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.
University of Texas MD Anderson Cancer Center, Houston, Texas, United States
H. Lee Moffitt Cancer Center, Tampa, Florida, United States
Washington University School of Medicine, Saint Louis, Missouri, United States
Mayo Clinic in Florida, Jacksonville, Florida, United States
University of Wisconsin Hospital and Clinics, Madison, Wisconsin, United States
University of Southern California, Los Angeles, California, United States
Winship Cancer Institute at Emory University, Atlanta, Georgia, United States
Georgia Cancer Specialists, Atlanta, Georgia, United States
National Institutes of Health Clinical Center, 9000 Rockville Pike, Bethesda, Maryland, United States
Family Cancer Center, PLLC, Collierville, Tennessee, United States
Pacific Oncololgy & Hematology, Encinitas, California, United States
James R. Berenson, M.D., Inc., West Hollywood, California, United States
GSK Investigational Site, London, United Kingdom
The Christ Hospital, Cincinnati, Ohio, United States
University of Cincinnati, Cincinnati, Ohio, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
Cape Cod Hospital, Hyannis, Massachusetts, United States
Newton-Wellesley Hospital, Newton, Massachusetts, United States
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