Testing the drug selinexor with radiation for children and young adults with newly diagnosed DIPG or high-grade glioma
Official title: A Study of the Drug Selinexor With Radiation Therapy in Patients With Newly-Diagnosed Diffuse Intrinsic Pontine (DIPG) Glioma and High-Grade Glioma (HGG)
Status: Recruiting. It is looking for patients now. Talk to your care team about whether it fits you.
The trial team last updated this record on .
The short version
This trial is testing whether adding a drug called selinexor to standard radiation can help shrink these brain tumors.
Read our full plain-language summary
What the trial team says
This phase I/II trial tests the safety, side effects, and best dose of selinexor given in combination with standard radiation therapy in treating children and young adults with newly diagnosed diffuse intrinsic pontine glioma (DIPG) or high-grade glioma (HGG) with a genetic change called H3 K27M mutation. It also tests whether combination of selinexor and standard radiation therapy works to shrink tumors in this patient population. Glioma is a type of cancer that occurs in the brain or spine. Glioma is considered high risk (or high-grade) when it is growing and spreading quickly. The term, risk, refers to the chance of the cancer coming back after treatment. DIPG is a subtype of HGG that grows in the pons (a part of the brainstem that controls functions like breathing, swallowing, speaking, and eye movements). This trial has two parts. The only difference in treatment between the two parts is that some subjects treated in Part 1 may receive a different dose of selinexor than the subjects treated in Part 2. In Part 1 (also called the Dose-Finding Phase), investigators want to determine the dose of selinexor that can be given without causing side effects that are too severe. This dose is called the maximum tolerated dose (MTD). In Part 2 (also called the Efficacy Phase), investigators want to find out how effective the MTD of selinexor is against HGG or DIPG. Selinexor blocks a protein called CRM1, which may help keep cancer cells from growing and may kill them. It is a type of small molecule inhibitor called selective inhibitors of nuclear export (SINE). Radiation therapy uses high energy to kill tumor cells and shrink tumors. The combination of selinexor and radiation therapy may be effective in treating patients with newly-diagnosed DIPG and H3 K27M-Mutant HGG.
Key facts
- Registry number
- NCT05099003
- Stage of testing
- Phase 1/Phase 2
- Conditions studied
- Malignant Glioma
Where it is running
This trial lists 127 sites.
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Alabama
- Children's Hospital of Alabama (Birmingham)
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Alberta
- University of Alberta Hospital (Edmonton)
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Arizona
- Banner Children's at Desert (Mesa)
- Phoenix Childrens Hospital (Phoenix)
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Arkansas
- Arkansas Children's Hospital (Little Rock)
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Auckland
- Starship Children's Hospital (Grafton)
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British Columbia
- British Columbia Children's Hospital (Vancouver)
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California
- Loma Linda University Medical Center (Loma Linda)
- Miller Children's and Women's Hospital Long Beach (Long Beach)
- Children's Hospital Los Angeles (Los Angeles)
- Cedars-Sinai Medical Center (Los Angeles)
- UCSF Benioff Children's Hospital Oakland (Oakland)
- Kaiser Permanente-Oakland (Oakland)
- Children's Hospital of Orange County (Orange)
- Lucile Packard Children's Hospital Stanford University (Palo Alto)
- Rady Children's Hospital - San Diego (San Diego)
- UCSF Medical Center-Mission Bay (San Francisco)
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Canada
- CHU de Quebec-Centre Hospitalier de l'Universite Laval (CHUL) (Québec)
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Colorado
- Children's Hospital Colorado (Aurora)
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Connecticut
- Connecticut Children's Medical Center (Hartford)
- Yale University (New Haven)
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Delaware
- Alfred I duPont Hospital for Children (Wilmington)
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District of Columbia
- Children's National Medical Center (Washington D.C.)
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Florida
- Golisano Children's Hospital of Southwest Florida (Fort Myers)
- Nemours Children's Clinic-Jacksonville (Jacksonville)
- University of Miami Miller School of Medicine-Sylvester Cancer Center (Miami)
- Miami Cancer Institute (Miami)
- Arnold Palmer Hospital for Children (Orlando)
- Nemours Children's Hospital (Orlando)
- Johns Hopkins All Children's Hospital (St. Petersburg)
- Saint Joseph's Hospital/Children's Hospital-Tampa (Tampa)
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Georgia
- Children's Healthcare of Atlanta - Arthur M Blank Hospital (Atlanta)
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Hawaii
- Kapiolani Medical Center for Women and Children (Honolulu)
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Idaho
- Saint Luke's Cancer Institute - Boise (Boise)
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Illinois
- University of Chicago Comprehensive Cancer Center (Chicago)
- OSF Children's Hospital of Illinois (Peoria)
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Indiana
- Riley Hospital for Children (Indianapolis)
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Iowa
- Blank Children's Hospital (Des Moines)
- University of Iowa/Holden Comprehensive Cancer Center (Iowa City)
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Kentucky
- University of Kentucky/Markey Cancer Center (Lexington)
- Norton Children's Hospital (Louisville)
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Louisiana
- Children's Hospital New Orleans (New Orleans)
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Maine
- Eastern Maine Medical Center (Bangor)
- Maine Children's Cancer Program (Scarborough)
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Manitoba
- CancerCare Manitoba (Winnipeg)
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Maryland
- Johns Hopkins University/Sidney Kimmel Cancer Center (Baltimore)
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Massachusetts
- Dana-Farber Cancer Institute (Boston)
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Michigan
- C S Mott Children's Hospital (Ann Arbor)
