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DRUG CLASS:

Proteasome inhibitor

2d
Discovery of potent hypoxia-inducible factor-1α (HIF-1α) degraders by proteolysis targeting chimera (PROTAC). (PubMed, Bioorg Chem)
Additionally, this degradation was inhibited by the proteasome inhibitor MG132. As a part of the ongoing effort to develop HIF-1 inhibitors, targeting the degradation of HIF-1α may offer an effective treatment strategy against solid tumors.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit)
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HIF1A overexpression • HIF1A expression
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MG132
3d
Overexpression of Pin1 regulated by TOP2A, which subsequently stabilizes Pyk2 to promote bortezomib resistance in multiple myeloma. (PubMed, Cancer Gene Ther)
Moreover, Pin1 inhibition combined with Pyk2 inhibition decreases myeloma burden both in vitro and in vivo. Altogether, our findings reveal the tumor-promoting role of Pin1 in MM and provide evidence that targeting Pin1 could be a therapeutic strategy for MM.
Journal
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TOP2A (DNA topoisomerase 2-alpha) • PIN1 (Peptidylprolyl Cis/Trans Isomerase, NIMA-Interacting 1)
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bortezomib
3d
Rac1 GTPase Regulates the βTrCP-Mediated Proteolysis of YAP Independently of the LATS1/2 Kinases. (PubMed, Cancers (Basel))
In PC cells, the inhibition of Rac1 leads to a time-dependent decline in YAP protein, which could be blocked by proteosome inhibitor MG132... These results reveal Rac1 as an oncogenic KRAS effector that contributes to YAP stabilization in PC cells. They also show that this regulation of YAP by Rac1 requires the SCFβTrCP ligase but occurs independently of the LATS1/2 kinases.
Journal
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KRAS (KRAS proto-oncogene GTPase) • RAC1 (Rac Family Small GTPase 1) • LATS1 (Large Tumor Suppressor Kinase 1)
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KRAS mutation
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MG132
3d
Discovery of Novel SIRT3 Inhibitors for the Cancer Differentiation Therapy by Structural Modification. (PubMed, Drug Dev Res)
Additionally, molecule A7 reversed growth factor IL-6 induced MM cell proliferation, improved the antiproliferative activity of Ixazomib and increased the apoptotic rate of MM cells treated with Ixazomib. Collectively, potent SIRT3 inhibitors with MM cell differentiation potency were developed for the cancer therapy used alone or in combination.
Journal
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IL6 (Interleukin 6) • SIRT3 (Sirtuin 3) • ITGA5 (Integrin Subunit Alpha 5)
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Ninlaro (ixazomib)
3d
FDA-approved disulfiram induces ferroptosis via alteration of redox balance and lipid peroxidation and overcomes carfilzomib resistance in multiple myeloma. (PubMed, Leuk Lymphoma)
DSF alone overcomes CFZ resistance through lipid peroxidation elevation and acts synergistically with CFZ in CFZ-resistant MM cell lines. Our results suggest that DSF is a promising anti-myeloma agent for overcoming CFZ resistance in MM through ferroptosisinduction.
FDA event • Journal
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GPX4 (Glutathione Peroxidase 4)
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carfilzomib
3d
SOX17 expression in ovarian clear cell carcinoma. (PubMed, J Ovarian Res)
Polyubiquitinated bands of SOX17 were observed in MG132 treated OVTOKO, but not in OVISE or RMG-V OCCC cells...These findings indicate that SOX17 is not uniformly and heterogeneously expressed in OCCCs, independent of ARID1A deficiency. Impaired ubiquitin-mediated proteasome degradation may stabilize SOX17 in some OCCC cells.
