Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C40H57N5O7 |
| Molecular Weight | 719.9099 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 5 / 5 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CC(C)C[C@H](NC(=O)[C@H](CCC1=CC=CC=C1)NC(=O)CN2CCOCC2)C(=O)N[C@@H](CC3=CC=CC=C3)C(=O)N[C@@H](CC(C)C)C(=O)[C@@]4(C)CO4
InChI
InChIKey=BLMPQMFVWMYDKT-NZTKNTHTSA-N
InChI=1S/C40H57N5O7/c1-27(2)22-32(36(47)40(5)26-52-40)42-39(50)34(24-30-14-10-7-11-15-30)44-38(49)33(23-28(3)4)43-37(48)31(17-16-29-12-8-6-9-13-29)41-35(46)25-45-18-20-51-21-19-45/h6-15,27-28,31-34H,16-26H2,1-5H3,(H,41,46)(H,42,50)(H,43,48)(H,44,49)/t31-,32-,33-,34-,40+/m0/s1
| Molecular Formula | C40H57N5O7 |
| Molecular Weight | 719.9099 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 5 / 5 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
DescriptionCurator's Comment: description was created based on several sources, including
http://www.ncbi.nlm.nih.gov/pubmed/?term=23386784; http://www.ncbi.nlm.nih.gov/pubmed/?term=17591945
Curator's Comment: description was created based on several sources, including
http://www.ncbi.nlm.nih.gov/pubmed/?term=23386784; http://www.ncbi.nlm.nih.gov/pubmed/?term=17591945
Carfilzomib is an epoxomicin derivate with potential antineoplastic activity. Kyprolis (carfilzomib's trade name) is a proteasome inhibitor that is indicated for the treatment of patients with relapsed or refractory multiple myeloma who have received one or more lines of therapy as a single agent or in combination with dexamethasone or with lenalidomide plus dexamethasone. Carfilzomib is made up of four modified peptides. It irreversibly and selectively binds to N-terminal threonine-containing active sites of the 20S proteasome, the proteolytic core particle within the 26S proteasome. This 20S core has 3 catalytic active sites: the chymotrypsin, trypsin, and caspase-like sites. Inhibition of the chymotrypsin-like site by carfilzomib (β5 and β5i subunits) is the most effective target in decreasing cellular proliferation, ultimately resulting in cell cycle arrest and apoptosis of cancerous cells. At higher doses, carfilzomib will inhibit the trypsin-and capase-like sites. Inhibition of proteasome-mediated proteolysis results in an accumulation of polyubiquinated proteins, which may lead to cell cycle arrest, induction of apoptosis, and inhibition of tumor growth.
CNS Activity
Sources: http://www.ncbi.nlm.nih.gov/pubmed/?term=23386784
Curator's Comment: Carfilzomib did not cross the blood–brain barrier
Originator
Sources: http://www.prnewswire.com/news-releases/proteolix-inc-to-be-acquired-by-onyx-pharmaceuticals-63990182.html
Curator's Comment: Carfilzomib was discovered by Proteolix, Inc. company acquired by Onyx Pharmaceuticals, Inc in October 2009 which has been marketing carfilzomib under the trade name KYPROLIS
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2364701 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Secondary | KYPROLIS Approved UseIndicated in combination with lenalidomide and dexamethasone for the treatment of patients with relapsed multiple myeloma who have received one to three prior lines of therapy; as a single agent for the treatment of patients with relapsed or refractory multiple myeloma who have received one or more lines of therapy Launch Date2012 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
519 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34470049/ |
70 mg/m² single, intravenous dose: 70 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
CARFILZOMIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
852 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34470049/ |
70 mg/m² 1 times / week multiple, intravenous dose: 70 mg/m² route of administration: Intravenous experiment type: MULTIPLE co-administered: |
CARFILZOMIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
1389 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28424963 |
56 mg/m² single, intravenous dose: 56 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: DEXAMETHASONE |
CARFILZOMIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
241 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34470049/ |
70 mg/m² single, intravenous dose: 70 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
CARFILZOMIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
381 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34470049/ |
70 mg/m² 1 times / week multiple, intravenous dose: 70 mg/m² route of administration: Intravenous experiment type: MULTIPLE co-administered: |
CARFILZOMIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
563 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28424963 |
