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塞利尼索:全球首次获批。

Selinexor: First Global Approval.

机构信息

Springer Nature, Private Bag 65901, Mairangi Bay, 0754, Auckland, New Zealand.

出版信息

Drugs. 2019 Sep;79(13):1485-1494. doi: 10.1007/s40265-019-01188-9.

DOI:10.1007/s40265-019-01188-9
PMID:31429063
Abstract

Selinexor (XPOVIO™) is a first-in-class, oral, small molecule Exportin-1 (XPO1) inhibitor that is being developed by Karyopharm Therapeutics for the treatment of cancer. Selinexor (in combination with dexamethasone) received accelerated approval in the USA in July 2019 for the treatment of adult patients with relapsed or refractory multiple myeloma (RRMM). Selinexor is also undergoing clinical development in a wide range of haematological and solid cancers. This article summarizes the milestones in the development of selinexor leading to this first approval for RRMM.

摘要

塞利尼索(XPOVIO™)是一种首创的、口服的、小分子的 Exportin-1(XPO1)抑制剂,由 Karyopharm Therapeutics 公司开发,用于治疗癌症。塞利尼索(与地塞米松联合使用)于 2019 年 7 月在美国获得加速批准,用于治疗复发或难治性多发性骨髓瘤(RRMM)的成年患者。塞利尼索在广泛的血液学和实体瘤癌症中也正在进行临床开发。本文总结了塞利尼索开发过程中的重要里程碑,这些里程碑导致了对 RRMM 的首次批准。

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1
Selinexor: First Global Approval.塞利尼索:全球首次获批。
Drugs. 2019 Sep;79(13):1485-1494. doi: 10.1007/s40265-019-01188-9.
2
Selinexor for the treatment of multiple myeloma.塞利尼索治疗多发性骨髓瘤。
Expert Opin Pharmacother. 2020 Mar;21(4):399-408. doi: 10.1080/14656566.2019.1707184. Epub 2020 Jan 19.
3
Selinexor: A First-in-Class Nuclear Export Inhibitor for Management of Multiply Relapsed Multiple Myeloma.塞利尼索:一种首创的核输出抑制剂,用于多发性骨髓瘤的多次复发治疗。
Ann Pharmacother. 2020 Jun;54(6):577-582. doi: 10.1177/1060028019892643. Epub 2019 Dec 2.
4
Treatment of acquired drug resistance in multiple myeloma by combination therapy with XPO1 and topoisomerase II inhibitors.采用XPO1与拓扑异构酶II抑制剂联合疗法治疗多发性骨髓瘤获得性耐药
J Hematol Oncol. 2016 Aug 24;9(1):73. doi: 10.1186/s13045-016-0304-z.
5
Selective Inhibition of Nuclear Export With Oral Selinexor for Treatment of Relapsed or Refractory Multiple Myeloma.口服 Selinexor 选择性抑制核输出治疗复发/难治性多发性骨髓瘤。
J Clin Oncol. 2018 Mar 20;36(9):859-866. doi: 10.1200/JCO.2017.75.5207. Epub 2018 Jan 30.
6
Oral Selinexor-Dexamethasone for Triple-Class Refractory Multiple Myeloma.口服塞利尼索联合地塞米松治疗三药难治性多发性骨髓瘤。
N Engl J Med. 2019 Aug 22;381(8):727-738. doi: 10.1056/NEJMoa1903455.
7
Selinexor: a first-in-class SINE compound for treatment of relapsed refractory multiple myeloma.塞利尼索:一种用于治疗复发难治性多发性骨髓瘤的首创 SINE 化合物。
Future Oncol. 2020 Jul;16(19):1331-1350. doi: 10.2217/fon-2020-0054. Epub 2020 Jun 8.
8
Selinexor in multiple myeloma.塞利尼索治疗多发性骨髓瘤。
Expert Opin Pharmacother. 2024 Mar;25(4):421-434. doi: 10.1080/14656566.2024.2333376. Epub 2024 Mar 25.
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Clinical Implications of Targeting XPO1-mediated Nuclear Export in Multiple Myeloma.XPO1 介导的核输出在多发性骨髓瘤中的临床意义。
Clin Lymphoma Myeloma Leuk. 2018 May;18(5):335-345. doi: 10.1016/j.clml.2018.03.003. Epub 2018 Mar 14.
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Selinexor for the treatment of patients with relapsed or refractory multiple myeloma.塞利尼索治疗复发或难治性多发性骨髓瘤患者。
J Oncol Pharm Pract. 2024 Apr;30(3):535-546. doi: 10.1177/10781552241235902. Epub 2024 Mar 8.