Journal
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ARID1A (AT-rich interaction domain 1A) • SOX17 (SRY-Box Transcription Factor 17)
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ARID1A mutation
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MG132
5d
Trial completion date
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CD20 (Membrane Spanning 4-Domains A1) • CD8 (cluster of differentiation 8) • CD22 (CD22 Molecule) • CD34 (CD34 molecule) • CD5 (CD5 Molecule) • CD7 (CD7 Molecule) • CD2 (CD2 Molecule) • MPO (Myeloperoxidase)
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CD22 expression
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cytarabine • bortezomib • doxorubicin hydrochloride • cyclophosphamide • ifosfamide • etoposide IV • methotrexate • vincristine • daunorubicin • leucovorin calcium • Oncaspar liquid (pegaspargase) • mercaptopurine • thioguanine • Hemady (dexamethasone tablets) • Starasid (cytarabine ocfosfate)
6d
New trial
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bortezomib • carfilzomib
11d
DDX5-Targeting Fragile X Mental Retardation Protein Regulates the Wnt/β-catenin Signaling Pathway to Promote Epithelial Mesenchymal Transition in Breast Cancer (PubMed, Sichuan Da Xue Xue Bao Yi Xue Ban)
The regulatory effect of FMRP on DDX5 protein expression was assessed using the protein synthesis inhibitor cycloheximide (CHX) and proteasome inhibitor MG132...On the other hand, the expression of these proteins was reversed by combined FMRP overexpression (P<0.05). FMRP targets DDX5 and promotes BC cell migration and EMT via the activation of the Wnt/β-catenin signaling pathway.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • CDH1 (Cadherin 1) • VIM (Vimentin) • CDH2 (Cadherin 2) • DDX5 (DEAD-Box Helicase 5) • SNAI2 (Snail Family Transcriptional Repressor 2) • ZEB1 (Zinc Finger E-box Binding Homeobox 1)
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MYC expression • CDH1 expression • VIM expression • ZEB1 expression
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MG132
12d
Thrombocytopenia With High C-reactive Protein in Myeloma Patients Treated With Proteasome Inhibitor and/or Immunomodulatory Drugs. (PubMed, Cancer Diagn Progn)
Thrombocytopenia was associated with the activity of NDMM and predicted prognosis in NDMM. When combined with high CRP levels, thrombocytopenia serves as a new indicator of poor prognosis in these patients.
Journal • Immunomodulating
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CRP (C-reactive protein)
12d
Survival Outcomes of Patients with Primary Plasma Cell Leukemia in the Era of Proteasome Inhibitors and Immunomodulatory Agents: A Real-Life Multicenter Analysis. (PubMed, Turk J Haematol)
In our study, as in previous similar studies, we could not see the increased survival trend in pPCL which is observed in MM. New studies are needed for pPCL patients, which is likely to increase with the new diagnostic criteria, based on current agents and information in MM.
Journal • Immunomodulating
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B2M (Beta-2-microglobulin)
12d
Increased Expression of the Sialyltransferase Gene ST3GAL1 Predicts Lack of Sustained MRD Negativity and Increased Risk of Progression in Newly Diagnosed, Transplant Eligible Multiple Myeloma Patients in the Maintenance/Observation Phase of Cassiopeia Study (ASH 2024)
We recently reported that increased expression of ST3GAL1 was associated with inferior PFS in patients with autologous stem-cell transplant (ASCT)-eligible newly diagnosed MM patients treated with bortezomib, thalidomide, and dexamethasone (VTd) +/- Dara as induction and consolidation within the CASSIOPEIA study. Within part 2 of CASSIOPEIA, increased expression of ST3GAL1 is significantly associated with inferior PFS and predicts lack of sustained MRD and disease progression in patients MRD negative (10-5) prior to the onset of maintenance therapy or observation. Our preliminary data suggest that desialylation strategies, currently in clinical development, could help achieve deep and durable remissions in MM patients receiving current Dara based quadruplet treatment approaches.
