Drug intelligence / Profile preview

decitabine + selinexor + CHOP

Development stage
Unknown
Lead developer
Karyopharm Therapeutics
Modality
Small Molecules
Administration
Intravenous, Oral
01

Overview

Decitabine + selinexor + CHOP is an investigational combination regimen being evaluated for the treatment of newly diagnosed peripheral T-cell lymphoma (PTCL). The regimen incorporates two targeted agents into the standard CHOP chemotherapy backbone (cyclophosphamide, doxorubicin, vincristine, and prednisone). **Decitabine** is a DNA methyltransferase (DNMT) inhibitor that acts as an epigenetic modulator, while **selinexor** is a selective inhibitor of nuclear export (SINE) that targets Exportin-1 (XPO1). This combination is part of a genotype-guided therapeutic strategy, specifically investigated by Ruijin Hospital in the GUIDANCE-03 trial (NCT04480099), where it is matched to patients with specific genomic profiles, such as those with TP53 mutations.

Other names
Decitabine plus Selinexor with CHOPCHOPX2CHOPX-2CHOPX 2
02

Targets

TOP2A (DNA topoisomerase II)GR (Glucocorticoid receptor)DNADNMT1 (DNA (cytosine-5)-methyltransferase 1)TUBB (Tubulin (alpha and beta subunits))XPO1 (Exportin-1)

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