Bortezomib

Multiple Myeloma, Mantle Cell Lymphoma

Treatment

4 FDA approvals

20 Active Studies for Bortezomib

What is Bortezomib

Bortezomib

The Generic name of this drug

Treatment Summary

Bortezomib is a dipeptide boronic acid derivative and proteasome inhibitor used to treat multiple myeloma and mantle cell lymphoma.[A204083] The 26S proteasome is a protein complex that degrades ubiquitinated proteins in the ubiquitin-proteasome pathway: reversible inhibition of the 26S proteasome, leading to cell cycle arrest and apoptosis of cancer cells, is thought to be the main mechanism of action of bortezomib.[L14180] However, multiple mechanisms may be involved in the anticancer activity of bortezomib.[A204083] Bortezomib was first synthesized in 1995.[A204083] In May 2003, bortezomib became the first anticancer proteasome inhibitor that was approved by the FDA under the trade name VELCADE.[A204146] Phase I, II, III, and IV clinical trials are undergoing to investigate the therapeutic efficacy of bortezomib in leukemia, myasthenia gravis, systemic lupus erythematosus, rheumatoid arthritis, and solid tumours.[A214307]

Velcade

is the brand name

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Bortezomib Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Velcade

Bortezomib

2003

29

Approved as Treatment by the FDA

Bortezomib, commonly known as Velcade, is approved by the FDA for 4 uses like Mantle Cell Lymphoma (MCL) and Multiple Myeloma (MM) .

Mantle Cell Lymphoma (MCL)

Multiple Myeloma (MM)

Mantle Cell Lymphoma

Multiple Myeloma

When to interrupt dosage

The suggested dosage of Bortezomib is contingent upon the diagnosed condition. The dose will vary, in accordance with the mode of delivery outlined in the table below.

Condition

Dosage

Administration

Multiple Myeloma

, 3.5 mg, 1.0 mg, 2.5 mg, 1.0 mg/mL, 3.0 mg

Powder, for solution, Powder, for solution - Intravenous; Subcutaneous, , Intravenous; Subcutaneous, Injection, powder, for solution, Injection, powder, for solution - Intravenous; Subcutaneous, Intravenous, Injection, powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous; Subcutaneous, Injection, powder, lyophilized, for solution - Intravenous, Powder, for solution - Intravenous

Mantle Cell Lymphoma

, 3.5 mg, 1.0 mg, 2.5 mg, 1.0 mg/mL, 3.0 mg

Powder, for solution, Powder, for solution - Intravenous; Subcutaneous, , Intravenous; Subcutaneous, Injection, powder, for solution, Injection, powder, for solution - Intravenous; Subcutaneous, Intravenous, Injection, powder, for solution - Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous; Subcutaneous, Injection, powder, lyophilized, for solution - Intravenous, Powder, for solution - Intravenous

Warnings

Bortezomib Contraindications

Condition

Risk Level

Notes

intrathecal administration

Do Not Combine

Severe Hypersensitivity Reactions

Do Not Combine

Bortezomib may interact with Pulse Frequency

Severe Hypersensitivity Reactions

Do Not Combine

Bortezomib may interact with Pulse Frequency

Severe Hypersensitivity Reactions

Do Not Combine

Bortezomib may interact with Pulse Frequency

There are 20 known major drug interactions with Bortezomib.

Common Bortezomib Drug Interactions

Drug Name

Risk Level

Description

2-Methoxyethanol

Major

The risk or severity of adverse effects can be increased when Bortezomib is combined with 2-Methoxyethanol.

9-(N-methyl-L-isoleucine)-cyclosporin A

Major

The risk or severity of adverse effects can be increased when Bortezomib is combined with 9-(N-methyl-L-isoleucine)-cyclosporin A.

Abetimus

Major

The risk or severity of adverse effects can be increased when Bortezomib is combined with Abetimus.

Acenocoumarol

Major

The metabolism of Acenocoumarol can be decreased when combined with Bortezomib.

Acteoside

Major

The risk or severity of adverse effects can be increased when Bortezomib is combined with Acteoside.

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Bortezomib Novel Uses: Which Conditions Have a Clinical Trial Featuring Bortezomib?

Currently, there are zero active trials examining the potential of Bortezomib to be used in the treatment of undefined conditions.

Condition

Clinical Trials

Trial Phases

Multiple Myeloma

6 Actively Recruiting

Phase 1, Phase 2

Mantle Cell Lymphoma

73 Actively Recruiting

Phase 2, Phase 3, Not Applicable, Phase 1, Early Phase 1

Bortezomib Reviews: What are patients saying about Bortezomib?

5

Patient Review

10/1/2007

Bortezomib for Multiple Myeloma

5

Patient Review

7/17/2015

Bortezomib for Mantle Cell Lymphoma

4

Patient Review

12/13/2016

Bortezomib for Multiple Myeloma

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Patient Q&A Section about bortezomib

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What drug class is bortezomib?

"Bortezomib is a type of medication that helps to kill cancer cells. This medication is known as an antineoplastic agent."

Answered by AI

Is bortezomib a immunotherapy?

"The findings from this study predict that bortezomib has the potential to be a safe and effective immunotherapy drug when used in conjunction with other immune therapies."

