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Bortezomib

Generic Name
Bortezomib
Brand Names
Velcade, Bortezomib Accord, Bortezomib Hospira, Bortezomib Fresenius Kabi, Bortezomib Sun
Drug Type
Small Molecule
Chemical Formula
C19H25BN4O4
CAS Number
179324-69-7
Unique Ingredient Identifier
69G8BD63PP
Background

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.

Indication

Bortezomib is indicated for the treatment of adults with multiple myeloma or mantle cell lymphoma.

Associated Conditions
Mantle Cell Lymphoma (MCL), Multiple Myeloma (MM)
Associated Therapies
-

Bortezomib in Treating Patients With Advanced or Metastatic Transitional Cell Cancer of the Bladder, Renal Pelvis, or Ureter

Phase 2
Completed
Conditions
Transitional Cell Cancer of the Renal Pelvis and Ureter
Bladder Cancer
First Posted Date
2003-08-07
Last Posted Date
2015-07-23
Lead Sponsor
University Health Network, Toronto
Registration Number
NCT00066352
Locations
🇨🇦

Margaret and Charles Juravinski Cancer Centre, Hamilton, Ontario, Canada

🇺🇸

Decatur Memorial Hospital Cancer Care Institute, Decatur, Illinois, United States

🇨🇦

Princess Margaret Hospital, Toronto, Ontario, Canada

and more 12 locations

A Study of PS-341 Given to Patients With Multiple Myeloma Who Experienced Progressive Disease After Receiving Dexamethasone in M34101-039

Phase 3
Completed
Conditions
Multiple Myeloma
First Posted Date
2003-07-11
Last Posted Date
2012-01-13
Lead Sponsor
Millennium Pharmaceuticals, Inc.
Target Recruit Count
600
Registration Number
NCT00063726
Locations
🇺🇸

Emory University, Atlanta, Georgia, United States

🇺🇸

Texas Oncology at Medical City Dallas Hospital, Dallas, Texas, United States

🇺🇸

Western Pennsylvania Hospital, Pittsburgh, Pennsylvania, United States

and more 73 locations

Bortezomib With or Without Docetaxel in Treating Patients With Relapsed or Refractory Advanced Non-Small Cell Lung Cancer

Phase 2
Completed
Conditions
Lung Cancer
Interventions
First Posted Date
2003-07-09
Last Posted Date
2019-12-13
Lead Sponsor
University of Wisconsin, Madison
Target Recruit Count
4
Registration Number
NCT00064012
Locations
🇺🇸

Blumenthal Cancer Center at Carolinas Medical Center, Charlotte, North Carolina, United States

🇺🇸

Siteman Cancer Center, Saint Louis, Missouri, United States

🇺🇸

St. Louis University Hospital Cancer Center, Saint Louis, Missouri, United States

and more 18 locations

A Study to Assess Two Different Strategies of Combining Dexamethasone and VELCADE

Conditions
Multiple Myeloma
First Posted Date
2003-07-08
Last Posted Date
2007-02-14
Lead Sponsor
Millennium Pharmaceuticals, Inc.
Registration Number
NCT00063791
Locations
🇺🇸

Henry Ford Health System, Detroit, Michigan, United States

🇺🇸

Michael Meshad, Oncology Center, Mobile, Alabama, United States

🇺🇸

Toledo Clinic, Toledo, Ohio, United States

Bortezomib With or Without Irinotecan in Treating Patients With Cancer of the Gastroesophageal Junction or Stomach

Phase 2
Completed
Conditions
Adenocarcinoma of the Gastroesophageal Junction
Recurrent Gastric Cancer
Intestinal Adenocarcinoma of the Stomach
Mixed Adenocarcinoma of the Stomach
Stage IIIC Gastric Cancer
Diffuse Adenocarcinoma of the Stomach
Stage IIIB Gastric Cancer
Stage IV Gastric Cancer
Interventions
First Posted Date
2003-06-06
Last Posted Date
2021-02-02
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
41
Registration Number
NCT00061932
Locations
🇺🇸

Montefiore Medical Center, Bronx, New York, United States

Bortezomib and Paclitaxel in Treating Patients With Locally Advanced or Metastatic Solid Tumors

Phase 1
Completed
Conditions
Unspecified Adult Solid Tumor, Protocol Specific
Interventions
Drug: bortezomib
Drug: paclitaxel
Other: laboratory biomarker analysis
First Posted Date
2003-04-09
Last Posted Date
2013-06-04
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
45
Registration Number
NCT00030368
Locations
🇺🇸

Ohio State University Medical Center, Columbus, Ohio, United States

Bortezomib in Treating Patients With Advanced Cancer and Kidney Dysfunction

Phase 1
Completed
Conditions
Adult Grade III Lymphomatoid Granulomatosis
Adult Nasal Type Extranodal NK/T-cell Lymphoma
Extranodal Marginal Zone B-cell Lymphoma of Mucosa-associated Lymphoid Tissue
Nodal Marginal Zone B-cell Lymphoma
Recurrent Adult Burkitt Lymphoma
Recurrent Adult Diffuse Large Cell Lymphoma
Recurrent Adult Diffuse Mixed Cell Lymphoma
Recurrent Adult Diffuse Small Cleaved Cell Lymphoma
Recurrent Adult Grade III Lymphomatoid Granulomatosis
Recurrent Adult Immunoblastic Large Cell Lymphoma
Interventions
Drug: bortezomib
Other: laboratory biomarker analysis
Other: pharmacological study
First Posted Date
2003-02-06
Last Posted Date
2013-05-16
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
69
Registration Number
NCT00054483
Locations
🇺🇸

University of Wisconsin Hospital and Clinics, Madison, Wisconsin, United States

Bortezomib in Treating Patients With Waldenstrom's Macroglobulinemia

Phase 2
Completed
Conditions
Lymphoma
First Posted Date
2003-01-27
Last Posted Date
2013-05-17
Lead Sponsor
NCIC Clinical Trials Group
Target Recruit Count
27
Registration Number
NCT00045695
Locations
🇨🇦

Maisonneuve-Rosemont Hospital, Montreal, Quebec, Canada

🇺🇸

Abramson Cancer Center at the University of Pennsylvania, Philadelphia, Pennsylvania, United States

🇨🇦

Margaret and Charles Juravinski Cancer Centre, Hamilton, Ontario, Canada

and more 9 locations

Bortezomib in Treating Patients With Advanced or Metastatic Sarcoma

Phase 2
Completed
Conditions
Sarcoma
First Posted Date
2003-01-27
Last Posted Date
2013-06-06
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Registration Number
NCT00027716
Locations
🇺🇸

Memorial Sloan-Kettering Cancer Center, New York, New York, United States

🇺🇸

University of Colorado Cancer Center at University of Colorado Health Sciences Center, Aurora, Colorado, United States

🇺🇸

University of Chicago Cancer Research Center, New York, New York, United States

and more 3 locations

PS-341 in Treating Patients With Advanced Cancer

Phase 1
Completed
Conditions
Lymphoma
Leukemia
Multiple Myeloma and Plasma Cell Neoplasm
Precancerous Condition
Unspecified Adult Solid Tumor, Protocol Specific
First Posted Date
2003-01-27
Last Posted Date
2011-08-03
Lead Sponsor
Mayo Clinic
Registration Number
NCT00006362
Locations
🇺🇸

Mayo Clinic, Rochester, Minnesota, United States

🇺🇸

University of Wisconsin Comprehensive Cancer Center, Madison, Wisconsin, United States

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