U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C57H69B3N12O9
Molecular Weight 1098.666
Optical Activity UNSPECIFIED
Defined Stereocenters 6 / 6
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of BORTEZOMIB BORONIC ANHYDRIDE

SMILES

CC(C)C[C@H](NC(=O)[C@H](CC1=CC=CC=C1)NC(=O)C2=NC=CN=C2)B3OB(OB(O3)[C@H](CC(C)C)NC(=O)[C@H](CC4=CC=CC=C4)NC(=O)C5=NC=CN=C5)[C@H](CC(C)C)NC(=O)[C@H](CC6=CC=CC=C6)NC(=O)C7=NC=CN=C7

InChI

InChIKey=YVBHFXUJMLXLKP-INZJBPCBSA-N
InChI=1S/C57H69B3N12O9/c1-37(2)28-49(70-52(73)43(31-40-16-10-7-11-17-40)67-55(76)46-34-61-22-25-64-46)58-79-59(50(29-38(3)4)71-53(74)44(32-41-18-12-8-13-19-41)68-56(77)47-35-62-23-26-65-47)81-60(80-58)51(30-39(5)6)72-54(75)45(33-42-20-14-9-15-21-42)69-57(78)48-36-63-24-27-66-48/h7-27,34-39,43-45,49-51H,28-33H2,1-6H3,(H,67,76)(H,68,77)(H,69,78)(H,70,73)(H,71,74)(H,72,75)/t43-,44-,45-,49-,50-,51-/m0/s1

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including: https://www.ncbi.nlm.nih.gov/pubmed/11854543 http://www.drugbank.ca/drugs/DB00188 https://www.drugs.com/mtm/bortezomib.html https://en.wikipedia.org/wiki/Bortezomib

Bortezomib is the therapeutic proteasome inhibitor. First, which is tested in humans. The boron atom in bortezomib binds the catalytic site of the 26S proteasome with high affinity and specificity. Bortezomib is approved in the U.S. for treating relapsed multiple myeloma and mantle cell lymphoma. The 26S proteasome degrades various proteins critical to cancer cell survival, such as cyclins, tumor suppressors, BCL-2, and cyclin-dependent kinase inhibitors. Inhibition of these degradations sensitizes cells to apoptosis. Bortezomib is a potent inhibitor of 26S proteasome, which sensitizes activity in dividing multiple myeloma and leukemic cells, thus inducing apoptosis. Most commonly reported adverse reactions (incidence ≥30%) in clinical studies include asthenic conditions, diarrhea, nausea, constipation, peripheral neuropathy, vomiting, pyrexia, thrombocytopenia, psychiatric disorders, anorexia and decreased appetite, neutropenia, neuralgia, leukopenia and anemia. Co-administration of ketoconazole, a potent CYP3A inhibitor, increased the exposure of bortezomib. Co-administration of melphalan-prednisone increased the exposure of bortezomib. However, this increase is unlikely to be clinically relevant.

CNS Activity

Curator's Comment: Based on animal studies, the penetration of bortezomib through the blood-brain barrier appears to be limited, if any and the relevance to humans is unknown. http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000539/WC500048467.pdf http://meeting.ascopubs.org/cgi/content/short/24/18_suppl/12036 https://www.ncbi.nlm.nih.gov/pubmed/26792401

Originator

Curator's Comment: ProScript was acquired in 1999 by Millennium Pharmaceuticals Inc., which eventually funded studies of PS-341. http://archive.boston.com/business/healthcare/articles/2007/05/06/the_velcade_story/

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
0.6 nM [Ki]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
VELCADE

Approved Use

VELCADE is a proteasome inhibitor indicated for: treatment of patients with multiple myeloma (1.1) treatment of patients with mantle cell lymphoma (1.2) 1.1 Multiple Myeloma VELCADE® (bortezomib) is indicated for the treatment of patients with multiple myeloma. 1.2 Mantle Cell Lymphoma VELCADE is indicated for the treatment of patients with mantle cell lymphoma.

Launch Date

2003
Primary
VELCADE

Approved Use

VELCADE is a proteasome inhibitor indicated for: treatment of patients with multiple myeloma (1.1) treatment of patients with mantle cell lymphoma (1.2) 1.1 Multiple Myeloma VELCADE® (bortezomib) is indicated for the treatment of patients with multiple myeloma. 1.2 Mantle Cell Lymphoma VELCADE is indicated for the treatment of patients with mantle cell lymphoma.

