Carfilzomib: a novel treatment in relapsed and refractory multiple myeloma

Carfilzomib is a second-generation proteasome inhibitor with well-documented clinical activity as a single agent in patients with relapsed/refractory multiple myeloma. Carfilzomib can partially overcome resistance in bortezomib-refractory patients and has significant efficacy in bortezomib-naïve pat...

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Main Authors: Fostier, Karel, De Becker, Ann, Schots, Rik
Format: Online
Language:English
Published: Dove Medical Press 2012
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3463411/
id pubmed-3463411
recordtype oai_dc
spelling pubmed-34634112012-10-09 Carfilzomib: a novel treatment in relapsed and refractory multiple myeloma Fostier, Karel De Becker, Ann Schots, Rik Review Carfilzomib is a second-generation proteasome inhibitor with well-documented clinical activity as a single agent in patients with relapsed/refractory multiple myeloma. Carfilzomib can partially overcome resistance in bortezomib-refractory patients and has significant efficacy in bortezomib-naïve patients. Responses generally occur rapidly and are durable in the majority of cases. Carfilzomib can be safely administered in patients with renal failure and adverse cytogenetics do not seem to interfere with its activity. Moreover, carfilzomib has the advantage of a favorable safety profile, especially a low incidence of peripheral neuropathy, which is often the dose-limiting factor in thalidomide and bortezomib-based regimens. The most frequently observed high-grade adverse event is cytopenia. However, long-term tolerability is good with no cumulative toxicity. The place of carfilzomib in the treatment of the advanced and the newly diagnosed myeloma patient is currently under examination in several ongoing phase 3 clinical trials. Dove Medical Press 2012-09-28 /pmc/articles/PMC3463411/ /pubmed/23055749 http://dx.doi.org/10.2147/OTT.S28911 Text en © 2012 Fostier et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Fostier, Karel
De Becker, Ann
Schots, Rik
spellingShingle Fostier, Karel
De Becker, Ann
Schots, Rik
Carfilzomib: a novel treatment in relapsed and refractory multiple myeloma
author_facet Fostier, Karel
De Becker, Ann
Schots, Rik
author_sort Fostier, Karel
title Carfilzomib: a novel treatment in relapsed and refractory multiple myeloma
title_short Carfilzomib: a novel treatment in relapsed and refractory multiple myeloma
title_full Carfilzomib: a novel treatment in relapsed and refractory multiple myeloma
title_fullStr Carfilzomib: a novel treatment in relapsed and refractory multiple myeloma
title_full_unstemmed Carfilzomib: a novel treatment in relapsed and refractory multiple myeloma
title_sort carfilzomib: a novel treatment in relapsed and refractory multiple myeloma
description Carfilzomib is a second-generation proteasome inhibitor with well-documented clinical activity as a single agent in patients with relapsed/refractory multiple myeloma. Carfilzomib can partially overcome resistance in bortezomib-refractory patients and has significant efficacy in bortezomib-naïve patients. Responses generally occur rapidly and are durable in the majority of cases. Carfilzomib can be safely administered in patients with renal failure and adverse cytogenetics do not seem to interfere with its activity. Moreover, carfilzomib has the advantage of a favorable safety profile, especially a low incidence of peripheral neuropathy, which is often the dose-limiting factor in thalidomide and bortezomib-based regimens. The most frequently observed high-grade adverse event is cytopenia. However, long-term tolerability is good with no cumulative toxicity. The place of carfilzomib in the treatment of the advanced and the newly diagnosed myeloma patient is currently under examination in several ongoing phase 3 clinical trials.
publisher Dove Medical Press
publishDate 2012
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3463411/
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