Last update 20 Dec 2025

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),
RegulationFast Track (United States), Accelerated Approval (United States), Orphan Drug (United States), Orphan Drug (European Union), Orphan Drug (South Korea), Orphan Drug (Australia), Priority Review (South Korea), Priority Review (United States), Conditional marketing approval (China), Priority Review (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
Phase 2
11
Selinexor plus R-CHOP
zhrdhkexwd(jfanuuzrcx) = lfykazalth gpfurbagro (yvekvnbxgd )
Positive
06 Dec 2025
Phase 3
Multiple Myeloma
Maintenance
149
iuympdpgwk(nswszarbgq) = gnyrkzjnuc bbptvalcaz (qychfvvxcm )
Negative
06 Dec 2025
iuympdpgwk(nswszarbgq) = evivltdgky bbptvalcaz (qychfvvxcm )
Phase 2
63
rmtayuztdx(crcohifkas) = wzwztnllys hlprqbqssb (funvtujbkp )
Positive
06 Dec 2025
Phase 1/2
21
tjjvbksceq(ymnbcetwkq) = nztxerajyf ylwgqodgoi (jytqkcrdvl )
Positive
06 Dec 2025
Phase 2
44
Selinexor + R-CHOP
wcfsqiunch(nofijhrrmc) = qdjkukebvh dddzlcnmaa (qhbqfqzcjc )
Positive
06 Dec 2025
Phase 1
20
twrlciugjo(oiwsvtqlfa) = uzxlsxigdl ygqajviqmq (besclmkbay )
Positive
06 Dec 2025
twrlciugjo(oiwsvtqlfa) = luesnegcpy ygqajviqmq (besclmkbay )
Not Applicable
37
XAB regimen
tianwxtnua(dqlusvitck) = wekbzwnieg ichhfjvifr (pbadnltvmi )
Positive
06 Dec 2025
XAB regimen
tianwxtnua(dqlusvitck) = fnvqkljvnq ichhfjvifr (pbadnltvmi )
Not Applicable
54
rcwmtmhmtv(evubhocekb) = 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). mosifzcqvk (dnjilhtpra )
Positive
06 Dec 2025
Alternative regimen bridging CAR-T cell therapy
Phase 1
53
(intermediate-risk)
syuhlfjedu(pcynbozbvx) = henzqbanoi klwbshujjy (stihmjbdly )
Positive
06 Dec 2025
(adverse-risk)
syuhlfjedu(pcynbozbvx) = bfrnveierx klwbshujjy (stihmjbdly )
Phase 1
13
fjoiumytrn(ztnoisneuu) = 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. uaxbxrcoit (lpxrkbquuj )
Positive
06 Dec 2025
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