Answered by AI

Is bortezomib a chemotherapy drug?

"Vercade (bortezomib) is a targeted chemotherapy that inhibits the proteasome. It is approved by the FDA to treat multiple myeloma and mantle cell lymphoma. Vercade has shown to be effective in many clinical trials."

Answered by AI

What is bortezomib mechanism of action?

"The mechanism of action for Bortezomib is that it inhibits the 26S proteasome, which then prevents the activation of NF-κB. Bortezomib induces apoptosis in cells that are rapidly dividing and are active in synthesizing proteins."

Answered by AI

Clinical Trials for Bortezomib

Image of Mayo Clinic in Florida in Jacksonville, United States.

In-Home Treatment for Cancer

18+
All Sexes
Jacksonville, FL

This phase II trial studies whether providing cancer treatment in the home is preferred over the traditional clinic setting and if it improves treatment satisfaction in cancer patients living in the Florida Panhandle and surrounding areas. Typically, drug-related cancer care is provided at a medical center which causes patients to have to spend considerable time away from their family, friends, and familiar surroundings. This may add to the physical, emotional, social, and financial burden for patients and their families during this difficult time in their lives. The Cancer Connected Access and Remote Expertise (CARE) Beyond Walls (CCBW) program uses a specialized care team trained to provide cancer treatment in the patient's home setting. It is designed to support remote connection between the home health team and providers and Mayo clinic. This may be preferred over the traditional clinic setting which may improve treatment satisfaction in cancer patients living in the Florida Panhandle and surrounding areas.

Phase 2
Recruiting

Mayo Clinic in Florida

Roxana S. Dronca, MD

Image of Case Comprehensive Cancer Center, University Hospitals Seidman Cancer Center in Cleveland, United States.

Rituximab + Tafasitamab + NK Cells for Non-Hodgkin's Lymphoma

18+
All Sexes
Cleveland, OH

This research study is for people who have relapsed or refractory B-cell non-Hodgkin's lymphoma (NHL) that has not responded to two or more lines of therapy. The purpose of this study is to identify the recommended dose of allogeneic NK cells in combination with IL-2, Tafasitamab and Rituximab for the treatment of relapsed or refractory B-cell non-Hodgkin's lymphoma. NK cells are an investigational (experimental) treatment which means they are not approved by the Food and Drug Administration (FDA). NK cells are a type of lymphocyte that's part of the body's natural immune system, and they can kill cancer cells by creating pores in the cancer cell membranes and inducing apoptosis (programmed cell death). Participants in this study will receive lymphodepleting chemotherapy, as well as Allogeneic NK cells, Tafasitamab and Interleukin-2 (IL-2) by an intravenous (IV) infusion. Participants are expected to complete one cycle, and they may be eligible to complete a second cycle of the same regiment if they have stable disease, partial or complete remission at the end of the first cycle. Participants will be in this study for about 12 months.

Phase 1
Waitlist Available

Case Comprehensive Cancer Center, University Hospitals Seidman Cancer Center (+1 Sites)

Paolo Caimi, MD

Incyte Corporation

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Nemtabrutinib + Rituximab for Mantle Cell Lymphoma

18+
All Sexes
Duarte, CA

This phase II trial tests how well nemtabrutinib works with rituximab for the treatment of patients with mantle cell lymphoma. Nemtabrutinib is in a class of medications called kinase inhibitors. It blocks a protein called BTK, which is present on B-cell (a type of white blood cells) cancers such as mantel cell lymphoma at abnormal levels. This may help keep cancer cells from growing and spreading. Rituximab is a monoclonal antibody. It binds to a protein called CD20, which is found on B cells (a type of white blood cell) and some types of cancer cells. This may help the immune system kill cancer cells. Giving nemtabrutinib with rituximab may kill more cancer cells in patients with mantle cell lymphoma.

Phase 2
Recruiting

City of Hope Medical Center (+1 Sites)

Alexey V Danilov

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Glofitamab + Ibrutinib + Obinutuzumab for Mantle Cell Lymphoma

18+
All Sexes
Portland, OR

This phase IB/II trial tests the safety, side effects and effectiveness of glofitamab plus ibrutinib with obinutuzumab for the treatment of patients with mantle cell lymphoma (MCL). Glofitamab is in a class of medications called bispecific monoclonal antibodies. It works by killing cancer cells. A monoclonal antibody is a type of protein that can bind to certain targets in the body, such as molecules that cause the body to make an immune response (antigens). In the body, glofitamab binds to a receptor called CD3 on T-cells (a type of immune cells) and a receptor called CD20 on B-cells, a receptor that is often over-expressed on the surface of cancerous B-cells. When glofitamab binds to CD3 and CD20 receptors, it causes an immune response against the CD20-expressing cancerous B-cells. Ibrutinib is in a class of medications called kinase inhibitors. It works by blocking the action of the abnormal protein that signals cancer cells to multiply. This helps stop the spread of cancer cells. Obinutuzumab is a monoclonal antibody that may interfere with the ability of cancer cells to grow and spread. Glofitamab plus ibrutinib with obinutuzumab may be safe tolerable and/or effective in treating patients with MCL.

Phase 1 & 2
Waitlist Available

OHSU Knight Cancer Institute

Stephen E Spurgeon

Genentech, Inc.

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