Launch Date

2003
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
106.2 ng/mL
1 mg/m² 1 times / 4 days multiple, oral
dose: 1 mg/m²
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BORTEZOMIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
127.02 ng/mL
1.3 mg/m^2 1 times / 4 day steady, intravenous
dose: 1.3 mg/m^2
route of administration: intravenous
experiment type: steady
co-administered:
BORTEZOMIB plasma
Homo sapiens
population: unhealthy
age:
sex:
food status:
76.43 ng/mL
1.3 mg/m^2 single, intravenous
dose: 1.3 mg/m^2
route of administration: intravenous
experiment type: single
co-administered:
BORTEZOMIB plasma
Homo sapiens
population: unhealthy
age:
sex:
food status:
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
82.8 ng × h/mL
1 mg/m² 1 times / 4 days multiple, oral
dose: 1 mg/m²
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BORTEZOMIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
190.39 ng*h/mL
1.3 mg/m^2 1 times / 4 day steady, intravenous
dose: 1.3 mg/m^2
route of administration: intravenous
experiment type: steady
co-administered:
BORTEZOMIB plasma
Homo sapiens
population: unhealthy
age:
sex:
food status:
51.86 ng*h/mL
1.3 mg/m^2 single, intravenous
dose: 1.3 mg/m^2
route of administration: intravenous
experiment type: single
co-administered:
BORTEZOMIB plasma
Homo sapiens
population: unhealthy
age:
sex:
food status:
106.99 ng*h/mL
1.3 mg/m^2 single, intravenous
dose: 1.3 mg/m^2
route of administration: intravenous
experiment type: single
co-administered:
BORTEZOMIB plasma
Homo sapiens
population: unhealthy
age:
sex:
food status:
349.62 ng*h/mL
1.3 mg/m^2 1 times / 4 day steady, intravenous
dose: 1.3 mg/m^2
route of administration: intravenous
experiment type: steady
co-administered:
BORTEZOMIB plasma
Homo sapiens
population: unhealthy
age:
sex:
food status:
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
78.9 h
1 mg/m² 1 times / 4 days multiple, oral
dose: 1 mg/m²
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BORTEZOMIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
0.08 h
1.3 mg/m^2 single, intravenous
dose: 1.3 mg/m^2
route of administration: intravenous
experiment type: single
co-administered:
BORTEZOMIB plasma
Homo sapiens
population: unhealthy
age:
sex:
food status:
51.55 h
1.3 mg/m^2 1 times / 4 day steady, intravenous
dose: 1.3 mg/m^2
route of administration: intravenous
experiment type: steady
co-administered:
BORTEZOMIB plasma
Homo sapiens
population: unhealthy
age:
sex:
food status:
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
17%
BORTEZOMIB plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
DLT: Thrombocytopenia, Sensory neuropathy...
Other AEs: Diarrhea, Hypotension...
Dose limiting toxicities:
Thrombocytopenia (grade 3, 1 patient)
Sensory neuropathy (grade 3, 1 patient)
Fatigue (grade 3, 1 patient)
Other AEs:
Diarrhea (grade 3-4, 1 patient)
Hypotension (grade 3-4, 1 patient)
Hypoxia (grade 3-4, 1 patient)
Infection (grade 3-4, 1 patient)
Acidosis (grade 3-4)
CPK increased (grade 3-4)
Blood bicarbonate low (grade 3-4)
Hypokalemia (grade 3-4)
Alanine aminotransferase increase (grade 3-4)
Sources:
1.7 mg/m2 2 times / week steady, intravenous
MTD
Dose: 1.7 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.7 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Other AEs: Thrombocytopenia, Sensory neuropathy...
Other AEs:
Thrombocytopenia (all grades, 5 patients)
Sensory neuropathy (grade 3, 3 patients)
Abdominal pain (grade 3, 1 patient)
Constipation (grade 3, 1 patient)
Depressed level of consciousness (grade 3, 1 patient)
Fatigue (grade 3, 1 patient)
Headache (grade 3, 1 patient)
Pain (grade 3, 1 patient)
Hypokalemia (grade 3, 1 patient)
Sources:
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Other AEs: Thrombocytopenia, Thrombocytopenia...
Other AEs:
Thrombocytopenia (grade 3, 18%)
Thrombocytopenia (grade 4-5, 17%)
Neutropenia (grade 3, 30%)
Neutropenia (grade 4-5, 10%)
Anemia (grade 3, 12%)
Anemia (grade 4-5, 1%)
Leukopenia (grade 3, 19%)
Leukopenia (grade 4-5, 2%)
Lymphopenia (grade 3, 14%)
Lymphopenia (grade 4-5, 5%)
Nausea (grade 3, 3%)
Diarrhea (grade 3, 6%)
Diarrhea (grade 4-5, 1%)
Vomiting (grade 3, 4%)
Constipation (grade 3, 1%)
Abdominal pain upper (grade 3, <1%)
Peripheral neuropathy (grade 3, 12%)
Peripheral neuropathy (grade 4-5, 1%)
Neuralgia (grade 3, 8%)
Neuralgia (grade 4-5, 1%)
Paresthesia (grade 3, 2%)
Fatigue (grade 3, 6%)
Fatigue (grade 4-5, 1%)
Asthenia (grade 3, 5%)
Pyrexia (grade 3, 1%)
Herpes zoster (grade 3, 3%)
Anorexia (grade 3, 2%)
Rash (grade 3, 1%)
Insomnia (grade 3, < 1%)
Sources:
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: multiple myeloma |mantle cell lymphoma
Sex: M+F
Population Size: 331
Sources:
Disc. AE: Hypotension, Pyrexia...
AEs leading to
discontinuation/dose reduction:
