TRANSLATE

The mm Hub website uses a third-party service provided by Google that dynamically translates web content. Translations are machine generated, so may not be an exact or complete translation, and the mm Hub cannot guarantee the accuracy of translated content. The mm and its employees will not be liable for any direct, indirect, or consequential damages (even if foreseeable) resulting from use of the Google Translate feature. For further support with Google Translate, visit Google Translate Help.

The Multiple Myeloma Hub is an independent medical education platform, sponsored by Bristol Myers Squibb, GSK, Johnson & Johnson, Pfizer, Roche and Sanofi. The levels of sponsorship listed are reflective of the amount of funding given. View funders.

Now you can support HCPs in making informed decisions for their patients

Your contribution helps us continuously deliver expertly curated content to HCPs worldwide. You will also have the opportunity to make a content suggestion for consideration and receive updates on the impact contributions are making to our content.

Find out more

Positive opinion from EMA’s CHMP on selinexor with dexamethasone for patients with refractory multiple myeloma

By Alice Hyde

Share:

Feb 3, 2021


The European Medicines Agency’s (EMA) Committee for Medicinal Products for Human Use (CHMP) has announced a positive opinion regarding the use of the combination of selinexor and dexamethasone to treat adult patients with multiple myeloma (MM).1 This combination is for patients who have been treated with ≥ 4 previous therapies or are refractory to at least two proteasome inhibitors, two immunomodulatory agents, and an anti-CD38 monoclonal antibody, and who demonstrated progressive disease on the last therapy.

A positive opinion from the CHMP acts as a recommendation for marketing authorization and is one of the last steps before the European Commission makes a decision with respect to the marketing authorization application (MAA) for selinexor.

Data from the phase IIb STORM study (NCT02336815) was used to support this decision. This trial evaluated selinexor + dexamethasone in patients with heavily pretreated, triple-class refractory MM. The study met its primary endpoint as it achieved an overall response rate of 26% (95% CI, 19–35). The median overall survival (OS) was 8.6 months in the total population. The patients who achieved at least a minimal response or better, had an OS of 15.6 months.2 More information on this trial can be found here.

Selinexor is a first-in-class oral selective inhibitor of nuclear export (SINE) compound that binds to and blocks exportin 1. This leads to the accumulation of tumor suppressor proteins among others and enhances their action within the cell. Selinexor with dexamethasone received the U.S. Food and Drug Administration (FDA) approval in 2019, and the details can be found here.

A second EMA regulatory filing is planned for selinexor in combination with bortezomib and dexamethasone for patients with MM with at least one prior line of therapy. This application is supported by the results of the phase III BOSTON trial (NCT03110562), and the application is expected to be submitted by April 2021.

References

Please indicate your level of agreement with the following statements:

The content was clear and easy to understand

The content addressed the learning objectives

The content was relevant to my practice

I will change my clinical practice as a result of this content