Karyopharm Therapeutics Inc. is a commercial-stage pharmaceutical company that discovers, develops, and commercializes drugs targeting nuclear export for cancer and other diseases in the United States. Its focus is on small molecule Selective Inhibitor of Nuclear Export (SINE) compounds that inhibit the nuclear export protein exportin 1 (XPO1). The lead compound XPOVIO is approved in combination with bortezomib and dexamethasone for adult patients with multiple myeloma, with dexamethasone for relapsed or refractory multiple myeloma, and for relapsed or refractory diffuse large B-cell lymphoma (DLBCL). The company also develops selinexor for hematological and solid tumor malignancies, including multiple myeloma, endometrial cancer, myelofibrosis, and DLBCL, and eltanexor for other myeloproliferative neoplasms and TP53 wild-type solid tumors. It has license agreements with Menarini Group and Antengene Therapeutics, a distribution agreement with FORUS Therapeutics for XPOVIO, and a collaboration with Bristol Myers Squibb to evaluate mezigdomide in combination with selinexor in relapsed or refractory multiple myeloma. Karyopharm was incorporated in 2008 and is headquartered in Newton, Massachusetts.