Velcade

Multiple Myeloma, Mantle Cell Lymphoma

Treatment

4 FDA approvals

20 Active Studies for Velcade

What is Velcade

Bortezomib

The Generic name of this drug

Treatment Summary

Bortezomib is a medication used to treat multiple myeloma and mantle cell lymphoma. It works by blocking a protein complex called the 26S proteasome, which stops cancer cells from growing. Bortezomib was first created in 1995 and was approved by the FDA in 2003 under the trade name VELCADE. Clinical trials are still ongoing to determine if bortezomib can be used to treat other conditions, including leukemia, myasthenia gravis, systemic lupus erythematosus, rheumatoid arthritis, and solid tumors.

Velcade

is the brand name

image of different drug pills on a surface

Velcade Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Velcade

Bortezomib

2003

29

Approved as Treatment by the FDA

Bortezomib, commonly known as Velcade, is approved by the FDA for 4 uses like Mantle Cell Lymphoma (MCL) and Multiple Myeloma (MM) .

Mantle Cell Lymphoma (MCL)

Multiple Myeloma (MM)

Mantle Cell Lymphoma

Multiple Myeloma

Effectiveness

How Velcade Affects Patients

Bortezomib is a drug that works by targeting the ubiquitin-proteasome pathway, which helps control the amount of proteins in cells and breaks down proteins that are not necessary. People with cancer often have malfunctioning ubiquitin-proteasome pathways, which leads to the formation of unhealthy cells. Bortezomib is used to stop the breakdown of proteins which helps to reduce the number of unhealthy cells. It has been shown to be effective in laboratory and animal studies and can cause up to 75% of proteasome activity to be blocked in the blood within one hour of taking it.

How Velcade works in the body

Bortezomib is a drug that stops proteins from being broken down by the proteasome. The proteasome is a group of proteins that work together to break down proteins in the body. Bortezomib blocks the proteasome from working, which stops proteins that promote cell growth from being broken down. This leads to cell cycle arrest, which stops cancer cells from growing. Bortezomib also has other effects on cancer cells, such as suppressing the NF-κB signalling pathway, which in turn stops anti-apoptotic proteins from being expressed, and encourages the expression of pro-apoptotic

When to interrupt dosage

The proposed dosage of Velcade is contingent upon the indicated condition. The measure of dosage fluctuates as per the approach of delivery featured in the table beneath.

Condition

Dosage

Administration

Multiple Myeloma

, 3.5 mg, 1.0 mg, 2.5 mg, 1.0 mg/mL, 3.0 mg

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

Mantle Cell Lymphoma

, 3.5 mg, 1.0 mg, 2.5 mg, 1.0 mg/mL, 3.0 mg

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

Warnings

Velcade Contraindications

Condition

Risk Level

Notes

intrathecal administration

Do Not Combine

Severe Hypersensitivity Reactions

Do Not Combine

Bortezomib may interact with Pulse Frequency

Severe Hypersensitivity Reactions

Do Not Combine

Bortezomib may interact with Pulse Frequency

Severe Hypersensitivity Reactions

Do Not Combine

Bortezomib may interact with Pulse Frequency

There are 20 known major drug interactions with Velcade.

Common Velcade Drug Interactions

Drug Name

Risk Level

Description

2-Methoxyethanol

Major

The risk or severity of adverse effects can be increased when Bortezomib is combined with 2-Methoxyethanol.

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

Major

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

Abetimus

Major

The risk or severity of adverse effects can be increased when Bortezomib is combined with Abetimus.

Acenocoumarol

Major

The metabolism of Acenocoumarol can be decreased when combined with Bortezomib.

Acteoside

Major

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

Velcade Toxicity & Overdose Risk

The most toxic dose of bortezomib in mice was 5 mg/kg when administered through a single injection and 1.6 mg/kg when administered through a continuous dose. If a person takes more than twice the recommended therapeutic dose of bortezomib, it can be fatal. Symptoms of an overdose include low blood pressure and low platelet count. There is no known antidote for bortezomib overdose, so medical attention should be sought immediately if an overdose is suspected. In monkey and dog studies, overdose caused increased heart rate, decreased heart contractility, low blood pressure, and even death when as little as

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

106 active clinical trials are being conducted to examine the effectiveness of Velcade in treating Mantle Cell Lymphoma.

Condition

Clinical Trials

Trial Phases

Multiple Myeloma

6 Actively Recruiting

Phase 1, Phase 2

Mantle Cell Lymphoma

73 Actively Recruiting

Phase 2, Phase 3, Not Applicable, Phase 1, Early Phase 1

Velcade Reviews: What are patients saying about Velcade?

5

Patient Review

7/1/2013

Velcade for Multiple Myeloma

I've been taking Velcade for two years now, and it has been incredibly effective. I haven't had many side effects, and my numbers are great. For me, the benefits outweigh the drawbacks. I'm very lucky to have little to no pain and not need any pain medication - not even Tylenol!