56 mg/m² single, intravenous dose: 56 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: DEXAMETHASONE |
CARFILZOMIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
0.58 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34470049/ |
70 mg/m² single, intravenous dose: 70 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
CARFILZOMIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
0.98 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34470049/ |
70 mg/m² 1 times / week multiple, intravenous dose: 70 mg/m² route of administration: Intravenous experiment type: MULTIPLE co-administered: |
CARFILZOMIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
0.34 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28424963 |
56 mg/m² single, intravenous dose: 56 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: DEXAMETHASONE |
CARFILZOMIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
3% |
CARFILZOMIB plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
Disc. AE: Sepsis, Colon cancer... Other AEs: Lymphopenia, Thrombocytopenia... AEs leading to discontinuation/dose reduction: Sepsis (serious, 1 patient) Other AEs:Colon cancer (serious, 1 patient) Lymphopenia (grade 3-5, 75%) Sources: Thrombocytopenia (grade 3-5, 50%) Anaemia (grade 3-5, 50%) Neutropenia (grade 3-5, 50%) Pyrexia (grade 1-2, 75%) Blood creatinine increased (grade 1-2, 50%) White blood cell count increased (grade 1-2, 25%) White blood cell count decreased (grade 3-5, 25%) Nausea (grade 1-2, 50%) Stomatitis (grade 1-2, 50%) Neutrophil count increased (grade 1-2, 25%) Nasopharyngitis (grade 1-2, 25%) Vomiting (grade 1-2, 50%) C-reactive protein increased (grade 1-2, 50%) Hypophosphataemia (grade 1-2, 50%) Hypertension (grade 1-2, 50%) Malaise (grade 1-2, 25%) Aspartate aminotransferase increased (grade 1-2, 25%) Blood lactate dehydrogenase increased (grade 1-2, 25%) Haematocrit decreased (grade 1-2, 25%) Red blood cell count decreased (grade 1-2, 25%) Weight gain (grade 1-2, 25%) |
20 mg/m2 2 times / week steady, intravenous Recommended Dose: 20 mg/m2, 2 times / week Route: intravenous Route: steady Dose: 20 mg/m2, 2 times / week Sources: |
unhealthy, 63.0 years (range: 37- 87 years) Health Status: unhealthy Age Group: 63.0 years (range: 37- 87 years) Sex: M+F Sources: |
Disc. AE: Congestive heart failure, Cardiac arrest... AEs leading to discontinuation/dose reduction: Congestive heart failure (2%) Sources: Cardiac arrest (1%) Dyspnea (1%) Blood creatinine increased (1%) Acute renal failure (1%) |
20 mg/m2 2 times / week steady, intravenous Recommended Dose: 20 mg/m2, 2 times / week Route: intravenous Route: steady Dose: 20 mg/m2, 2 times / week Sources: |
unhealthy, 63.0 years (range: 37- 87 years) Health Status: unhealthy Age Group: 63.0 years (range: 37- 87 years) Sex: M+F Sources: |
Disc. AE: Pneumonia, Pyrexia... AEs leading to discontinuation/dose reduction: Pneumonia (2%) Sources: Pyrexia (1%) Thrombocytopenia (1%) |
70 mg/m2 2 times / week multiple, intravenous Highest studied dose Dose: 70 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 70 mg/m2, 2 times / week Sources: |
unhealthy, adult |
DLT: Adverse event... |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Aspartate aminotransferase increased | grade 1-2, 25% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Blood lactate dehydrogenase increased | grade 1-2, 25% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Haematocrit decreased | grade 1-2, 25% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Malaise | grade 1-2, 25% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Nasopharyngitis | grade 1-2, 25% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Neutrophil count increased | grade 1-2, 25% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Red blood cell count decreased | grade 1-2, 25% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Weight gain | grade 1-2, 25% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| White blood cell count increased | grade 1-2, 25% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Blood creatinine increased | grade 1-2, 50% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| C-reactive protein increased | grade 1-2, 50% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Hypertension | grade 1-2, 50% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Hypophosphataemia | grade 1-2, 50% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Nausea | grade 1-2, 50% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Stomatitis | grade 1-2, 50% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Vomiting | grade 1-2, 50% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Pyrexia | grade 1-2, 75% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| White blood cell count decreased | grade 3-5, 25% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Anaemia | grade 3-5, 50% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Neutropenia | grade 3-5, 50% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Thrombocytopenia | grade 3-5, 50% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Lymphopenia | grade 3-5, 75% | 56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Colon cancer | serious, 1 patient Disc. AE |
