1499:21 December 1460:20 November 1201:20 November 1132:28 November 1008:daratumumab 992:carfilzomib 868:orphan drug 801:mechanistic 761:karyopherin 751:Like other 609:used as an 550: g·mol 311:Identifiers 278:oxidation, 80:MedlinePlus 53:Other names 44:Trade names 3983:Teratogens 3968:Hydrazides 3957:Categories 3869:Verdinexor 3864:Venetoclax 3767:Oblimersen 3762:Navitoclax 3737:Lucanthone 3732:Lonidamine 3722:Lifileucel 3717:Ivosidenib 3712:Imetelstat 3682:Enasidenib 3672:Elesclomol 3637:Bexarotene 3632:Belzutifan 3567:Bexarotene 3555:Atrasentan 3530:Umbralisib 3525:Idelalisib 3515:Copanlisib 3497:Vorinostat 3492:Romidepsin 3482:Entinostat 3477:Belinostat 3435:Masoprocol 3423:Tiazofurin 3411:Anagrelide 3383:Bortezomib 3370:Seliciclib 3365:Ribociclib 3345:inhibitors 3335:Tipifarnib 3298:Temoporfin 3293:Talaporfin 3231:Plicamycin 3226:Mitomycins 3172:Pipobroman 3151:Hydrazines 3117:Nedaplatin 3069:Carboquone 3064:Aziridines 3055:Treosulfan 3003:Carmustine 2990:Uramustine 2959:Ifosfamide 2931:Alkylating 2892:Bisantrene 2881:Pixantrone 2854:Valrubicin 2844:Idarubicin 2839:Epirubicin 2785:Teniposide 2740:Lurtotecan 2735:Irinotecan 2636:Decitabine 2600:Cytarabine 2543:Pyrimidine 2532:Tioguanine 2522:Thiopurine 2511:Nelarabine 2495:Cladribine 2447:Pemetrexed 2430:Pemetrexed 2406:Folic acid 2346:Paclitaxel 2298:Vinflunine 1940:1 February 1053:References 1012:isatuximab 988:bortezomib 849:reversible 757:exportin 1 663:bortezomib 631:cell cycle 615:exportin 1 555:3D model ( 543:Molar mass 419:31TZ62FO8F 345:CAS Number 320:IUPAC name 271:Metabolism 3988:Triazoles 3978:Pyrazines 3914:Phase III 3902:Withdrawn 3879:Vosaroxin 3859:Veliparib 3814:Sotorasib 3804:Selinexor 3798:Tretinoin 3788:Retinoids 3702:Glasdegib 3647:Celecoxib 3596:Adagrasib 3520:Duvelisib 3510:Alpelisib 3465:Rucaparib 3452:Niraparib 3393:Oprozomib 3355:Alvocidib 3221:Bleomycin 3178:Triazenes 3162:Etoglucid 3107:Cisplatin 3023:Nimustine 3017:Semustine 3013:Lomustine 2975:Melphalan 2902:Menogaril 2897:Crisnatol 2887:Amsacrine 2859:Zorubicin 2819:Amrubicin 2780:Etoposide 2755:Topotecan 2750:Silatecan 2745:Rubitecan 2730:Gimatecan 2715:Cositecan 2705:Belotecan 2381:inhibitor 2351:Tesetaxel 2341:Ortataxel 2336:Larotaxel 2331:Docetaxel 2293:Vindesine 2129:226308726 1894:Drugs.com 1307:: 52–61. 1106:2 January 936:leukemias 932:lymphomas 819:Chemistry 790:apoptosis 781:cytoplasm 773:oncogenes 745:Ran cycle 677:The U.S. 635:apoptosis 627:cytoplasm 619:transport 599:Selinexor 306:6–8 hours 301:half-life 151:Routes of 124:Pregnancy 113:Selinexor 72:Monograph 66:Drugs.com 23:Selinexor 3947:Medicine 3752:Mitotane 3692:Eribulin 3460:Olaparib 3398:Ixazomib 3074:Thiotepa 3046:Busulfan 2725:Exatecan 2562:Carmofur 2270:assembly 2233: / 2145:Archived 2121:33189178 2064:Archived 2042:31433920 2001:25316614 1934:Archived 1898:Archived 1868:Archived 1842:29203585 1795:cite web 1776:Archived 1737:Archived 1686:Archived 1663:29257139 1633:Leukemia 1603:Archived 1563:Archived 1529:Archived 1524:Medscape 1493:Archived 1454:Archived 