Study of Selinexor in Pediatric Solid Tumors

Status: Recruiting
Phase: Phase 1
DFCI Protocol ID: 15-718

The investigators will conduct a phase 1 trial of Selinexor in children with recurrent or refractory solid tumors, including CNS tumors using the Rolling Six design. The aims of the trial will be to establish the maximum tolerated pediatric doses of tablet formulation; to investigate the toxicities, pharmacokinetics, and pharmacodynamics of Selinexor in children with cancer; and to preliminarily explore efficacy in pediatric solid and CNS tumors, including medical and surgical expansion cohorts of HGG patients.

Conducting Institutions:

Dana-Farber Cancer Institute, Children's Hospital Boston

Overall PI:

Suzanne Shusterman, MD, Dana-Farber Cancer Institute

Site-responsible Investigators:

Contacts:

Dana-Farber Cancer Institute: Childrens Hospital Pediatric Clinical Translation Investigation Program CTIP, ctip@partners.org

Eligibility Criteria

•	Patients must have a body surface area (BSA) ≥ 0.84 m^2
•	Diagnosis:
Part A: Patients with recurrent or refractory solid tumors, including lymphoma and CNS tumors, are eligible; patients must have had histologic verification of malignancy at original diagnosis or relapse except in patients with intrinsic brain stem tumors, optic pathway gliomas, or patients with pineal tumors and elevations of cerebrospinal fluid (CSF) or serum tumor markers including alpha-fetoprotein or beta-human chorionic gonadotropin (HCG)
o	Part B: Patients with recurrent or refractory high grade glioma (World Health Organization [WHO] grade III/IV) including disseminated tumors (excluding diffuse intrinsic pontine glioma [DIPG]), not requiring surgical resection; patients must have had histologic verification of malignancy at original diagnosis or relapse
o Part C: Patients with recurrent or refractory high grade glioma (WHO grade III/IV) and requiring surgical resection (excluding DIPG and disseminated tumors), who in the opinion of treating physicians, are medically stable to receive 3-4 doses of selinexor (8-10 days of treatment) before undergoing surgery without compromising the success of the procedure; note that if, in the opinion of treating physicians, current symptoms necessitate surgery before 3-4 doses will be able to be received, surgery should not be delayed to administer selinexor, and the patient would be ineligible for protocol therapy
•	Disease status:
o	Part A: Patients must have either measurable or evaluable disease
o	Parts B and C: Patients must have measurable disease on imaging
•	Patient?s current disease state must be one for which there is no known curative therapy or therapy proven to prolong survival with an acceptable quality of life
•	Karnofsky ≥ 50% for patients > 16 years of age and Lansky ≥50 for patients ≤ 16 years of age; Note: Neurologic deficits in patients with CNS tumors must have been relatively stable for at least 7 days prior to study enrollment; patients who are unable to walk because of paralysis, but who are up in a wheelchair, will be considered ambulatory for the purpose of assessing the performance score
•	Patients must have fully recovered from the acute toxic effects of all prior anti-cancer therapy and must meet the following minimum duration from prior anti-cancer directed therapy prior to enrollment; if after the required timeframe, the numerical eligibility criteria are met, e.g. blood count criteria, the patient is considered to have recovered adequately
o	Myelosuppressive chemotherapy: At least 21 days after the last dose of myelosuppressive chemotherapy (42 days if prior nitrosourea)
o	Hematopoietic growth factors: At least 14 days after the last dose of a long-acting growth factor (e.g. Neulasta) or 7 days for short-acting growth factor; for agents that have known adverse events occurring beyond 7 days after administration, this period must be extended beyond the time during which adverse events are known to occur; the duration of this interval must be discussed with the study chair
o	Biologic (anti-neoplastic agent): At least 7 days after the last dose of a biologic agent; for agents that have known adverse events occurring beyond 7 days after administration, this period must be extended beyond the time during which adverse events are known to occur; the duration of this interval must be discussed with the study chair
o	Immunotherapy: At least 42 days after the completion of any type of immunotherapy, e.g. tumor vaccines
o	Antibodies: ≥ 21 days must have elapsed from infusion of last dose of antibody, and toxicity related to prior antibody therapy must be recovered to grade ≤ 1
o	Corticosteroids: If used to modify immune adverse events related to prior therapy,≥  14 days must have elapsed since last dose of corticosteroid