56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Sepsis | serious, 1 patient Disc. AE |
56 mg/m2 2 times / week multiple, intravenous MTD Dose: 56 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 56 mg/m2, 2 times / week Sources: |
unhealthy, 58 years (range:46–75 years) Health Status: unhealthy Age Group: 58 years (range:46–75 years) Sex: M+F Sources: |
| Acute renal failure | 1% Disc. AE |
20 mg/m2 2 times / week steady, intravenous Recommended Dose: 20 mg/m2, 2 times / week Route: intravenous Route: steady Dose: 20 mg/m2, 2 times / week Sources: |
unhealthy, 63.0 years (range: 37- 87 years) Health Status: unhealthy Age Group: 63.0 years (range: 37- 87 years) Sex: M+F Sources: |
| Blood creatinine increased | 1% Disc. AE |
20 mg/m2 2 times / week steady, intravenous Recommended Dose: 20 mg/m2, 2 times / week Route: intravenous Route: steady Dose: 20 mg/m2, 2 times / week Sources: |
unhealthy, 63.0 years (range: 37- 87 years) Health Status: unhealthy Age Group: 63.0 years (range: 37- 87 years) Sex: M+F Sources: |
| Cardiac arrest | 1% Disc. AE |
20 mg/m2 2 times / week steady, intravenous Recommended Dose: 20 mg/m2, 2 times / week Route: intravenous Route: steady Dose: 20 mg/m2, 2 times / week Sources: |
unhealthy, 63.0 years (range: 37- 87 years) Health Status: unhealthy Age Group: 63.0 years (range: 37- 87 years) Sex: M+F Sources: |
| Dyspnea | 1% Disc. AE |
20 mg/m2 2 times / week steady, intravenous Recommended Dose: 20 mg/m2, 2 times / week Route: intravenous Route: steady Dose: 20 mg/m2, 2 times / week Sources: |
unhealthy, 63.0 years (range: 37- 87 years) Health Status: unhealthy Age Group: 63.0 years (range: 37- 87 years) Sex: M+F Sources: |
| Congestive heart failure | 2% Disc. AE |
20 mg/m2 2 times / week steady, intravenous Recommended Dose: 20 mg/m2, 2 times / week Route: intravenous Route: steady Dose: 20 mg/m2, 2 times / week Sources: |
unhealthy, 63.0 years (range: 37- 87 years) Health Status: unhealthy Age Group: 63.0 years (range: 37- 87 years) Sex: M+F Sources: |
| Pyrexia | 1% Disc. AE |
20 mg/m2 2 times / week steady, intravenous Recommended Dose: 20 mg/m2, 2 times / week Route: intravenous Route: steady Dose: 20 mg/m2, 2 times / week Sources: |
unhealthy, 63.0 years (range: 37- 87 years) Health Status: unhealthy Age Group: 63.0 years (range: 37- 87 years) Sex: M+F Sources: |
| Thrombocytopenia | 1% Disc. AE |
20 mg/m2 2 times / week steady, intravenous Recommended Dose: 20 mg/m2, 2 times / week Route: intravenous Route: steady Dose: 20 mg/m2, 2 times / week Sources: |
unhealthy, 63.0 years (range: 37- 87 years) Health Status: unhealthy Age Group: 63.0 years (range: 37- 87 years) Sex: M+F Sources: |
| Pneumonia | 2% Disc. AE |
20 mg/m2 2 times / week steady, intravenous Recommended Dose: 20 mg/m2, 2 times / week Route: intravenous Route: steady Dose: 20 mg/m2, 2 times / week Sources: |
unhealthy, 63.0 years (range: 37- 87 years) Health Status: unhealthy Age Group: 63.0 years (range: 37- 87 years) Sex: M+F Sources: |
| Adverse event | DLT, Disc. AE | 70 mg/m2 2 times / week multiple, intravenous Highest studied dose Dose: 70 mg/m2, 2 times / week Route: intravenous Route: multiple Dose: 70 mg/m2, 2 times / week Sources: |
unhealthy, adult |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 18.0 |
minor | yes (co-administration study) Comment: carfilzomib inhibits digoxin by 25% Page: 18.0 |
||
Page: 18.0 |
moderate [IC50 0.5 uM] | no (co-administration study) Comment: carfilzomib did not affect the cmax and auc of midazolam Page: 18.0 |
||
Page: 18.0 |
no | |||
Page: 88.0 |
no | |||
Page: 88.0 |
no | |||
Page: 92.0 |
no | |||
Page: 88.0 |
no | |||
Page: 88.0 |
no | |||
Page: 18.0 |
no | |||
Page: 88.0 |
weak [IC50 3 uM] |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 13.0 |
major | |||
Page: 13.0 |
major | |||
Page: 80.0 |
no | |||
Page: 80.0 |
no | |||
Page: 80.0 |
no | |||
Page: 80.0 |
no | |||
Page: 80.0 |
no | |||
Page: 18.0 |
no | no (co-administration study) Comment: carfilzomib has no effect on midazolam Page: 18.0 |
||
Page: 18.0 |
