MedPath

Carfilzomib

Generic Name
Carfilzomib
Brand Names
Kyprolis
Drug Type
Small Molecule
Chemical Formula
C40H57N5O7
CAS Number
868540-17-4
Unique Ingredient Identifier
72X6E3J5AR
Background

Carfilzomib is an injectable antineoplastic agent (IV only). Chemically, it is a modified tetrapeptidyl epoxide and an analog of epoxomicin. It is also a selective proteasome inhibitor. FDA approved carfilzomib in July 2012 for the treatment of adults with relapsed or refractory multiple myeloma as monotherapy or combination therapy.

Indication

Carfilzomib is indicated for the treatment of adult patients with relapsed or refractory multiple myeloma who have received one to three lines of therapy in combination with lenalidomide and dexamethasone; or dexamethasone; or daratumumab and dexamethasone; or daratumumab and hyaluronidase-fihj and dexamethasone; or isatuximab and dexamethasone. It is also indicated as a single agent for the treatment of patients with relapsed or refractory multiple myeloma who have received one or more lines of therapy.

Associated Conditions
Relapsed/Refractory Multiple Myeloma (RRMM)

Testing the Investigational Medication Combination of Daratumumab and Teclistamab Compared to the Usual Treatment (Daratumumab, Pomalidomide, Dexamethasone or Daratumumab, Carfilzomib, Dexamethasone) for Patients With High-risk Multiple Myeloma Refractory or in First Relapse

Phase 2
Not yet recruiting
Conditions
Recurrent Multiple Myeloma
Refractory Multiple Myeloma
Interventions
Procedure: Biospecimen Collection
Procedure: Bone Marrow Biopsy
Procedure: Computed Tomography
Procedure: FDG-Positron Emission Tomography
First Posted Date
2025-04-29
Last Posted Date
2025-05-07
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
80
Registration Number
NCT06948084

Treatment of Antibody-Mediated Rejection (ABMR) With CarBel

Phase 2
Not yet recruiting
Conditions
Kidney Transplant Rejection
Interventions
First Posted Date
2025-04-09
Last Posted Date
2025-04-09
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
100
Registration Number
NCT06918990
Locations
🇺🇸

Mayo Clinic Arizona, Phoenix, Arizona, United States

🇺🇸

Cedars-Sinai Medical Center, Los Angeles, California, United States

🇺🇸

Northwestern University, Feinberg School of Medicine, Chicago, Illinois, United States

and more 5 locations

Aponermin-Based Bridging Therapy Prior to CAR-T Infusion in Relapsed/Refractory Multiple Myeloma Patients With Extramedullary Disease

Not Applicable
Recruiting
Conditions
Extramedullary Multiple Myeloma
Interventions
Biological: anti-BCMA/GPRC5D bispecific CAR-T
Drug: Apornemin
First Posted Date
2025-01-27
Last Posted Date
2025-03-13
Lead Sponsor
Institute of Hematology & Blood Diseases Hospital, China
Target Recruit Count
20
Registration Number
NCT06793475
Locations
🇨🇳

Beijing Gobroad Boren Hospital, Beijing, China

🇨🇳

Institute of Hematology and Blood Diseases Hospital Chinese Academy of Medical Sciences, Tianjin, China

Conversion to Carfilzomib Therapy in Bortezomib Intolerant Newly Diagnosed Multiple Myeloma(NDMM) Patients

Recruiting
Conditions
Newly Diagnosed Multiple Myeloma
Interventions
First Posted Date
2024-11-11
Last Posted Date
2024-11-11
Lead Sponsor
The First Affiliated Hospital of Soochow University
Target Recruit Count
50
Registration Number
NCT06682156
Locations
🇨🇳

Lingzhi Yan, Suzhou, Jiangsu, China

Mezigdomide, Carfilzomib, and Dexamethasone for the Treatment of Relapsed or Refractory Multiple Myeloma in Patients With Extramedullary Disease

Phase 2
Recruiting
Conditions
Extramedullary Disease in Multiple Myeloma
Recurrent Multiple Myeloma
Refractory Multiple Myeloma
Interventions
Procedure: Echocardiography
Procedure: Positron Emission Tomography
Procedure: Computed Tomography
Procedure: Computed Tomography Assisted Biopsy
Procedure: Bone Marrow Aspiration
Procedure: Bone Marrow Biopsy
Procedure: Biospecimen Collection
First Posted Date
2024-10-04
Last Posted Date
2025-05-11
Lead Sponsor
Roswell Park Cancer Institute
Target Recruit Count
28
Registration Number
NCT06627751
Locations
🇺🇸

Roswell Park Cancer Institute, Buffalo, New York, United States

SX-682 in Combination With Carfilzomib, Daratumumab-Hyaluronidase, and Dexamethasone in Patients With Relapsed or Refractory Multiple Myeloma

Phase 1
Recruiting
Conditions
Recurrent Multiple Myeloma
Refractory Multiple Myeloma
Interventions
Drug: Cxcr1/2 Inhibitor SX-682
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspiration
Procedure: Echocardiography
Procedure: Positron Emission Tomography
Procedure: Computed Tomography
Procedure: Magnetic Resonance Imaging
First Posted Date
2024-10-01
Last Posted Date
2025-04-16
Lead Sponsor
Roswell Park Cancer Institute
Target Recruit Count
15
Registration Number
NCT06622005
Locations
🇺🇸

Roswell Park Comprehensive Cancer Center, Buffalo, New York, United States

A Study to Compare the Efficacy and Safety of BMS-986393 Versus Standard Regimens in Adult Participants With Relapsed or Refractory and Lenalidomide-refractory Multiple Myeloma (QUINTESSENTIAL-2)

Phase 3
Recruiting
Conditions
Relapsed or Refractory Multiple Myeloma (RRMM)
Interventions
First Posted Date
2024-09-26
Last Posted Date
2025-05-20
Lead Sponsor
Juno Therapeutics, Inc., a Bristol-Myers Squibb Company
Target Recruit Count
440
Registration Number
NCT06615479
Locations
🇺🇸

Local Institution - 0071, Birmingham, Alabama, United States

🇺🇸

UCLA Hematology/Oncology - Santa Monica, Los Angeles, California, United States

🇺🇸

Local Institution - 0130, Miami, Florida, United States

and more 118 locations

A Study Comparing Anitocabtagene Autoleucel to Standard of Care Therapy in Participants With Relapsed/ Refractory Multiple Myeloma

First Posted Date
2024-05-14
Last Posted Date
2025-05-06
Lead Sponsor
Kite, A Gilead Company
Target Recruit Count
450
Registration Number
NCT06413498
Locations
🇪🇸

Hospital Universitario 12 de Octubre, Madrid, Spain

🇪🇸

Clinica Universidad de Navarra, Pamplona, Spain

🇺🇸

Winship Cancer Institute, Atlanta, Georgia, United States

and more 48 locations

Treatment of High-risk Newly Diagnosed Multiple Myeloma With Minimal Residual Disease Detection

Not yet recruiting
Conditions
Newly Diagnosed
High Risk
MRD
Multiple Myeloma
Interventions
First Posted Date
2024-05-10
Last Posted Date
2024-05-10
Lead Sponsor
The First Affiliated Hospital of Soochow University
Target Recruit Count
45
Registration Number
NCT06409702
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