- Children's Hospital of Michigan (Detroit)
- Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital (Grand Rapids)
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Minnesota
- Children's Hospitals and Clinics of Minnesota - Minneapolis (Minneapolis)
- University of Minnesota/Masonic Cancer Center (Minneapolis)
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Mississippi
- University of Mississippi Medical Center (Jackson)
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Missouri
- Children's Mercy Hospitals and Clinics (Kansas City)
- Cardinal Glennon Children's Medical Center (St Louis)
- Washington University School of Medicine (St Louis)
- Mercy Hospital Saint Louis (St Louis)
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Nebraska
- Children's Hospital and Medical Center of Omaha (Omaha)
- University of Nebraska Medical Center (Omaha)
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New Jersey
- Hackensack University Medical Center (Hackensack)
- Morristown Medical Center (Morristown)
- Rutgers Cancer Institute of New Jersey-Robert Wood Johnson University Hospital (New Brunswick)
- Newark Beth Israel Medical Center (Newark)
- Saint Joseph's Regional Medical Center (Paterson)
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New South Wales
- Sydney Children's Hospital (Randwick)
- The Children's Hospital at Westmead (Westmead)
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New York
- Albany Medical Center (Albany)
- Roswell Park Cancer Institute (Buffalo)
- The Steven and Alexandra Cohen Children's Medical Center of New York (New Hyde Park)
- Laura and Isaac Perlmutter Cancer Center at NYU Langone (New York)
- NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center (New York)
- Memorial Sloan Kettering Cancer Center (New York)
- State University of New York Upstate Medical University (Syracuse)
- Montefiore Medical Center - Moses Campus (The Bronx)
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New Zealand
- Christchurch Hospital (Christchurch)
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North Carolina
- Novant Health Presbyterian Medical Center (Charlotte)
- East Carolina University (Greenville)
- Wake Forest University Health Sciences (Winston-Salem)
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North Dakota
- Sanford Broadway Medical Center (Fargo)
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Nova Scotia
- IWK Health Centre (Halifax)
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Ohio
- Children's Hospital Medical Center of Akron (Akron)
- Cincinnati Children's Hospital Medical Center (Cincinnati)
- Rainbow Babies and Childrens Hospital (Cleveland)
- Nationwide Children's Hospital (Columbus)
- Dayton Children's Hospital (Dayton)
- ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital (Toledo)
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Oklahoma
- University of Oklahoma Health Sciences Center (Oklahoma City)
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Ontario
- McMaster Children's Hospital at Hamilton Health Sciences (Hamilton)
- Hospital for Sick Children (Toronto)
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Oregon
- Legacy Emanuel Children's Hospital (Portland)
- Oregon Health and Science University (Portland)
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Pennsylvania
- Geisinger Medical Center (Danville)
- Children's Hospital of Philadelphia (Philadelphia)
- Saint Christopher's Hospital for Children (Philadelphia)
- Children's Hospital of Pittsburgh of UPMC (Pittsburgh)
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Quebec
- The Montreal Children's Hospital of the MUHC (Montreal)
- Centre Hospitalier Universitaire Sainte-Justine (Montreal)
- Centre Hospitalier Universitaire de Sherbrooke-Fleurimont (Sherbrooke)
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Queensland
- Queensland Children's Hospital (South Brisbane)
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Rhode Island
- Rhode Island Hospital (Providence)
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Saskatchewan
- Jim Pattison Children's Hospital (Saskatoon)
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South Carolina
- Prisma Health Richland Hospital (Columbia)
- BI-LO Charities Children's Cancer Center (Greenville)
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South Dakota
- Sanford USD Medical Center - Sioux Falls (Sioux Falls)
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Tennessee
- East Tennessee Childrens Hospital (Knoxville)
- Saint Jude Children's Research Hospital (Memphis)
- The Children's Hospital at TriStar Centennial (Nashville)
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Texas
- Dell Children's Medical Center of Central Texas (Austin)
- Driscoll Children's Hospital (Corpus Christi)
- Medical City Dallas Hospital (Dallas)
- UT Southwestern/Simmons Cancer Center-Dallas (Dallas)
- El Paso Children's Hospital (El Paso)
- Cook Children's Medical Center (Fort Worth)
- Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center (Houston)
- UT MD Anderson Cancer Center (Houston)
- Children's Hospital of San Antonio (San Antonio)
- University of Texas Health Science Center at San Antonio (San Antonio)
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Utah
- Primary Children's Hospital (Salt Lake City)
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Victoria
- Royal Children's Hospital (Parkville)
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Virginia
- University of Virginia Cancer Center (Charlottesville)
- Children's Hospital of The King's Daughters (Norfolk)
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Washington
- Seattle Children's Hospital (Seattle)
- Providence Sacred Heart Medical Center and Children's Hospital (Spokane)
- Mary Bridge Children's Hospital and Health Center (Tacoma)
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Western Australia
- Perth Children's Hospital (Perth)
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Wisconsin
- University of Wisconsin Carbone Cancer Center - University Hospital (Madison)
- Children's Hospital of Wisconsin (Milwaukee)
How to use this
Talk to your care team first. They know your history and can tell you whether this trial is worth your time.
Joining a trial is always your choice. A trial is a test, not a proven treatment. Being in one is not a promise that it will help you.
This page is built from the trial's listing on ClinicalTrials.gov, a service of the U.S. National Library of Medicine. That listing is the authority, and it may have changed since we last read it. We do not run this trial and we cannot enroll you in it.