Hypotension (1%)
Pyrexia (< 1%)
Weakness (< 1%)
Asthenia (< 1%)
Sources:
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Disc. AE: Peripheral neuropathy, Cardiogenic shock...
Other AEs: Diarrhea, Dehydration...
AEs leading to
discontinuation/dose reduction:
Peripheral neuropathy (8%)
Cardiogenic shock (grade 5, 1 patient)
Respiratory insufficiency (grade 5, 1 patient)
Congestive heart failure (grade 5, 1 patient)
Cardiac arrest (grade 5, 1 patient)
Fatigue (2%)
Thrombocytopenia (2%)
Diarrhea (2%)
Other AEs:
Diarrhea (serious, 3%)
Dehydration (serious, 2%)
Herpes zoster (serious, 2%)
Pyrexia (serious, 2%)
Nausea (serious, 2%)
Vomiting (serious, 2%)
Dyspnea (serious, 2%)
Thrombocytopenia (serious, 2%)
Constipation (grade 3, 2%)
Anorexia (grade 3, 2%)
Paresthesia (grade 3, 2%)
Anaemia NOS (grade 3, 6%)
Anaemia NOS (grade 4, <1%)
Headache (grade 3, <1%)
Neutropenia (grade 3, 11%)
Neutropenia (grade 4, 2%)
Rash NOS (grade 3, <1%)
Abdominal pain (grade 3, 2%)
Weakness (grade 3, 3%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Fatigue grade 3, 1 patient
DLT
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Sensory neuropathy grade 3, 1 patient
DLT
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Thrombocytopenia grade 3, 1 patient
DLT
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Acidosis grade 3-4
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Alanine aminotransferase increase grade 3-4
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Blood bicarbonate low grade 3-4
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
CPK increased grade 3-4
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Hypokalemia grade 3-4
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Diarrhea grade 3-4, 1 patient
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Hypotension grade 3-4, 1 patient
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Hypoxia grade 3-4, 1 patient
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Infection grade 3-4, 1 patient
1.9 mg/m2 2 times / week steady, intravenous
Highest studied dose
Dose: 1.9 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.9 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Thrombocytopenia all grades, 5 patients
1.7 mg/m2 2 times / week steady, intravenous
MTD
Dose: 1.7 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.7 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Abdominal pain grade 3, 1 patient
1.7 mg/m2 2 times / week steady, intravenous
MTD
Dose: 1.7 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.7 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Constipation grade 3, 1 patient
1.7 mg/m2 2 times / week steady, intravenous
MTD
Dose: 1.7 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.7 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Depressed level of consciousness grade 3, 1 patient
1.7 mg/m2 2 times / week steady, intravenous
MTD
Dose: 1.7 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.7 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Fatigue grade 3, 1 patient
1.7 mg/m2 2 times / week steady, intravenous
MTD
Dose: 1.7 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.7 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Headache grade 3, 1 patient
1.7 mg/m2 2 times / week steady, intravenous
MTD
Dose: 1.7 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.7 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Hypokalemia grade 3, 1 patient
1.7 mg/m2 2 times / week steady, intravenous
MTD
Dose: 1.7 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.7 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Pain grade 3, 1 patient
1.7 mg/m2 2 times / week steady, intravenous
MTD
Dose: 1.7 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.7 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Sensory neuropathy grade 3, 3 patients
1.7 mg/m2 2 times / week steady, intravenous
MTD
Dose: 1.7 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.7 mg/m2, 2 times / week
Sources:
unhealthy, 52 years (range: 26–85 years)
n = 33
Health Status: unhealthy
Condition: recurrent malignant glioma
Age Group: 52 years (range: 26–85 years)
Sex: M+F
Population Size: 33
Sources:
Constipation grade 3, 1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Pyrexia grade 3, 1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Rash grade 3, 1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Anemia grade 3, 12%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Peripheral neuropathy grade 3, 12%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Lymphopenia grade 3, 14%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Thrombocytopenia grade 3, 18%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Leukopenia grade 3, 19%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Anorexia grade 3, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Paresthesia grade 3, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Herpes zoster grade 3, 3%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Nausea grade 3, 3%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Neutropenia grade 3, 30%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Vomiting grade 3, 4%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Asthenia grade 3, 5%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Diarrhea grade 3, 6%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Fatigue grade 3, 6%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Neuralgia grade 3, 8%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Insomnia grade 3, < 1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Abdominal pain upper grade 3, <1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Anemia grade 4-5, 1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Diarrhea grade 4-5, 1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Fatigue grade 4-5, 1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Neuralgia grade 4-5, 1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Peripheral neuropathy grade 4-5, 1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Neutropenia grade 4-5, 10%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Thrombocytopenia grade 4-5, 17%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Leukopenia grade 4-5, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Lymphopenia grade 4-5, 5%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Co-administed with::
melphalan(9 mg/m2)
prednisone(60 mg/m2)
Sources:
unhealthy, 71 years (range: 48 - 91 years)
n = 340
Health Status: unhealthy
Condition: multiple myeloma
Age Group: 71 years (range: 48 - 91 years)
Sex: M+F
Population Size: 340
Sources:
Hypotension 1%
Disc. AE
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: multiple myeloma |mantle cell lymphoma
Sex: M+F
Population Size: 331
Sources:
Asthenia < 1%
Disc. AE
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: multiple myeloma |mantle cell lymphoma
Sex: M+F
Population Size: 331
Sources:
Pyrexia < 1%
Disc. AE
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: multiple myeloma |mantle cell lymphoma
Sex: M+F
Population Size: 331
Sources:
Weakness < 1%
Disc. AE
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: multiple myeloma |mantle cell lymphoma
Sex: M+F
Population Size: 331
Sources:
Diarrhea 2%
Disc. AE
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Fatigue 2%
Disc. AE
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Thrombocytopenia 2%
Disc. AE
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Peripheral neuropathy 8%
Disc. AE
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Neutropenia grade 3, 11%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Abdominal pain grade 3, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Anorexia grade 3, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Constipation grade 3, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Paresthesia grade 3, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Weakness grade 3, 3%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Anaemia NOS grade 3, 6%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Headache grade 3, <1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Rash NOS grade 3, <1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Neutropenia grade 4, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Anaemia NOS grade 4, <1%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Cardiac arrest grade 5, 1 patient
Disc. AE
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Cardiogenic shock grade 5, 1 patient
Disc. AE
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Congestive heart failure grade 5, 1 patient
Disc. AE
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Respiratory insufficiency grade 5, 1 patient
Disc. AE
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Dehydration serious, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Dyspnea serious, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Herpes zoster serious, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Nausea serious, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Pyrexia serious, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Thrombocytopenia serious, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Vomiting serious, 2%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Diarrhea serious, 3%
1.3 mg/m2 2 times / week steady, intravenous
Recommended
Dose: 1.3 mg/m2, 2 times / week
Route: intravenous
Route: steady
Dose: 1.3 mg/m2, 2 times / week
Sources:
unhealthy
n = 331
Health Status: unhealthy
Condition: relapsed multiple myeloma
Sex: M+F
Population Size: 331
Sources:
Overview