Clinical • PD(L)-1 Biomarker • IO biomarker • Minimal residual disease
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PD-L1 (Programmed death ligand 1) • SDC1 (Syndecan 1)
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CD38 positive
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clonoSEQ
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bortezomib • dexamethasone • thalidomide
18d
Correlation between Bone Marrow Microvascular Density, Angiogenesis Factors and Bortezomib Resistance in Multiple Myeloma (PubMed, Zhongguo Shi Yan Xue Ye Xue Za Zhi)
The prediction model based on bone marrow MVD and vasogenesis factors (VEGF, HGF, bFGF) in MM patients has higher clinical evaluation performance and predictive value.
Retrospective data • Journal
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TNFA (Tumor Necrosis Factor-Alpha)
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bortezomib
18d
Efficacy and Safety of Ixazomib Combined with Thalidomide and Dexamethasone in Treatment of Multiple Myeloma (PubMed, Zhongguo Shi Yan Xue Ye Xue Za Zhi)
Ixazomib combined with thalidomide and dexamethasone is effective in the treatment of MM, with good short-term efficacy, survival and safety. However, its long-term efficacy needs further observation.
Retrospective data • Journal
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B2M (Beta-2-microglobulin)
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Ninlaro (ixazomib) • dexamethasone • thalidomide
20d
MiR-34c-5p Inhibition Affects Bax/Bcl2 Expression and Reverses Bortezomib Resistance in Multiple Myeloma Cells. (PubMed, Indian J Hematol Blood Transfus)
Our findings demonstrate miR-34c-5p is differentially expressed between bortezomib-sensitive and -resistant MM cells. Inhibiting miR-34c-5p re-sensitized resistant cells to bortezomib by modulating Bax/Bcl-2 expression, suggesting this miRNA regulates apoptosis and drug resistance and may be a promising therapeutic target for overcoming proteasome inhibitor resistance in MM.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • BAX (BCL2-associated X protein) • XBP1 (X-box-binding protein 1) • MIR214 (MicroRNA 214) • MIR30C
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BCL2 overexpression • BCL2 expression • BAX expression
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bortezomib
20d
The carcinogenesis of esophageal squamous cell cancer is positively regulated by USP13 through WISP1 deubiquitination. (PubMed, Biofactors)
ESCC cell lines (KYSE150 and TE10) were treated with the proteasome inhibitor MG-132, followed by siRNA screening of deubiquitinases (DUBs) to identify regulators of WISP1...Furthermore, knockdown of USP13 or WISP1 impaired the activation of the Wnt/CTNNB1 signaling pathway and reduced immune checkpoint marker expression, indicating a mechanism by which USP13 promotes immune evasion in ESCC. USP13 stabilizes WISP1 through deubiquitination, enhancing ESCC progression by activating the Wnt/CTNNB1 pathway and promoting immune evasion, making USP13 a potential therapeutic target in ESCC.
Journal
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CTNNB1 (Catenin (cadherin-associated protein), beta 1) • USP13 (Ubiquitin Specific Peptidase 13)
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MG132
21d
Bortezomib with Gemcitabine/Doxorubicin in Patients with Urothelial Cancer and Other Solid Tumors (clinicaltrials.gov)
P1, N=80, Active, not recruiting, M.D. Anderson Cancer Center | Trial completion date: Sep 2024 --> Sep 2026 | Trial primary completion date: Sep 2024 --> Sep 2026
Trial completion date • Trial primary completion date
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gemcitabine • bortezomib • doxorubicin hydrochloride
26d
Trial completion • Immunomodulating
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Blenrep (belantamab mafodotin-blmf)
27d
Yes-associated protein indispensably mediates hirsutine-induced inhibition on cell growth and Wnt/β-catenin signaling in colorectal cancer. (PubMed, Phytomedicine)
HT exhibits anticancer activity against CRC probably by inhibiting Wnt/β-catenin signaling, with YAP playing an indispensible role during the process, highlighting HT as a potential novel candidate drug for CRC therapy.