4.7

Patient Review

2/21/2010

Velcade for Multiple Myeloma

I was diagnosed with MM five years ago and, until recently, the only symptom I experienced was a blood clot. After six treatments with Velcade, my protein levels are now normal. However, I had to discontinue treatment due to excruciating neuropathy in my legs. Luckily, Lyrica completely knocked out the neuropathy.

4.7

Patient Review

4/14/2012

Velcade for Multiple Myeloma

I experienced some leg pain as a side effect, but other than that this treatment seems to be working very well.

4.7

Patient Review

1/16/2010

Velcade for Multiple Myeloma

I was able to go into remission after only four rounds of injections, though I did experience some difficult side effects like neuropothy, vomiting and diarrhea.

4.3

Patient Review

1/11/2010

Velcade for Mantle Cell Lymphoma

I'm a 62 year old male and this drug worked well with the cancer, but the pain and swelling in my feet and legs has left me somewhat disabled.

4

Patient Review

5/2/2011

Velcade for Multiple Myeloma

I've experienced a lot of muscle loss and tingling in my feet. I also have very little energy, which makes walking difficult.

3.7

Patient Review

1/24/2011

Velcade for Multiple Myeloma

The patient's heart rate increased and they felt very tired.

3

Patient Review

10/8/2009

Velcade for Multiple Myeloma

I've been in constant pain that hasn't let up, no matter what I do. My legs have swollen to the point where I can't even get shoes on, and I can barely stand or walk a short distance. Elevating my legs, using hot tubs or rubs.. nothing seems to be working. I've tried morphine, oxycodone, and oxycotin but none of them are effective.

3

Patient Review

6/22/2012

Velcade for Multiple Myeloma

Even though I'm in remission, the neuropathy in my feet from the Velcade makes me second-guess if a transplant was the right route. Additionally, it's now damaged the nerves in my stomach so that I can't digest food correctly. Please be honest with your doctor about any and all pain you're experiencing.

3

Patient Review

9/6/2010

Velcade for Multiple Myeloma

My legs and feet have been driving me crazy.

2

Patient Review

2/1/2012

Velcade for Multiple Myeloma

My mother, 72 years old, took this treatment for a few months intravenously while also receiving dexamethasone. She chose not to go with stem cell therapy. This brought her kidney functions back and light chain numbers down to the 40's, but her doctor recommended a different course of treatment because the numbers were still too high. We did a trial at Stanford and then she went on revlimid. The numbers are now back up in the 60's so we are considering adding velcade at a lower dose and not intravenously. The neuropathy was so bad with the IV that she couldn't walk and it took over six

1

Patient Review

5/11/2010

Velcade for Mantle Cell Lymphoma

My mantle cell progressed rapidly after just three months of velcade treatment.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about velcade

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

Is VELCADE immunotherapy or chemotherapy?

"VELCADE is a targeted therapy that belongs to a class of medicines called proteasome inhibitors. It is approved by the FDA for the treatment of multiple myeloma and mantle cell lymphoma. VELCADE has been studied in many important clinical trials."

Answered by AI

What does the drug VELCADE do?

"VELCADE is a cancer medication that interferes with the growth and spread of cancer cells in the body.

VELCADE is a prescription medication used to treat adults with multiple myeloma or mantle cell lymphoma. The medication works by interfering with the growth and spread of cancer cells in the body."

Answered by AI

What does Velcade do for multiple myeloma?

"This medication is used to treat certain types of cancer by slowing or stopping the growth of cancer cells."

Answered by AI

What does the drug Velcade do?

"VELCADE is a prescription medicine used to treat adults with multiple myeloma and mantle cell lymphoma."

Answered by AI

What are the side effects of the drug VELCADE?

"Fatigue is a common symptom of many diseases and conditions, including some blood disorders. Peripheral neuropathy, a disorder of the nerves outside of the brain and spinal cord, can also cause fatigue. Low blood pressure (hypotension) is another possible cause of fatigue. Heart problems, lung disorders, and liver disease can also cause fatigue. Some blood disorders, such as thrombotic microangiopathy (TMA) and posterior reversible encephalopathy syndrome (PRES), can also cause fatigue."

Answered by AI

How long is VELCADE treatment for multiple myeloma?

"This medication is taken for nine 6-week cycles."

Answered by AI

Is Velcade immunotherapy or chemotherapy?

"Bortezomib is a targeted therapy that belongs to a class of proteasome inhibitors. VELCADE is approved for the treatment of multiple myeloma and mantle cell lymphoma. VELCADE has been evaluated in various clinical trials."

Answered by AI

What are the side effects of the drug Velcade?