yes | yes (co-administration study) Comment: ketoconazole decreased carfilzomib efflux ratio Page: 18.0 |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 4.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Possible role of selective, irreversible, proteasome inhibitor (carfilzomib) in the treatment of rat hepatocellular carcinoma. | 2014-05-25 |
|
| Carfilzomib. | 2013-02-07 |
|
| A genetic interaction network of five genes for human polycystic kidney and liver diseases defines polycystin-1 as the central determinant of cyst formation. | 2011-06-19 |
|
| New twists on proteasome inhibitors. | 2010-12 |
|
| Targeting histone deacetyalses in the treatment of B- and T-cell malignancies. | 2010-12 |
|
| Proteasome inhibition and its therapeutic potential in multiple myeloma. | 2010-09-28 |
|
| Characterization of a new series of non-covalent proteasome inhibitors with exquisite potency and selectivity for the 20S beta5-subunit. | 2010-09-15 |
|
| Novel disease targets and management approaches for diffuse large B-cell lymphoma. | 2010-08 |
|
| Peripheral neuropathy during bortezomib treatment of multiple myeloma: a review of recent studies. | 2010-07 |
|
| Lenalidomide in multiple myeloma: an evidence-based review of its role in therapy. | 2010-06-15 |
|
| The pan-HDAC inhibitor vorinostat potentiates the activity of the proteasome inhibitor carfilzomib in human DLBCL cells in vitro and in vivo. | 2010-06-03 |
|
| Activation of mutant enzyme function in vivo by proteasome inhibitors and treatments that induce Hsp70. | 2010-01 |
|
| Relapsed multiple myeloma. | 2010 |
|
| State-of-the-Art Management of Complications of Myeloma and Its Treatment. | 2010 |
|
| Proteasome inhibitors: recent advances and new perspectives in medicinal chemistry. | 2010 |
|
| Bortezomib. | 2010 |
|
| Discovery of novel proteasome inhibitors using a high-content cell-based screening system. | 2009-12-30 |
|
| Future novel single agent and combination therapies. | 2009-12-17 |
|
| Ubiquitin Drug Discovery & Diagnostics 2009 - First Annual Conference. | 2009-12 |
|
| A phase 1 dose escalation study of the safety and pharmacokinetics of the novel proteasome inhibitor carfilzomib (PR-171) in patients with hematologic malignancies. | 2009-11-15 |
|
| Gateways to clinical trials. | 2009-11 |
|
| Proteasome inhibitors in the treatment of multiple myeloma. | 2009-11 |
|
| Acquisition of a multidrug-resistant phenotype with a proteasome inhibitor in multiple myeloma. | 2009-11 |
|
| Carfilzomib can induce tumor cell death through selective inhibition of the chymotrypsin-like activity of the proteasome. | 2009-10-15 |
|
| Clinical development of novel proteasome inhibitors for cancer treatment. | 2009-07 |
|
| Design and synthesis of an orally bioavailable and selective peptide epoxyketone proteasome inhibitor (PR-047). | 2009-05-14 |
|
| Gateways to clinical trials. | 2009-04 |
|
| New drugs in multiple myeloma and the significance of autologous stem cell transplants. | 2009-03 |
|
| Antiproliferative and proapoptotic effects of proteasome inhibitors and their combination with histone deacetylase inhibitors on leukemia cells. | 2009-03 |
|
| The development and pharmacology of proteasome inhibitors for the management and treatment of cancer. | 2009 |
|
| Novel therapies for relapsed myeloma. | 2009 |
|
| Targeting the UPS as therapy in multiple myeloma. | 2008-10-21 |
|
| The BH3-only mimetic ABT-737 synergizes the antineoplastic activity of proteasome inhibitors in lymphoid malignancies. | 2008-10-01 |
|
| Practical considerations for multiple myeloma: an overview of recent data and current options. | 2008-08 |
|
| Mechanisms of proteasome inhibitor action and resistance in cancer. | 2008-06-24 |
|
| Targeting Bcl-2 family members with the BH3 mimetic AT-101 markedly enhances the therapeutic effects of chemotherapeutic agents in in vitro and in vivo models of B-cell lymphoma. | 2008-06-01 |
|
| The potential of proteasome inhibitors in cancer therapy. | 2008-06 |
|
| Gateways to clinical trials. | 2008-03 |
|
| Potent activity of carfilzomib, a novel, irreversible inhibitor of the ubiquitin-proteasome pathway, against preclinical models of multiple myeloma. | 2007-11-01 |
|
| Epoxomicin, a new antitumor agent of microbial origin. | 1992-11 |
Patents
Sample Use Guides
For monotherapy, administer Kyprolis intravenously as a 10-minute or 30-minute infusion depending on the regimen as described: for monotherapy using the 20/27 mg/m^2 regimen, administer Kyprolis intravenously as a 10-minute infusion. In Cycles 1 through 12, administer Kyprolis on two consecutive days, each week for three weeks followed by a 12-day rest period. Each 28-day period is considered one treatment cycle. From Cycle 13, omit the Day 8 and 9 doses of Kyprolis. The recommended starting dose of Kyprolis is 20 mg/m^2 in Cycle 1 on Days 1 and 2. If tolerated, escalate the dose to 27 mg/m^2 on Day 8 of Cycle 1. Treatment may continue until disease progression or unacceptable toxicity occurs.
