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Velcade


Bortezomib (marketed as Velcade™ by Millenium Pharmaceuticals) is a "first-in-class" proteasome inhibitor. It is the best studied of a next generation of anti-myeloma drugs, and is also a potential treatment for plasma cell leukemia. more...

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Bortezomib works by blocking the action of 26S proteasome, which is a multicatalytic enzyme whose function is to degrade abnormal or misfolded proteins targeted for destruction. There is emerging evidence that 26S proteasome plays a role in myeloma and lymphoma.

The Multiple Myeloma Research Foundation was responsible for a substantial amount of the funding for the development and testing of this drug.

Side effects

Bortezomib is associated with peripheral neuropathy in 30% of patients; occasionally, it can be painful. This can be worse in patients with pre-existing neuropathy. In addition, myelosuppression as neutropenia and thrombocytopenia can also occur and be dose limiting.

Links

  • Millenium Pharmaceuticals website on Velcade™
  • International Myeloma Foundation article on Velcade™
  • US Food and Drugs Administration on Velcade™
  • Dedicated website for European audience

Read more at Wikipedia.org


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Taking on a lethal blood cancer
From Science News, 1/1/05 by Nathan Seppa

Non-Hodgkin's lymphoma is mainly a malignancy of antibody-making immune cells called B lymphocytes. While drugs have helped many patients fend off some forms of this cancer, an aggressive form known as mantle-cell lymphoma often recurs after chemotherapy. This lymphoma arises from B cells that form a mantle around the inner core of lymph nodes.

Researchers now report that a drug called bortezomib, already approved for use against the bone marrow cancer multiple myeloma, helped patients with mantle-cell lymphoma who had failed to improve on three previous treatment regimens. Of 26 patients receiving infusions of bortezomib, 14 had a complete remission that, in some, lasted more than a year, says Owen A. O'Connor of Memorial Sloan Kettering Cancer Center in New York. Nine others saw their disease stabilize during the months following treatment, and the cancer progressed in three people.

Bortezomib is called Velcade by its maker Millennium Pharmaceuticals of Cambridge, Mass.

COPYRIGHT 2005 Science Service, Inc.
COPYRIGHT 2005 Gale Group

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