"Fatigue, Peripheral neuropathy, Low blood pressure (hypotension), Heart problems, Lung disorders or problems, Liver disease or problems, Hematologic disease (Thrombotic Microangiopathy, TMA), Posterior reversible encephalopathy syndrome (PRES)"

Answered by AI

Clinical Trials for Velcade

Image of Mayo Clinic in Florida in Jacksonville, United States.

In-Home Treatment for Cancer

18+
All Sexes
Jacksonville, FL

This phase II trial studies whether providing cancer treatment in the home is preferred over the traditional clinic setting and if it improves treatment satisfaction in cancer patients living in the Florida Panhandle and surrounding areas. Typically, drug-related cancer care is provided at a medical center which causes patients to have to spend considerable time away from their family, friends, and familiar surroundings. This may add to the physical, emotional, social, and financial burden for patients and their families during this difficult time in their lives. The Cancer Connected Access and Remote Expertise (CARE) Beyond Walls (CCBW) program uses a specialized care team trained to provide cancer treatment in the patient's home setting. It is designed to support remote connection between the home health team and providers and Mayo clinic. This may be preferred over the traditional clinic setting which may improve treatment satisfaction in cancer patients living in the Florida Panhandle and surrounding areas.

Phase 2
Recruiting

Mayo Clinic in Florida

Roxana S. Dronca, MD

Image of Case Comprehensive Cancer Center, University Hospitals Seidman Cancer Center in Cleveland, United States.

Rituximab + Tafasitamab + NK Cells for Non-Hodgkin's Lymphoma

18+
All Sexes
Cleveland, OH

This research study is for people who have relapsed or refractory B-cell non-Hodgkin's lymphoma (NHL) that has not responded to two or more lines of therapy. The purpose of this study is to identify the recommended dose of allogeneic NK cells in combination with IL-2, Tafasitamab and Rituximab for the treatment of relapsed or refractory B-cell non-Hodgkin's lymphoma. NK cells are an investigational (experimental) treatment which means they are not approved by the Food and Drug Administration (FDA). NK cells are a type of lymphocyte that's part of the body's natural immune system, and they can kill cancer cells by creating pores in the cancer cell membranes and inducing apoptosis (programmed cell death). Participants in this study will receive lymphodepleting chemotherapy, as well as Allogeneic NK cells, Tafasitamab and Interleukin-2 (IL-2) by an intravenous (IV) infusion. Participants are expected to complete one cycle, and they may be eligible to complete a second cycle of the same regiment if they have stable disease, partial or complete remission at the end of the first cycle. Participants will be in this study for about 12 months.

Phase 1
Waitlist Available

Case Comprehensive Cancer Center, University Hospitals Seidman Cancer Center (+1 Sites)

Paolo Caimi, MD

Incyte Corporation

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Nemtabrutinib + Rituximab for Mantle Cell Lymphoma

18+
All Sexes
Duarte, CA

This phase II trial tests how well nemtabrutinib works with rituximab for the treatment of patients with mantle cell lymphoma. Nemtabrutinib is in a class of medications called kinase inhibitors. It blocks a protein called BTK, which is present on B-cell (a type of white blood cells) cancers such as mantel cell lymphoma at abnormal levels. This may help keep cancer cells from growing and spreading. Rituximab is a monoclonal antibody. It binds to a protein called CD20, which is found on B cells (a type of white blood cell) and some types of cancer cells. This may help the immune system kill cancer cells. Giving nemtabrutinib with rituximab may kill more cancer cells in patients with mantle cell lymphoma.

Phase 2
Recruiting

City of Hope Medical Center (+1 Sites)

Alexey V Danilov

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Glofitamab + Ibrutinib + Obinutuzumab for Mantle Cell Lymphoma

18+
All Sexes
Portland, OR

This phase IB/II trial tests the safety, side effects and effectiveness of glofitamab plus ibrutinib with obinutuzumab for the treatment of patients with mantle cell lymphoma (MCL). Glofitamab is in a class of medications called bispecific monoclonal antibodies. It works by killing cancer cells. A monoclonal antibody is a type of protein that can bind to certain targets in the body, such as molecules that cause the body to make an immune response (antigens). In the body, glofitamab binds to a receptor called CD3 on T-cells (a type of immune cells) and a receptor called CD20 on B-cells, a receptor that is often over-expressed on the surface of cancerous B-cells. When glofitamab binds to CD3 and CD20 receptors, it causes an immune response against the CD20-expressing cancerous B-cells. Ibrutinib is in a class of medications called kinase inhibitors. It works by blocking the action of the abnormal protein that signals cancer cells to multiply. This helps stop the spread of cancer cells. Obinutuzumab is a monoclonal antibody that may interfere with the ability of cancer cells to grow and spread. Glofitamab plus ibrutinib with obinutuzumab may be safe tolerable and/or effective in treating patients with MCL.

Phase 1 & 2
Waitlist Available

OHSU Knight Cancer Institute

Stephen E Spurgeon

Genentech, Inc.

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