Journal • PARP Biomarker
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • CCND1 (Cyclin D1) • AXIN1 (Axin 1)
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MG132
28d
Bioinformatics study of bortezomib resistance-related proteins and signaling pathways in mantle cell lymphoma. (PubMed, Transl Cancer Res)
Identifying the key gene MDK and its associated signaling pathways extends our understanding of the molecular processes that underlie resistance to BTZ in MCL. This discovery establishes a theoretical framework for future investigations of targeted therapy in clinical settings.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • TNFAIP3 (TNF Alpha Induced Protein 3) • IL17A (Interleukin 17A) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • CDKN1C (Cyclin Dependent Kinase Inhibitor 1C) • MDK (Midkine)
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bortezomib
1m
Bortezomib in cancer therapy: Mechanisms, side effects, and future proteasome inhibitors. (PubMed, Life Sci)
Therefore, a better understanding of its precise mechanism of action may help mitigate these side effects. In this review, we have discussed the proposed mechanisms of action and off target effects of Bortezomib, along with the prospects of next generation potential proteasome inhibitor drugs in the treatment of cancer.
Review • Journal • Adverse events
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BCL2 (B-cell CLL/lymphoma 2)
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bortezomib
1m
Journal
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ICAM1 (Intercellular adhesion molecule 1) • NEAT1 (Nuclear Paraspeckle Assembly Transcript 1) • ADAM8 (ADAM Metallopeptidase Domain 8) • MIR181A1 (MicroRNA 181a-1)
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bortezomib
1m
KS18, a Mcl-1 inhibitor, improves the effectiveness of bortezomib and overcomes resistance in refractory multiple myeloma by triggering intrinsic apoptosis. (PubMed, Front Pharmacol)
Significantly, KS18 triggered caspase-dependent apoptosis in MM patient samples and bortezomib-resistant cells, synergizing with venetoclax to boost apoptosis. Furthermore, the study shows the tremendous impact of KS18 in inhibiting colony formation in bortezomib-resistant cells and demonstrates significant tumor shrinkage in KS18-treated NSG mice without notable toxicity signs after 4 weeks of therapy with a single acceptable dose each week, indicating its powerful anti-neoplastic and anti-resistance characteristics. This study strongly implies that KS18 may treat MM and provide new hope to patients who are experiencing recurrence or resistance.
Journal
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STAT3 (Signal Transducer And Activator Of Transcription 3)
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Venclexta (venetoclax) • bortezomib
1m
High Dose Carfilzomib for Newly Diagnosed Myeloma (clinicaltrials.gov)
P1/2, N=37, Completed, Memorial Sloan Kettering Cancer Center | Active, not recruiting --> Completed
Trial completion
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lenalidomide • carfilzomib • dexamethasone
1m
Establishment and Characterization of a Novel Pleuropulmonary Blastoma Cell Line. (PubMed, Genes Chromosomes Cancer)
Our KCMC-PPB-1 is the first genuine, molecularly characterized PPB cell line. The cell line is transplantable to nu/nu mice; therefore, it is suitable for a preclinical model for new drug development. The cytotoxicity assay demonstrated that bortezomib is active in the current PPB model.
Preclinical • Journal
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TP53 (Tumor protein P53) • DICER1 (Dicer 1 Ribonuclease III)
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TP53 mutation
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bortezomib
1m
Autologous stem cell transplantation can potentially reverse dialysis dependence in patients with myeloma: Report of two cases and practical considerations. (PubMed, Natl Med J India)
Methods Patients diagnosed with myeloma and concomitant dialysis-dependent renal dysfunction were admitted for ASCT after achieving at least partial response with bortezomib-based induction therapy. For both patients, mobilization consisted of granulocyte colony stimulating factor for 5 days and CD34 directed Plerixafor on Day 1...Use of reduced dose melphalan, pre-emptive dialysis after 24 hours and monitoring for acidosis and symptoms of uraemia to identify acidosis at an early stage allows safe administration of high dose chemotherapy. A major proportion of patients can potentially achieve reduction or freedom from dialysis support post-transplant.
