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Pembrolizumab + selinexor is a combination drug regimen used in cancer treatment, particularly metastatic non-small cell lung cancer (mNSCLC), metastatic melanoma, and advanced/metastatic colorectal cancer (CRC). Pembrolizumab is an immune checkpoint inhibitor targeting the programmed death-1 (PD-1) receptor, enhancing anti-tumor immune response. Selinexor is an oral selective inhibitor of nuclear export that binds to exportin 1 (XPO1), blocking the transport of tumor suppressor proteins from the nucleus to the cytoplasm, leading to cell cycle arrest and apoptosis. The combination aims to improve antitumor activity by combining immunotherapy with modulation of nuclear export pathways. Clinical studies have shown promising antitumor activity and manageable safety profiles in heavily pretreated patients or those resistant to prior PD-1/PD-L1 therapies.
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