引用本文的文献

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Consensus Guidelines and Recommendations for the anti-CD38-based Therapy in Clinical Practice for Relapsed/Refractory Multiple Myeloma: From the Pan-Pacific Multiple Myeloma Working Group.《复发/难治性多发性骨髓瘤临床实践中基于抗CD38治疗的共识指南与建议:来自泛太平洋多发性骨髓瘤工作组》
Clin Hematol Int. 2025 Aug 8;7(3):36-59. doi: 10.46989/001c.141401. eCollection 2025.
2
Quantification of Total and Unbound Selinexor Concentrations in Human Plasma by a Fully Validated Liquid Chromatography-Tandem Mass Spectrometry Method.采用完全验证的液相色谱-串联质谱法测定人血浆中总塞利尼索和游离塞利尼索的浓度。
Pharmaceutics. 2025 Jul 16;17(7):919. doi: 10.3390/pharmaceutics17070919.
3

本文引用的文献

1
Phase 1 study of selinexor plus carfilzomib and dexamethasone for the treatment of relapsed/refractory multiple myeloma.Selinexor 联合卡非佐米和地塞米松治疗复发/难治性多发性骨髓瘤的 1 期研究。
Br J Haematol. 2019 Aug;186(4):549-560. doi: 10.1111/bjh.15969. Epub 2019 May 24.
2
A Phase II Trial of Selinexor (KPT-330) for Metastatic Triple-Negative Breast Cancer.Selinexor(KPT-330)治疗转移性三阴性乳腺癌的 II 期临床试验。
Oncologist. 2019 Jul;24(7):887-e416. doi: 10.1634/theoncologist.2019-0231. Epub 2019 Apr 17.
3
Selinexor plus low-dose bortezomib and dexamethasone for patients with relapsed or refractory multiple myeloma.
Selinexor Reduces the Immunosuppression of Macrophages and Synergizes With CD19 CAR-T Cells Against B-Cell Lymphoma.
塞利尼索可减轻巨噬细胞的免疫抑制作用,并与CD19嵌合抗原受体T细胞协同作用对抗B细胞淋巴瘤。
Cancer Sci. 2025 Sep;116(9):2388-2399. doi: 10.1111/cas.70123. Epub 2025 Jun 17.
4
Selinexor in acute myeloid leukemia: therapeutic applications and current challenges.塞利尼索在急性髓系白血病中的应用:治疗作用与当前挑战
Front Pharmacol. 2025 May 20;16:1602911. doi: 10.3389/fphar.2025.1602911. eCollection 2025.
5
VCP's nuclear journey: Initiated by interacting with KPNB1 to repair DNA damage.VCP的核内进程:通过与核转运蛋白β1相互作用启动以修复DNA损伤。
Proc Natl Acad Sci U S A. 2025 May 13;122(19):e2416045122. doi: 10.1073/pnas.2416045122. Epub 2025 May 8.
6
KPT-330, A New Candidate Drug for Targeting NOTCH1 Overexpression in T-cell Acute Lymphoblastic Leukemia, An In Vitro and Silico Study.KPT-330,一种用于靶向T细胞急性淋巴细胞白血病中NOTCH1过表达的新型候选药物,一项体外和计算机模拟研究。
Cell Biochem Biophys. 2025 Apr 11. doi: 10.1007/s12013-025-01750-1.
7
Targeting KPNB1 suppresses AML cells by inhibiting HMGB2 nuclear import.靶向核转运蛋白β1通过抑制高迁移率族蛋白B2的核输入来抑制急性髓系白血病细胞。
Oncogene. 2025 Jun;44(21):1646-1661. doi: 10.1038/s41388-025-03340-0. Epub 2025 Mar 13.
8
