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December 8, 2025BloodOpen Access

Selinexor in combination with azacitidine or Ruxolitinib for Myelodysplastic Syndrome/Myeloproliferative Neoplasm Overlap Syndromes: A Multi-Center Prospective Exploratory Study

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Authors

ZLZiwei LiuJZJunling ZhuangNWNa Wei

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Overview

Prospective exploratory trial shows efficacy of selinexor combinations in myelodysplastic/myeloproliferative neoplasms, indicating safety with manageable adverse events.

Key Points

  • This research investigates the efficacy and safety of selinexor combinations in MDS/MPN overlap syndromes.
  • Conducted a prospective exploratory single arm trial.
  • Evaluated efficacy and safety of selinexor with azacitidine or ruxolitinib.
  • Primary endpoint was overall response rate at six months, using 2015 IWG criteria.
  • Overall response rate at six months was 60% for the cohort.
  • MDS-dominant group had an ORR of 75%.
  • MPN-dominant group showed an ORR of 56.3% with partial responses in 12.5%.
  • 70% of patients experienced adverse events, with 15% having grade ≥3 AEs.

Cite This Study

Liu et al. (2025) studied this question.

synapsesocial.com/papers/693624d44fa91c937236cfb1https://doi.org/10.1182/blood-2025-5624
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Selinexor in combination with azacitidine or ruxolitinib in myelodysplastic/myeloproliferative neoplasm overlap syndromes: A multicenter prospective study2026
  2. 2Safety and efficacy of selinexor sequential azacytidine in newly diagnosed patients with myelodysplastic syndromes EB1 or EB2: A single-center, single-arm, phase ib/II trial2025
  3. 3Phase 2 study evaluating selinexor monotherapy in patients with JAKi-naïve myelofibrosis and moderate thrombocytopenia.2024 · 1 citations
  4. 4Selinexor plus ruxolitinib in JAK inhibitor-naïve patients with myelofibrosis: a multicenter, open-label, phase 1 study2026 · 5 citations
  5. 5Selinexor Plus Ruxolitinib in JAK Inhibitor–Naïve Myelofibrosis: Phase 3 SENTRY Trial2026 · 2 citations