OverviewOther

Drug as perpetrator​Drug as victimTox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
The proteasome inhibitor PS-341 overcomes TRAIL resistance in Bax and caspase 9-negative or Bcl-xL overexpressing cells.
2003 Aug 7
The proteasome as a target for cancer therapy.
2003 Dec 15
Molecular mechanisms mediating antimyeloma activity of proteasome inhibitor PS-341.
2003 Feb 15
Blockade of Hsp27 overcomes Bortezomib/proteasome inhibitor PS-341 resistance in lymphoma cells.
2003 Oct 1
Effects of the proteasome inhibitor, bortezomib, on apoptosis in isolated lymphocytes obtained from patients with chronic lymphocytic leukemia.
2003 Oct 1
Development of the proteasome inhibitor Velcade (Bortezomib).
2004
Treatment of human chronic lymphocytic leukemia cells with the proteasome inhibitor bortezomib promotes apoptosis.
2004 Aug
The proteasome inhibitor bortezomib enhances the activity of docetaxel in orthotopic human pancreatic tumor xenografts.
2004 Jan
Synergistic effect of histone deacetylase inhibitors FK228 and m-carboxycinnamic acid bis-hydroxamide with proteasome inhibitors PSI and PS-341 against gastrointestinal adenocarcinoma cells.
2004 Jun 1
Synergistic induction of oxidative injury and apoptosis in human multiple myeloma cells by the proteasome inhibitor bortezomib and histone deacetylase inhibitors.
2004 Jun 1
Simultaneous inhibition of hsp 90 and the proteasome promotes protein ubiquitination, causes endoplasmic reticulum-derived cytosolic vacuolization, and enhances antitumor activity.
2004 May
Phase I study of bortezomib in refractory or relapsed acute leukemias.
2004 May 15
New treatments for multiple myeloma.
2005 Dec
Sensitization of DNA damage-induced apoptosis by the proteasome inhibitor PS-341 is p53 dependent and involves target proteins 14-3-3sigma and survivin.
2005 Dec
Sustained remission including marked regression of a paravertebral plasmacytoma in a patient with heavily pretreated, relapsed multiple myeloma after treatment with bortezomib.
2005 Dec
Bortezomib sensitizes pancreatic cancer cells to endoplasmic reticulum stress-mediated apoptosis.
2005 Dec 15
The combination of the farnesyl transferase inhibitor lonafarnib and the proteasome inhibitor bortezomib induces synergistic apoptosis in human myeloma cells that is associated with down-regulation of p-AKT.
2005 Dec 15
New biological agents in the treatment of advanced non-small cell lung cancer.
2005 Jun
Human metabolism of the proteasome inhibitor bortezomib: identification of circulating metabolites.
2005 Jun
Severe irreversible bilateral hearing loss after bortezomib (VELCADE) therapy in a multiple myeloma (MM) patient.
2005 May
Mammalian target of rapamycin inhibitors activate the AKT kinase in multiple myeloma cells by up-regulating the insulin-like growth factor receptor/insulin receptor substrate-1/phosphatidylinositol 3-kinase cascade.
2005 Oct
N-(4-hydroxyphenyl)retinamide inhibits invasion, suppresses osteoclastogenesis, and potentiates apoptosis through down-regulation of I(kappa)B(alpha) kinase and nuclear factor-kappaB-regulated gene products.
2005 Oct 15
Bortezomib (PS-341, Velcade) increases the efficacy of trastuzumab (Herceptin) in HER-2-positive breast cancer cells in a synergistic manner.
2006 Dec
Vitamin C inactivates the proteasome inhibitor PS-341 in human cancer cells.
2006 Jan 1
Bortezomib-dexamethasone combination in a patient with refractory multiple myeloma and impaired renal function.
2006 Jun
Activation of sterile20-like kinase 1 in proteasome inhibitor bortezomib-induced apoptosis in oncogenic K-ras-transformed cells.
2006 Jun 15
Severe reversible cardiac failure after bortezomib treatment combined with chemotherapy in a non-small cell lung cancer patient: a case report.
2006 May 11
Gallium-induced cell death in lymphoma: role of transferrin receptor cycling, involvement of Bax and the mitochondria, and effects of proteasome inhibition.
2006 Nov
Histone deacetylase inhibitor trichostatin A and proteasome inhibitor PS-341 synergistically induce apoptosis in pancreatic cancer cells.
2006 Oct 6
Cytotoxic synergy between the multikinase inhibitor sorafenib and the proteasome inhibitor bortezomib in vitro: induction of apoptosis through Akt and c-Jun NH2-terminal kinase pathways.
2006 Sep
Phase II study of single-agent bortezomib for the treatment of patients with fludarabine-refractory B-cell chronic lymphocytic leukemia.
2006 Sep 1
A novel bioluminescent mouse model and effective therapy for adult T-cell leukemia/lymphoma.
2007 Dec 15
The proteasome inhibitor PS-341 (bortezomib) up-regulates DR5 expression leading to induction of apoptosis and enhancement of TRAIL-induced apoptosis despite up-regulation of c-FLIP and survivin expression in human NSCLC cells.
2007 May 15
Bortezomib induces apoptosis in T-cell prolymphocytic leukemia (T-PLL).
2007 Nov
Novel therapies in myeloma.
2007 Nov
The proteasome inhibitor bortezomib induces apoptosis in human retinoblastoma cell lines in vitro.
2007 Oct
Induction of heme oxygenase-1 by cobalt protoporphyrin enhances the antitumour effect of bortezomib in adult T-cell leukaemia cells.
2007 Oct 22
Predictive value of alkaline phosphatase for response and time to progression in bortezomib-treated multiple myeloma patients.
2007 Sep
Bortezomib sensitizes non-Hodgkin's lymphoma cells to apoptosis induced by antibodies to tumor necrosis factor related apoptosis-inducing ligand (TRAIL) receptors TRAIL-R1 and TRAIL-R2.
2007 Sep 15
Topoisomerase IIbeta mediated DNA double-strand breaks: implications in doxorubicin cardiotoxicity and prevention by dexrazoxane.
2007 Sep 15
Synergistic interaction of the histone deacetylase inhibitor SAHA with the proteasome inhibitor bortezomib in mantle cell lymphoma.
2008 Feb
CHOP transcription factor mediates IL-8 signaling in cystic fibrosis bronchial epithelial cells.
2008 Feb
Bortezomib induces caspase-dependent apoptosis in Hodgkin lymphoma cell lines and is associated with reduced c-FLIP expression: a gene expression profiling study with implications for potential combination therapies.
2008 Feb
Bortezomib is synergistic with rituximab and cyclophosphamide in inducing apoptosis of mantle cell lymphoma cells in vitro and in vivo.
2008 Jan
Patents

