Carfilzomib

Multiple Myeloma, Therapeutic procedure

Treatment

1 FDA approval

17 Active Studies for Carfilzomib

What is Carfilzomib

Carfilzomib

The Generic name of this drug

Treatment Summary

Carfilzomib is an intravenous medication used to treat relapsed or refractory multiple myeloma in adults. It is a modified peptide and an analog of epoxomicin, and works by inhibiting the action of proteasomes. The FDA approved carfilzomib in 2012.

Kyprolis

is the brand name

image of different drug pills on a surface

Carfilzomib Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Kyprolis

Carfilzomib

2012

3

Approved as Treatment by the FDA

Carfilzomib, also known as Kyprolis, is approved by the FDA for 1 uses like Multiple Myeloma .

Multiple Myeloma

Used to treat Relapsed Or Refractory Multiple Myeloma in combination with Dexamethasone

Effectiveness

How Carfilzomib Affects Patients

Carfilzomib is an intravenous drug used to suppress proteasome activity in the blood. After the first dose of 15 or 20 mg/m2, proteasome inhibition was 79-89% and 82-83%, respectively. Additionally, the drug also inhibited certain subunits of the immunoproteasome, ranging from 26-32% and 41-49% at 20 mg/m2. These effects lasted for at least 48 hours after the first dose. Resistance to carfilzomib has been noted, potentially caused by increased P-glycoprotein levels. Studies indicate that carfilzomib

How Carfilzomib works in the body

Carfilzomib is made up of four modified peptides and works by blocking the proteasome, a cell component that breaks down proteins. It binds to three active sites within the proteasome, chymotrypsin, trypsin, and caspase-like sites. By blocking these sites, carfilzomib stops cancer cells from reproducing and eventually kills them. At higher doses, it also blocks the trypsin and caspase-like sites.

When to interrupt dosage

The quantity of Carfilzomib is dependent upon the declared state, which may include Refractory Multiple Myeloma, Waldenstrom Macroglobulinemia and Relapsed Or Refractory Multiple Myeloma. The measure of dosage is contingent upon the method of delivery (e.g. Injection, powder, lyophilized, for solution or Powder, for solution - Intravenous) specified in the ensuing table.

Condition

Dosage

Administration

Multiple Myeloma

6.0 mg/mL, , 3.0 mg/mL, 60.0 mg, 30.0 mg, 10.0 mg, 10.0 mg/mL

Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, , Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution - Intravenous, Injection, powder, for solution

Therapeutic procedure

6.0 mg/mL, , 3.0 mg/mL, 60.0 mg, 30.0 mg, 10.0 mg, 10.0 mg/mL

Intravenous, Injection, powder, lyophilized, for solution, Injection, powder, lyophilized, for solution - Intravenous, , Powder, for solution, Powder, for solution - Intravenous, Injection, powder, for solution - Intravenous, Injection, powder, for solution

Warnings

There are 20 known major drug interactions with Carfilzomib.

Common Carfilzomib Drug Interactions

Drug Name

Risk Level

Description

9-(N-methyl-L-isoleucine)-cyclosporin A

Major

The risk or severity of adverse effects can be increased when Carfilzomib is combined with 9-(N-methyl-L-isoleucine)-cyclosporin A.

Abemaciclib

Major

The serum concentration of Abemaciclib can be increased when it is combined with Carfilzomib.

Acteoside

Major

The risk or severity of adverse effects can be increased when Carfilzomib is combined with Acteoside.

Antilymphocyte immunoglobulin (horse)

Major

The risk or severity of adverse effects can be increased when Carfilzomib is combined with Antilymphocyte immunoglobulin (horse).

Axitinib

Major

The serum concentration of Axitinib can be increased when it is combined with Carfilzomib.

Carfilzomib Toxicity & Overdose Risk

Common side effects of this drug include tiredness, low red blood cell count, nausea, low platelet count, shortness of breath, diarrhea, and fever. The two adverse reactions that are most likely to occur at high doses are low platelet count and fever with a low white blood cell count. The maximum safe dose for this drug is 15 mg/m^2.

image of a doctor in a lab doing drug, clinical research

Carfilzomib Novel Uses: Which Conditions Have a Clinical Trial Featuring Carfilzomib?

49 active trials are ongoing to assess the potential of Carfilzomib in managing Refractory Multiple Myeloma, Waldenstrom Macroglobulinemia and other Therapeutic Procedures.

Condition

Clinical Trials

Trial Phases

Multiple Myeloma

16 Actively Recruiting

Phase 1, Phase 2

Therapeutic procedure

0 Actively Recruiting

Carfilzomib Reviews: What are patients saying about Carfilzomib?