o	External beam radiation therapy (XRT): At least 14 days after local palliative XRT (small port); at least 150 days must have elapsed if prior total body irradiation (TBI), craniospinal XRT or if ≥ 50% radiation of pelvis; at least 42 days must have elapsed if other substantial bone marrow (BM) radiation
o	Stem cell infusion without TBI: No evidence of active graft vs. host disease and at least 56 days must have elapsed after transplant or stem cell infusion
o Patients must not have received prior exposure to selinexor
• For patients with solid tumors without known bone marrow involvement:
•* Peripheral absolute neutrophil count (ANC) ≥ 1000/mm^3
•* Platelet count ≥100,000/mm^3 (transfusion independent, defined as not receiving platelet transfusions for at least 7 days prior to enrollment)
•* Hemoglobin ≥ 8.0 g/dL at baseline (may receive red blood cell [RBC] transfusions)
• Patients with known bone marrow metastatic disease will be eligible for study if they meet the blood counts (may receive transfusions provided they are not known to be refractory to red cell or platelet transfusions); these patients will not be evaluable for hematologic toxicity; at least 5 of every cohort of 6 patients must be evaluable for hematologic toxicity for the dose-escalation part of the study; if dose-limiting hematologic toxicity is observed, all subsequent patients enrolled on Part A must be evaluable for hematologic toxicity
•Creatinine clearance or radioisotope glomerular filtration rate (GFR) ≥ 70 ml/min/1.73 m^2 or
• A serum creatinine based on age/gender as follows:
o ≤ 0.6 mg/dL (patients age 1 to < 2 years)
o ≤ 0.8 mg/dL (patients age 2 to < 6 years)
o  ≤1 mg/dL (patients age 6 to < 10 years)
o ≤1.2 mg/dL (patients age 10 to < 13 years)
o ≤1.4 mg/dL (female patients age ≥ 13 years)
o ≤1.5 mg/dL (male patients age 13 to < 16 years)
o ≤ 1.7 mg/dL (male patients age  ≥16 years)
•	Total bilirubin ≤ 1.5 x upper limit of normal (ULN) for age
•	Serum glutamate pyruvate transaminase (SGPT) (alanine aminotransferase [ALT]) ≤  3 x ULN = 135 U/L; for the purpose of this study, the ULN for SGPT is 45 U/L
•	Serum glutamic oxaloacetic transaminase (SGOT) (aspartate aminotransferase [AST]) ≤ 3 x ULN = 150 U/L; for the purpose of this study, the ULN for SGOT is 50 U/L
•	Serum albumin ≥ 2 g/dL
•	Serum amylase ≤ 1.5 x ULN
•	Serum lipase ≤ 1.5 x ULN
•	Patients with seizure disorder may be enrolled if on anticonvulsants and well controlled
•	Patients must be able to swallow tablets whole
•	Part C: Archived paraffin-embedded tissue (20 unstained slides or a tumor block) from a prior resection must be available as a control for correlative studies; if tissue blocks or slides are unavailable, the study chair must be notified prior to enrollment
•	All patients and/or their parents or legally authorized representatives must sign a written informed consent; assent, when appropriate, will be obtained according to institutional guidelines
Exclusion Criteria:
•	Pregnant or breast-feeding women will not be entered on this study; pregnancy tests must be obtained in girls who are post-menarchal; males or females of reproductive potential may not participate unless they have agreed to use an effective contraceptive use two effective methods of birth control- including a medically accepted barrier method of contraceptive method (e.g., male or female condom) for the entire period in which they are receiving protocol therapy; abstinence is an acceptable method of birth control
•	Concomitant medications
o	Corticosteroids: Patients receiving corticosteroids who have not been on a stable or decreasing dose of corticosteroid for at least 7 days prior to enrollment are not eligible; if used to modify immune adverse events related to prior therapy, ≥ 14 days must have elapsed since last dose of corticosteroid
o	Investigational drugs: Patients who are currently receiving another investigational drug are not eligible
o	Anti-cancer agents: Patients who are currently receiving other anti-cancer agents are not eligible
•	Patients who have an uncontrolled infection are not eligible
•	Patients who have received a prior solid organ transplantation are not eligible
•	Patients who, in the opinion of the investigator, may not be able to comply with the safety monitoring requirements of the study are not eligible
•	Patients with body mass index (BMI) < 3rd percentile for age, as defined by WHO criteria for patients 1-2 years of age and Centers for Disease Control and Prevention (CDC) criteria for patients > 2 years of age, are not eligible
•	Patients with grade 3 ataxia or grade >1 extrapyramidal movement disorder are not eligible
•	Patients with known macular degeneration, uncontrolled glaucoma, or cataracts are not eligible

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