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.
Ohio State University, Columbus, Ohio, United States
Hackensack University Medical Center, Hackensack, New Jersey, United States
Lombardi Comprehensive Cancer Center at Georgetown University Medical Center, Washington, District of Columbia, United States
Hôpital Henri Mondor, Service hématologie, Créteil, France
CHU de Nice, Service hématologie, Nice, France
Asklepios Klinik St. Georg, Abteilung Hämatologie, Hamburg, Germany
University of Texas MD Anderson Cancer Center, Houston, Texas, United States
Penn State Cancer Institute, Hershey, Pennsylvania, United States
Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States
Novartis Investigative Site, Taipei, Taiwan
NorthShore University HealthSystem-Evanston Hospital, Evanston, Illinois, United States
East Carolina University, Greenville, North Carolina, United States
Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States
Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States
University of Texas Southwestern Medical Center, Dallas, Texas, United States
Mount Sinai Hospital Medical Center, Chicago, Illinois, United States
OHSU Knight Cancer Institute, Portland, Oregon, United States
University Medical Center Freiburg, Freiburg, Germany
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