For the combination regimen with lenalidomide and dexamethasone, administer Kyprolis intravenously as a 10-minute infusion on two consecutive days, each week for three weeks followed by a 12-day rest period. Each 28-day period is considered one treatment cycle. The recommended starting dose of Kyprolis is 20 mg/m^2 in Cycle 1 on Days 1 and 2. If tolerated, escalate the dose to 27 mg/m^2 on Day 8 of Cycle 1. From Cycle 13, omit the Day 8 and 9 doses of Kyprolis. Discontinue Kyprolis after Cycle 18. Lenalidomide 25 mg is taken orally on Days 1–21 and dexamethasone 40 mg by mouth or intravenously on days 1, 8, 15, and 22 of the 28-day cycles. Continue treatment until disease progression or unacceptable toxicity occurs.
Route of Administration:
Intravenous
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=17591945
To determine whether JNK activation is important in mediating carfilzomib-induced apoptosis, RPMI 8226 cells were exposed to a pulse of 100 nM carfilzomib
| Substance Class |
Chemical
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72X6E3J5AR
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FDA ORPHAN DRUG |
795120
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NDF-RT |
N0000175604
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FDA ORPHAN DRUG |
252507
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WHO-VATC |
QL01XX45
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EMA ASSESSMENT REPORTS |
KYPROLIS (AUTHORIZED: MULTIPLE MYELOMA)
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EU-Orphan Drug |
EU/3/08/548
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WHO-ATC |
L01XX45
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NCI_THESAURUS |
C2160
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C52196
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Carfilzomib
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65347
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8859
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C524865
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SS-92
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758252
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m3107
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DB08889
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1302966
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100000126282
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SUB32911
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Carfilzomib
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DTXSID4048690
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4483
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7420
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CHEMBL451887
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11556711
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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TARGET -> INHIBITOR | |||
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TRANSPORTER -> SUBSTRATE | |||
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METABOLIC ENZYME -> INHIBITOR |
IC50
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TRANSPORTER -> INHIBITOR |
WEAK
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TARGET -> INHIBITOR | |||
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TARGET -> INHIBITOR | |||
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METABOLIC ENZYME -> INHIBITOR |
IC50
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TARGET -> INHIBITOR | |||
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TARGET -> INHIBITOR |
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TARGET -> INHIBITOR | |||
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BINDER->LIGAND |
BINDING
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLITE -> PARENT |
MAJOR
PLASMA; URINE
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METABOLITE -> PARENT |
MAJOR
PLASMA; URINE
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METABOLITE INACTIVE -> PARENT |
Cytochrome P450-mediated mechanisms played a minor role in overall carfilzomib metabolism
MAJOR
PLASMA
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| Related Record | Type | Details | ||
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ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Volume of Distribution | PHARMACOKINETIC |
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| Biological Half-life | PHARMACOKINETIC |
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