5

Patient Review

12/9/2013

Carfilzomib for Multiple Myeloma

Carfilzomib was the only treatment that worked for me. I've been on it for two years and it's helped me achieve partial remission.
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Patient Q&A Section about carfilzomib

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is carfilzomib used for?

"This medication is used on its own to treat cancer that has come back (relapsed) or did not respond to previous treatment (refractory) multiple myeloma, a type of bone marrow cancer, in patients who have received one or more previous treatments."

Answered by AI

What class of drug is carfilzomib?

"Carfilzomib is a type of medication that inhibits proteasomes. It works by halting or slowing the growth of cancer cells in the body."

Answered by AI

What type of drug is carfilzomib?

"Carfilzomib is a cancer medicine that kills cancer cells by interfering with their growth."

Answered by AI

Is carfilzomib a monoclonal antibody?

"Background: Isatuximab and carfilzomib are both effective at treating relapsed and refractory multiple myeloma."

Answered by AI

Is carfilzomib a chemotherapy drug?

"Kyprolis is a chemotherapy drug that is used to treat multiple myeloma. Kyprolis is a second-generation proteasome inhibitor. Multiple myeloma is a type of blood cancer that affects plasma cells. Plasma cells are found in bone marrow."

Answered by AI

What is another name for carfilzomib?

"Kyprolis is a prescription medicine that is used to treat Multiple myeloma. Kyprolis can be used by itself or with other medications."

Answered by AI

Clinical Trials for Carfilzomib

Image of National Institutes of Health Clinical Center in Bethesda, United States.

Mirdametinib + Sirolimus for Multiple Myeloma

18 - 120
All Sexes
Bethesda, MD

Background: Multiple myeloma (MM) is a type of blood cancer that affects a person s immunity. MM returns after treatment (relapse) in almost all people; MM may also not respond to initial treatment (refractory). Many people with relapsed refractory MM (RRMM) also have changes in their KRAS and NRAS genes. Researchers want to try a new drug treatment that targets cancer with these changed genes. Objective: To test 2 drugs (mirdametinib and sirolimus) in people with RRMM. Eligibility: People aged 18 and older with RRMM who have changes in their KRAS or NRAS genes. Design: Participants will be screened. They will have blood tests and imaging scans. They will have an eye exam and a test of their heart function. They will need to provide proof of their disease status and of their KRAS or NRAS status. If neither is available, the tests will be repeated. Participants will have a bone marrow biopsy: A needle will be inserted into a hipbone to draw out some soft tissue. This study will be done in two parts. In the first part of this study, we will find a safe dose of mirdametinib combined with sirolimus. In the second part, we will learn more about how mirdametinib combined with sirolimus may work against RRMM. Mirdametinib (capsules) and sirolimus (tablets) are taken by mouth. Participants will take both drugs at home on a 4-week cycle. They will take mirdametinib twice a day for the first 3 weeks of each cycle. They will take sirolimus once a day, every day, during each cycle. Participants will have study visits once a week during the first cycle, and then on the first day of subsequent cycles. Blood, heart, imaging scans, and other tests will be repeated. Treatment with the study drugs will go on for 1 year. Then participants will have follow-up visits every 3 months for 4 more years.

Phase 1 & 2
Recruiting

National Institutes of Health Clinical Center

Elizabeth M Hill, M.D.

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Image of Johnston Hematology and Oncology of Clayton in Clayton, United States.

Belantamab Mafodotin for Multiple Myeloma

18+
All Sexes
Clayton, NC

This is a research study to find out if a drug called belantamab mafodotin in combination with dexamethasone, a steroid, can be safely and effectively given in the community setting. Belantamab mafodotin (BLENREP) was approved in the US in August 2020 under an FDA program called accelerated approval. In November 2022, belantamab mafodotin was removed from the market because a study to further confirm its activity in relapsed/refractory multiple myeloma did not deliver a supporting result. However, this confirmatory study demonstrated that some patients may still benefit from treatment with belantamab mafodotin, and that this benefit can be long lasting. Belantamab mafodotin is often given at large academic medical centers every 3 weeks. This study will assess whether it is possible to administer belantamab in the community setting every 6 weeks. It is unknown if administering belantamab every 6 weeks versus every 3 weeks will result in improved safety and/or reduced efficacy.

Phase 2
Waitlist Available

Johnston Hematology and Oncology of Clayton (+4 Sites)

Cristiana Costa Chase, DO

Have you considered Carfilzomib clinical trials?

We made a collection of clinical trials featuring Carfilzomib, we think they might fit your search criteria.
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Have you considered Carfilzomib clinical trials?

We made a collection of clinical trials featuring Carfilzomib, we think they might fit your search criteria.
Go to Trials