Sample Use Guides

1.3 mg/m2 administered as a 3 to 5 second bolus.
Route of Administration: Intravenous
Fifty % growth inhibition (IC50) in U266, IM-9, and Hs Sultan (multiple myeloma) cells was noted at concentrations of 0.003, 0.006, or 0.02 × 10−6 M, respectively.
Name Type Language
BORTEZOMIB BORONIC ANHYDRIDE
Common Name English
2-PYRAZINECARBOXAMIDE, N,N',N''-(2,4,6-BOROXINTRIYLTRIS(((1R)-3-METHYLBUTYLIDENE)IMINO((1S)-2-OXO-1-(PHENYLMETHYL)-2,1-ETHANEDIYL)))TRIS-
Systematic Name English
N,N',N''-((2S,2'S,2''S)-(((1R,1'R,1''R)-(1,3,5,2,4,6-TRIOXATRIBORINANE-2,4,6-TRIYL)TRIS(3-METHYLBUTANE-1,1-DIYL))TRIS(AZANEDIYL))TRIS(1-OXO-3-PHENYLPROPANE-1,2-DIYL))TRIS(PYRAZINE-2-CARBOXAMIDE)
Systematic Name English
PYRAZINECARBOXAMIDE, N,N',N''-(2,4,6-BOROXINTRIYLTRIS(((1R)-3-METHYLBUTYLIDENE)IMINO((1S)-2-OXO-1-(PHENYLMETHYL)-2,1-ETHANEDIYL)))TRIS-
Systematic Name English
Code System Code Type Description
PUBCHEM
60071654
Created by admin on Sat Dec 16 09:32:24 GMT 2023 , Edited by admin on Sat Dec 16 09:32:24 GMT 2023
PRIMARY
CAS
390800-88-1
Created by admin on Sat Dec 16 09:32:24 GMT 2023 , Edited by admin on Sat Dec 16 09:32:24 GMT 2023
PRIMARY
FDA UNII
264LX948L0
Created by admin on Sat Dec 16 09:32:24 GMT 2023 , Edited by admin on Sat Dec 16 09:32:24 GMT 2023
PRIMARY