Bortezomib is a dipeptide boronic acid derivative and proteasome inhibitor used to treat multiple myeloma and mantle cell lymphoma. 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. However, multiple mechanisms may be involved in the anticancer activity of bortezomib.
Bortezomib was first synthesized in 1995. In May 2003, bortezomib became the first anticancer proteasome inhibitor that was approved by the FDA under the trade name VELCADE. 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.
Bortezomib is indicated for the treatment of adults with multiple myeloma or mantle cell lymphoma.
Easter hepatobiliary surgery hospital, Shanghai, Shanghai, China
CHU Clermont-Ferrand, Clermont-Ferrand, France
Seoul National University Bundang Hospital, Seongnam, Korea, Republic of
Seoul National University Hospital, Seoul, Korea, Republic of
Investigational Site Number: 8400006, Fort Myers, Florida, United States
Investigational Site Number: 8400004, Saint Petersburg, Florida, United States
Investigational Site Number: 8400007, Kansas City, Missouri, United States
Eastern Health /ID# 165850, Box Hill, Victoria, Australia
Cross Cancer Institute /ID# 203114, Edmonton, Alberta, Canada
Kameda General Hospital /ID# 225246, Kamogawa-shi, Chiba, Japan
University of Maryland, Baltimore, Maryland, United States
University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, United States
Cleveland Clinic, Cleveland, Ohio, United States
Bristol Haematology & Oncology Centre, Bristol, United Kingdom
Queen Elizabeth Hospital, Birmingham, United Kingdom
Birmingham Heartlands Hospital, Birmingham, United Kingdom
University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
M D Anderson Cancer Center, Houston, Texas, United States
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