Evidence map›Paper›PMID 42227656›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2026

Selinexor Plus Ruxolitinib in Janus Kinase Inhibitor-Naïve Myelofibrosis: Phase III SENTRY Trial.

Prithviraj Bose, Haris Ali, Haifa Kathrin Al-Ali, Valentin Garcia-Gutierrez, Sebastian Grosicki, Zhanet Grudeva-Popova, Claire Harrison, Junshik Hong, Hsin-An Hou, Michal Kwiatek and 15 more

Erratum issuedAbstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Prithviraj BoseUniversity of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-4343-5712
Haris AliCity of Hope, Duarte, CA.ORCID 0000-0002-9728-7292
Haifa Kathrin Al-AliKrukenberg Cancer Center Halle, University Hospital Halle (Saale), Halle, Germany.
Valentin Garcia-GutierrezHospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.ORCID 0000-0003-4752-0815
Sebastian GrosickiDepartment of Cancer Prevention, Medical University of Silesia, Katowice, Poland.ORCID 0000-0003-2644-1050
Zhanet Grudeva-PopovaMedical University of Plovdiv, Plovdiv, Bulgaria.ORCID 0000-0003-4698-8600
Claire HarrisonGuy's and St Thomas' NHS Foundation Trust, London, United Kingdom.ORCID 0000-0002-3212-920X
Junshik HongDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID 0000-0002-7829-397X
Hsin-An HouNational Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0003-2780-4845
Michal KwiatekAidport Clinical Trials Hospital, Skorzewo, Poznan, Poland.
Michael LoschiCentre Hospitalier Universitaire de Nice, Nice, France.ORCID 0000-0002-4460-5939
Francesco PassamontiFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID 0000-0001-8068-5289
Andrea PatriarcaHematology Unit, AOU Maggiore della Carità and department of translational medicine, University of Eastern Piedmont, Novara, Italy.ORCID 0000-0003-4415-2906
Nikolai PodoltsevDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT.ORCID 0000-0002-3657-778X
Raajit RampalMemorial Sloan Kettering Cancer Center, New York, NY.
Srinivas TantravahiHuntsman Cancer Institute, Salt Lake City, UT.
Laura Gabriela UrianIuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Yi ChaiKaryopharm Therapeutics, Newton, MA.ORCID 0000-0003-0069-587X
Pietro TavernaKaryopharm Therapeutics, Newton, MA.
Tomer MarkKaryopharm Therapeutics, Newton, MA.
Amama SadiqKaryopharm Therapeutics, Newton, MA.ORCID 0009-0005-1459-1037
Reshma RangwalaKaryopharm Therapeutics, Newton, MA.
Pankit VachhaniUniversity of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0001-9779-6217
John MascarenhasTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.ORCID 0000-0002-8400-0483
SENTRY Trial Investigators

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeRuxolitinib improves splenomegaly and symptoms in myelofibrosis (MF) but lacks reliable clonal burden reduction. Selinexor, an oral inhibitor of exportin 1, has demonstrated activity in MF. We evaluated selinexor plus ruxolitinib versus ruxolitinib alone in Janus kinase inhibitor-naïve MF.

methodsIn this double-blind, phase III trial, patients were randomly assigned (2:1) to receive selinexor plus ruxolitinib or placebo plus ruxolitinib. Coprimary end points were spleen volume reduction ≥35% (SVR35) and absolute mean change in total symptom score (AbsTSS; excluding fatigue) from baseline to week 24.

resultsA total of 353 patients were randomly assigned. At week 24, SVR35 was achieved in 49.8% of the selinexor plus ruxolitinib group versus 28.0% of the placebo plus ruxolitinib group (difference, 21.8 percentage points; odds ratio, 2.58 [95% CI, 1.60 to 4.17];

conclusionIn patients with JAK inhibitor-naïve MF, selinexor plus ruxolitinib met its coprimary end point of improved SVR35 but did not meet the AbsTSS coprimary end point, compared with placebo plus ruxolitinib. An early OS difference was observed. The safety profile was consistent with known AE profiles of the individual agents.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsHydrazinesPrimary MyelofibrosisPyrazolesTriazolesAgedDouble-Blind MethodFemaleHumansJanus Kinase InhibitorsMaleMiddle AgedNitrilesPyrimidinesHydrazinesJanus Kinase InhibitorsNitrilesPyrazolesPyrimidinesruxolitinibselinexorTriazoles

Identifiers

PMID42227656
PMCPMC13440559

What OpenQuestion holds

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Registered trials

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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.