Selvedex trial

Selvedex trial Open label fase II studie (Inclusie in overleg met research-verpleegk. Erasmus MC hematologie)

Inclusie

  • Progressief of refractair symptomatisch Multipel  Myeloom
  • Minimaal 1 voorgaande behandeling

Exclusie

  • Prior resistance/refractory disease to bortezomib

Target number of patients:
Part I: 6 patients per dose level of selinexor (MTD)
Part II: 31 patients (efficacy)

Behandeling:
4 cycli selinexor, bortezomib en dexamethason.  Cyclus is 28 dagen
HDM/ASCT (indien niet eerder gehad)
4 cycli selinexor, bortezomib en dexamethason.  

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*20mg Dexamethasone can also be administered on days 1,2,8,9,15,16,22,23
Agent Dose/day Route of administration Days
Selinexor 45, 40, 30 or 20 mg/m² orally 1, 8, 15, 22
Bortexomib 1.3 mg/m² subcutaneously 1, 8,  
Dexamethasone* 40 mg orally 1, 8, 15, 22