Evidence map›Paper›PMID 41785311›Full record

ArticleBlood advances2026

Selinexor plus ruxolitinib in JAK inhibitor-naïve patients with myelofibrosis: a multicenter, open-label, phase 1 study.

Haris Ali, Sanjay Mohan, Ashwin Kishtagari, Josef T Prchal, Keri Maher, Yi Chai, Girish Gudi, Pietro Taverna, Tomer Mark, Srinivas K Tantravahi

Registry-linked trialAbstract readMulticenter StudyClinical Trial, Phase I
In one paragraph

Article in Blood advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04562389 (A Phase 1/3 Study to Evaluate Efficacy and Safety of Selinexor, a Selective Inhibitor of Nuclear Export, in Combination With Ruxolitinib in Treatment-naïve Patients With Myelofibrosis), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04562389 phase3active not recruitingnot on this map

A Phase 1/3 Study to Evaluate Efficacy and Safety of Selinexor, a Selective Inhibitor of Nuclear Export, in Combination With Ruxolitinib in Treatment-naïve Patients With Myelofibrosis

TypeinterventionalSponsorKaryopharm Therapeutics IncRan2021 to 2028Enrolled353ConditionsMyelofibrosisArmsSelinexor, Placebo, Ruxolitinib
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Selinexor Plus Ruxolitinib in Janus Kinase Inhibitor-Naïve Myelofibrosis: Phase III SENTRY Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Trial
  2. Article
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Haris AliDivision of Leukemia, Department of Hematology and Hematopoietic Cell Transplantation, City of Hope Comprehensive Cancer Center, Duarte, CA.ORCID 0000-0002-9728-7292
Sanjay MohanVanderbilt Ingram Cancer Center, Nashville, TN.
Ashwin KishtagariVanderbilt Ingram Cancer Center, Nashville, TN.
Josef T PrchalDivision of Hematology and Hematologic Malignancies, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0002-8019-2940
Keri MaherVCU Massey Comprehensive Cancer Center, Richmond, VA.
Yi ChaiKaryopharm Therapeutics, Newton, MA.ORCID 0000-0003-0069-587X
Girish GudiKaryopharm Therapeutics, Newton, MA.
Pietro TavernaKaryopharm Therapeutics, Newton, MA.
Tomer MarkKaryopharm Therapeutics, Newton, MA.
Srinivas K TantravahiDivision of Hematology and Hematologic Malignancies, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractThe phase 1 portion of SENTRY/XPORT-MF-034 (NCT04562389) evaluated the exportin 1 inhibitor selinexor (40 mg/60 mg once weekly) plus ruxolitinib in JAK inhibitor-naïve patients with myelofibrosis (n = 24). Primary end points were maximum tolerated selinexor dose, recommended clinical trial dose, and safety. No dose-limiting toxicities were reported. Common adverse events were nausea, fatigue, anemia, thrombocytopenia, constipation, vomiting, and headache. Nausea was transient, mainly grade 1, and managed by prophylactic antiemetics. Four deaths occurred, all unrelated to study treatment. Selinexor 60 mg in combination with ruxolitinib was identified as the recommended phase 3 dose based on safety, efficacy, and exposure-response analyses. Overall safety profiles and grades of clinically significant adverse events were similar and generally manageable regardless of selinexor dose. A greater proportion of patients achieved spleen volume reduction of ≥35% (SVR35) and total symptom score reduction of ≥50% (TSS50) at week 24 in the selinexor 60-mg group (79% and 58%) than the 40-mg group (38% and 25%). Among evaluable patients who received suboptimal ruxolitinib ≤5 mg twice daily in the selinexor 60-mg group, SVR35 was observed in 100% (6/6) and TSS50 in 75% (3/4) of patients. The trial was registered at ClinicalTrials.gov as NCT04562389.

Indexed as

HydrazinesJanus Kinase InhibitorsPrimary MyelofibrosisPyrazolesTriazolesAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNitrilesPyrimidinesTreatment OutcomeHydrazinesJanus Kinase InhibitorsNitrilesPyrazolesPyrimidinesruxolitinibselinexorTriazoles

Identifiers

PMID41785311
PMCPMC13194599

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.