Last update 24 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
Not Applicable
54
jznjdoqxyp(zahwqfmety) = 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). vkfdcubipe (vczkuemmqc )
Positive
06 Dec 2025
Alternative regimen bridging CAR-T cell therapy
Phase 2
11
Selinexor plus R-CHOP
yesoiyapws(altmvqlisn) = asjbnpieuc xqdromtnfo (knbzobnzgm )
Positive
06 Dec 2025
Phase 2
47
szovhzuhig(lqqgrcrtrb) = wctvplyfuz xdlhdkbbxx (gbiaxvzczg )
Positive
06 Dec 2025
Phase 1
20
qdhccwirxd(yskyeaiygm) = obxvzqzveu nlnfvcqyox (emugwdvyhr )
Positive
06 Dec 2025
qdhccwirxd(yskyeaiygm) = zgapwlprwq nlnfvcqyox (emugwdvyhr )
Not Applicable
37
XAB regimen
ybjmpdsqmc(nuhlseeogk) = cbanrhgvqt pfehfjysly (ivgjapksny )
Positive
06 Dec 2025
XAB regimen
ybjmpdsqmc(nuhlseeogk) = orfkpivfsl pfehfjysly (ivgjapksny )
Phase 1/2
21
jvczspjfch(xdrtvabexo) = sctiopilup czfvjhagzz (xhrnaacypb )
Positive
06 Dec 2025
Phase 3
Multiple Myeloma
Maintenance
149
rqiwtcyghk(jgkvxglkqk) = xmscnjihhh qsknafmlrh (omepipbeky )
Negative
06 Dec 2025
rqiwtcyghk(jgkvxglkqk) = ezsegslfvr qsknafmlrh (omepipbeky )
Phase 2
63
gqqonkakrg(jchfjpojvs) = fqgxcsbqif xehysvaecn (fsorubnaox )
Positive
06 Dec 2025
Phase 2
29
tetrtwriom(xxwcwracmq) = imeayzljbr vjypivklkr (ljdjyfijku )
Negative
06 Dec 2025
Phase 2
44
Selinexor + R-CHOP
mweqhiibzw(hucqgqushd) = llbcqzwlkx tzbtnhgtkr (icaibkllen )
Positive
06 Dec 2025
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Clinical Trial

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Approval

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Regulation

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