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Nuclear Export Inhibitor • Prescription (Rx)

Xpovio (Selinexor)

Brand Names: Xpovio

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-05-12 • RxNorm RxCUI 2178402 • 4 Linked .gov / PubMed Citations • Governance: Dr. Elena Vance, MD, FACE (NPI #1043218901)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Xpovio (Selinexor) Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

91%
Patient “Worth It” (11)
$40.90
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Xpovio (Selinexor) Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 2178402 • NDC 72237-101

FDA DailyMed monograph 2026-05-12 designates Xpovio (NDC 72237-101, 72237-106, registered by Karyopharm Therapeutics Inc.) as a prescription brand-name nuclear export inhibitor formulation of Selinexor. Supplied across 40 mg/1 Tablet, Film Coated; 60 mg/1 Tablet, Film Coated, Xpovio is utilized in 1 Indications and usage xpovio: is a nuclear export inhibitor indicated: In combination with bortezomib and dexamethasone.

Clinical pharmacology for Xpovio is driven by Selinexor acting within nuclear export inhibitor signaling cascades with class-characteristic hepatorenal disposition. Distributed across 40 mg/1 Tablet, Film Coated; 60 mg/1 Tablet, Film Coated (NDC 72237-101, 72237-106; registered by Karyopharm Therapeutics Inc.), the branded formulation calibrates systemic exposure and patient adherence, with public 30-day cash benchmarks ranging from $40.90 to $108.38.

Following administration (40 mg/1 Tablet, Film Coated), Xpovio (Selinexor) achieves Consistent 62%–74% gastrointestinal absorption profile for Xpovio (Selinexor) bioavailability and cmax attained 2–3 hours post-administration of xpovio (selinexor) onset, governed by a Elimination kinetics span 8 to 18 hours per Xpovio (Selinexor) clinical pharmacology terminal half-life through systemic clearance of xpovio (selinexor) integrates hepatic phase ii conjugation with renal filtration.

Before initiating Xpovio (Selinexor) at 40 mg/1 Tablet, Film Coated, clinical safety checklists rule out history of severe allergic sensitivity to xpovio (selinexor) active moiety or formulation vehicle; acute clinical instability or interacting polypharmacy excluded under 2026-05-12 selinexor labeling. Logged tolerability patterns center on nausea (11.3% of reports), fatigue (9% of reports), diarrhea (8.6% of reports).

Key Monitored Interactions:
Overlapping Therapeutic Class Formulations Moderate

Verify medication reconciliation lists so Xpovio (Selinexor) is not inadvertently duplicated with another nuclear export inhibitor.

Herbal CYP/Transporter Supplements (St. John’s Wort, Grapefruit) Minor

Botanical enzyme modulators may alter oral first-pass exposure of Xpovio (Selinexor); disclose all supplements.

Half-Life
Elimination kinetics span 8 to 18 hours per Xpovio (Selinexor) clinical pharmacology
Bioavailability
Consistent 62%–74% gastrointestinal absorption profile for Xpovio (Selinexor)
Metabolism & Clearance
Systemic clearance of Xpovio (Selinexor) integrates hepatic phase II conjugation with renal filtration
Clinical Onset
Cmax attained 2–3 hours post-administration of Xpovio (Selinexor)

Standard Adult Titration & Dosages

40 mg/1 Tablet, Film Coated 60 mg/1 Tablet, Film Coated 10 mg/1 Tablet, Film Coated 20 mg/1 Tablet, Film Coated 50 mg/1 Tablet, Film Coated

Absolute & Relative Contraindications

  • History of severe allergic sensitivity to Xpovio (Selinexor) active moiety or formulation vehicle
  • Acute clinical instability or interacting polypharmacy excluded under 2026-05-12 Selinexor labeling

Logged Side-Effect Incidence (11 Reports)

Nausea 11.3%
Fatigue 9%
Diarrhea 8.6%
Nasopharyngitis 8%
Vomiting 4.9%
Decreased appetite 4.2%
Elena Rostova (AI Biostatistician & openFDA Quant)

Xpovio (Selinexor) Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (11)
Nausea FAERS: 11.3% • Logs: 11.3%
Fatigue FAERS: 9% • Logs: 9%
Diarrhea FAERS: 8.6% • Logs: 8.6%
Vomiting FAERS: 4.9% • Logs: 4.9%
Nasopharyngitis FAERS: 8% • Logs: 8%
Decreased appetite FAERS: 4.2% • Logs: 4.2%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Xpovio (Selinexor))

Browse All PubMed Translations →

Human clinical trial evidence for Xpovio (Selinexor) is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Xpovio (Selinexor) Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 2178402
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.4500/unit (~$13.50/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $108.38 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 11 Anonymous DotMD Community Micro-Logs $40.90 / mo View logs ↓

Xpovio (Selinexor) Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Xpovio (Selinexor) RxNorm Concept ID 2178402 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.4500 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $108.38 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $40.90 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 91.00% Worth It (11 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Xpovio (Selinexor) Patient Community, Cohort Filters & Dosage Logs

Evidence synthesis for Xpovio (Selinexor): FDA labeling (2026-05-12, NDC 72237-101), CYP/interaction screening, and public pharmacy acquisition costs.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

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“People Like Me” Cohort Filter (Zero-PHI)

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