Bortezomib for the treatment of multiple myeloma

被引:18
作者
Grosicki, Sebastian [1 ]
Barchnicka, Agnieszka [1 ]
Jurczyszyn, Artur [2 ]
Grosicka, Anida [3 ]
机构
[1] Community Hosp Chorzow, Dept Hematol, Chorzow, Poland
[2] Univ Hosp, Dept Hematol, Krakow, Poland
[3] Silesian Med Univ, Dept Internal Med & Rheumatol, Katowice, Poland
关键词
recommendations; safety; guidelines; multiple myeloma; bortezomib; treatment; proteosome inhibitor; efficacy; STEM-CELL TRANSPLANTATION; PEGYLATED LIPOSOMAL DOXORUBICIN; PROTEASOME INHIBITOR PS-341; RANDOMIZED PHASE-III; HIGH-DOSE MELPHALAN; INITIAL TREATMENT; IN-VIVO; THALIDOMIDE-DEXAMETHASONE; CONSOLIDATION THERAPY; PERIPHERAL NEUROPATHY;
D O I
10.1586/17474086.2014.899144
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Bortezomib is the first proteasome inhibitor drug tested in human patients. Bortezomib demonstrates a particular clinical utility in the treatment of multiple myeloma (MM), where it is the only one of the new drugs administered as mono-therapy that prolongs survival. The significant problem for the consistent pursuit of bortezomib was neurotoxicity, which has been significantly reduced by registering subcutaneous administration or being administered once per week. Bortezomib is currently approved for the treatment of patients with progressive MM in mono-therapy and in combination with prednisone and melphalan in cases of untreated patients who are not candidates for autologous hematopoietic stem cell transplantation (AHSCT) and in combination with dexamethasone or dexamethasone and thalidomide in untreated MM patients, who are candidates for treatment AHSCT. Clinical research is focused on the combination of bortezomib with other new drugs with the hope of further optimizing the treatment of patients with multiple myeloma.
引用
收藏
页码:173 / 185
页数:13
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