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.
Masonic Cancer Center at University of Minnesota, Minneapolis, Minnesota, United States
Masonic Cancer Center at University of Minnesota, Minneapolis, Minnesota, United States
Kantonsspital St. Gallen, St. Gallen, CH, Switzerland
Gynecologic Oncology Unit, Ospedale Sant' Anna, Turin, Switzerland
Istituto Nazionale dei Tumori, Milan, Italy
Duke University Health System, Durham, North Carolina, United States
Mayo Clinic in Arizona, Scottsdale, Arizona, United States
Princess Margaret Hospital, Toronto, Ontario, Canada
Hematology Institute - Davidoff Center - Rabin Medical Center, Petach Tikva, Israel
Medical Academy - Dept of Hematology and Transplantology, Gdansk, Poland
Hematology Department Combined Laboratories - Derriford Hospital, Plymouth, United Kingdom
Trondheim University Hospital, Trondheim, Norway
Herlev University Hospital, Herlev, Denmark
Odense University Hospital, Odense, Denmark
Emory Winship Cancer Institute, Atlanta, Georgia, United States
Baylor College of Medicine, Houston, Texas, United States
UCLA Clinical AIDS Research and Education (CARE) Center, Los Angeles, California, United States
University Of Wisconsin Cancer Center, Madison, Wisconsin, United States
Massachusetts General Hospital, Boston, Massachusetts, United States
Dana Farber Cancer Institute, Boston, Massachusetts, United States
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