Mutations of Key Functional Residues in CRM1/XPO1 Differently Alter Its Intranuclear Localization and the Nuclear Export of Endogenous Cargos.CRM1/XPO1中关键功能残基的突变对其核内定位及内源性货物的核输出产生不同影响。
Biomolecules. 2024 Dec 10;14(12):1578. doi: 10.3390/biom14121578.
9
Selinexor in combination with dexamethasone with or without bortezomib in heavily pretreated multiple myeloma: A case series.塞利尼索联合地塞米松,联合或不联合硼替佐米用于多次预处理的多发性骨髓瘤:病例系列
EJHaem. 2024 Aug 6;5(5):987-991. doi: 10.1002/jha2.913. eCollection 2024 Oct.
10
Targeted protein relocalization via protein transport coupling.靶向蛋白重定位通过蛋白运输偶联。
Nature. 2024 Sep;633(8031):941-951. doi: 10.1038/s41586-024-07950-8. Epub 2024 Sep 18.
塞利尼索联合低剂量硼替佐米和地塞米松治疗复发/难治性多发性骨髓瘤患者。
Blood. 2018 Dec 13;132(24):2546-2554. doi: 10.1182/blood-2018-06-858852. Epub 2018 Oct 23.
4
Selinexor reduces the expression of DNA damage repair proteins and sensitizes cancer cells to DNA damaging agents.塞利尼索降低DNA损伤修复蛋白的表达,并使癌细胞对DNA损伤剂敏感。
Oncotarget. 2018 Jul 20;9(56):30773-30786. doi: 10.18632/oncotarget.25637.
5
Selinexor synergizes with dexamethasone to repress mTORC1 signaling and induce multiple myeloma cell death.塞利尼索与地塞米松协同作用,以抑制mTORC1信号传导并诱导多发性骨髓瘤细胞死亡。
Oncotarget. 2018 May 22;9(39):25529-25544. doi: 10.18632/oncotarget.25368.
6
Clinical Implications of Targeting XPO1-mediated Nuclear Export in Multiple Myeloma.XPO1 介导的核输出在多发性骨髓瘤中的临床意义。
Clin Lymphoma Myeloma Leuk. 2018 May;18(5):335-345. doi: 10.1016/j.clml.2018.03.003. Epub 2018 Mar 14.
7
A Phase II Trial of Selinexor, an Oral Selective Inhibitor of Nuclear Export Compound, in Abiraterone- and/or Enzalutamide-Refractory Metastatic Castration-Resistant Prostate Cancer.塞来昔布(一种口服选择性核输出抑制剂化合物)治疗阿比特龙和/或恩杂鲁胺难治性转移性去势抵抗性前列腺癌的 II 期临床试验。
Oncologist. 2018 Jun;23(6):656-e64. doi: 10.1634/theoncologist.2017-0624. Epub 2018 Feb 27.
8
Selective Inhibition of Nuclear Export With Oral Selinexor for Treatment of Relapsed or Refractory Multiple Myeloma.口服 Selinexor 选择性抑制核输出治疗复发/难治性多发性骨髓瘤。
J Clin Oncol. 2018 Mar 20;36(9):859-866. doi: 10.1200/JCO.2017.75.5207. Epub 2018 Jan 30.
9
A phase I study of selinexor in combination with high-dose cytarabine and mitoxantrone for remission induction in patients with acute myeloid leukemia.一项在急性髓系白血病患者中进行的联合塞利尼索、高剂量阿糖胞苷和米托蒽醌进行缓解诱导的 I 期研究。
J Hematol Oncol. 2018 Jan 5;11(1):4. doi: 10.1186/s13045-017-0550-8.
10
Safety and efficacy of selinexor in relapsed or refractory multiple myeloma and Waldenstrom macroglobulinemia.Selinexor 治疗复发/难治性多发性骨髓瘤和华氏巨球蛋白血症的安全性和疗效。
Blood. 2018 Feb 22;131(8):855-863. doi: 10.1182/blood-2017-08-797886. Epub 2017 Dec 4.