1413:Archived 1381:29610030 1331:24631835 1239:Archived 1195:Archived 1190:DailyMed 1160:24 March 1043:COVID-19 1002:, and a 956:melanoma 910:Research 845:covalent 837:cysteine 794:In vitro 390:DrugBank 379:71481097 165:ATC code 158:By mouth 126:category 108:DailyMed 2681:S phase 2582:Tegafur 2396:S phase 2321:Taxanes 2257:M phase 1992:4200201 1874:24 June 1743:24 June 1654:5808071 1322:4108548 1271:3 March 1155:hres.ca 1080:4 April 855:History 779:to the 625:to the 548:443.313 507:Formula 399:DB11942 365:PubChem 220:: 181:) 175: ( 173:L01XX66 139: D 110::  86:a619044 56:KPT-330 3933:Portal 3897:WHO-EM 3506:(Pi3K) 2463:Purine 2266:Block 2127:  2119:  2091:Lancet 2040:  1999:  1989:  1975:: 78. 1840:  1692:7 July 1661:  1651:  1535:6 July 1419:6 July 1379:  1329:  1319:  1245:27 May 962:, and 603:Xpovio 581:SMILES 439:D11222 284:CYP3A4 234:℞-only 232: 222:℞-only 208: 106:  3418:IMPDI 3313:Other 2125:S2CID 1930:(EMA) 1864:(FDA) 1860:U.S. 1820:Blood 1779:(PDF) 1772:(PDF) 1559:(FDA) 1555:U.S. 1450:(FDA) 1446:U.S. 1235:(EMA) 1151:(PDF) 986:with 805:STAT3 557:JSmol 450:ChEBI 276:Liver 3504:PIKI 3472:HDAC 2921:CCNS 2117:PMID 2072:2019 2038:PMID 1997:PMID 1942:2021 1906:2019 1876:2020 1838:PMID 1801:link 1787:2022 1745:2020 1694:2019 1659:PMID 1611:2020 1571:2019 1537:2019 1501:2020 1462:2019 1421:2019 1409:STAT 1377:PMID 1327:PMID 1273:2023 1247:2021 1203:2019 1162:2024 1134:2022 1108:2023 1082:2022 670:and 430:KEGG 410:UNII 290:and 255:data 62:AHFS 3550:ERA 3406:PhI 3377:PrI 3342:CDK 3254:PDT 2252:MIs 2248:SPs 2239:L01 2107:hdl 2099:doi 2095:396 2028:doi 2024:381 1987:PMC 1977:doi 1828:doi 1824:131 1649:PMC 1641:doi 1367:doi 1317:PMC 1309:doi 1010:or 475:EPA 369:CID 292:GST 288:UGT 265:95% 178:WHO 3959:: 3910:: 3430:LI 3330:FI 2796:II 2766:II 2588:)) 2190:. 2151:, 2123:. 2115:. 2105:. 2093:. 2080:^ 2062:. 2058:. 2036:. 2022:. 2018:. 1995:. 1985:. 1971:. 1967:. 1951:^ 1925:. 1914:^ 1892:. 1858:. 1836:. 1822:. 1818:. 1797:}} 1793:{{ 1774:. 1731:. 1702:^ 1684:. 1680:. 1657:. 1647:. 1637:32 1635:. 1631:. 1619:^ 1597:. 1553:. 1527:. 1521:. 1509:^ 1491:. 1480:^ 1444:. 1429:^ 1411:. 1407:. 1389:^ 1375:. 1363:18 1361:. 1357:. 1339:^ 1325:. 1315:. 1305:27 1303:. 1299:. 1281:^ 1264:. 1230:. 1211:^ 1187:. 1170:^ 1153:. 1124:. 1098:. 1072:. 1061:^ 998:, 994:, 990:, 982:, 966:. 958:, 954:, 950:, 942:, 930:, 926:, 922:, 851:. 792:. 771:, 674:. 641:. 521:11 515:17 327:(2 286:, 240:EU 228:US 217:CA 210:S4 204:AU 135:AU 103:US 3935:: 3800:) 3791:( 3623:) 3619:/ 3615:( 3581:) 3577:( 3569:) 3565:( 3557:) 3553:( 3532:) 3508:( 3499:) 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Index

Skeletal formula of selinexor
Trade names
AHFS
Drugs.com
Monograph
MedlinePlus
a619044
License data
DailyMed
Selinexor
Pregnancy
category

Routes of
administration

By mouth
ATC code
L01XX66
WHO
Legal status
S4
℞-only
℞-only
Pharmacokinetic
Protein binding
Metabolism
Liver
glucuronidation
CYP3A4
UGT
GST
Elimination half-life
IUPAC name

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