Journal
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CD34 (CD34 molecule)
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bortezomib • melphalan • plerixafor
1m
Study of Weekly Carfilzomib, Cyclophosphamide and Dexamethasone In Newly Diagnosed Multiple Myeloma Patients (wCCyd) (clinicaltrials.gov)
P1/2, N=63, Completed, European Myeloma Network B.V. | Active, not recruiting --> Completed
Trial completion
|
cyclophosphamide • carfilzomib
1m
Enrollment open
|
lenalidomide • dexamethasone • pomalidomide • Elrexfio (elranatamab-bcmm) • Darzalex Faspro (daratumumab and hyaluronidase-fihj)
1m
New P2 trial
1m
Palmitic acid inhibits macrophage-mediated chemotherapy resistance in multiple myeloma via ALOX12 signaling. (PubMed, Int Immunopharmacol)
Moreover, treatment with AA but not 12-HETE partially abrogated the inhibitory effect of palmitic acid on MΦ-mediated MM cell survival in response to bortezomib or melphalan. Overall, we identified palmitic acid as a factor that inhibits MΦ-mediated resistance to bortezomib and melphalan in MM, which may have clinical significance.
Journal
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FAS (Fas cell surface death receptor) • FASN (Fatty acid synthase) • ALOX12 (Arachidonate 12-Lipoxygenase, 12S Type)
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bortezomib • melphalan
1m
Use of ACU-D1 in HPV Associated Vulvar and Perianal Lesions in People with HIV (clinicaltrials.gov)
P1, N=9, Not yet recruiting, Emory University | Initiation date: Aug 2024 --> Dec 2024
Trial initiation date
1m
NF-кB promotes aggresome formation via upregulating HDAC6 and in turn maintaining Vimentin cage. (PubMed, Am J Physiol Cell Physiol)
Remarkably, chemical inactivation of NF-кB synergized MG132-induced cell mortality. All the findings suggest that NF-кB dictates aggresome assembly via upregulating HDAC6, and NF-кB inhibitor may serve as a potential drug potentiating proteasome inhibitor medicine-induced cytotoxicity during the treatment of cancer cells.
Journal
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VIM (Vimentin) • HDAC6 (Histone Deacetylase 6)
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MG132
2ms
Regulatory mechanism of TRIM21 in sepsis-induced acute lung injury by promoting IRF1 ubiquitination. (PubMed, Clin Exp Pharmacol Physiol)
The mice were infected with lentivirus and treated with proteasome inhibitor MG132...Overexpression of IRF1 or silencing TREM2 reversed the improvement of TRIM21 overexpression on lung injury in mice. In conclusion, TRIM21 reduced IRF1 expression by ubiquitination to improve TREM2 expression and ameliorate sepsis-induced ALI.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • IL10 (Interleukin 10) • IRF1 (Interferon Regulatory Factor 1) • TREM2 (Triggering Receptor Expressed On Myeloid Cells 2) • TRIM21 (Tripartite Motif Containing 21)
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IRF1 expression
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MG132
2ms
MG132-mediated Suppression of the Ubiquitin-proteasome Pathway Enhances the Sensitivity of Endometrial Cancer Cells to Cisplatin. (PubMed, Anticancer Agents Med Chem)
MG132 enhances the therapeutic efficacy of cisplatin in human EC cells by suppressing the ubiquitin- proteasome pathway, reducing cell viability, enhancing apoptosis, and shifting the inflammatory response. These findings highlighted the potential of MG132 as an adjuvant in endometrial cancer chemotherapy. Further research is needed to explore detailed mechanisms and clinical applications of this combination therapy.
Journal
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IL6 (Interleukin 6) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • CASP3 (Caspase 3) • IL13 (Interleukin 13) • IL1B (Interleukin 1, beta)
|
cisplatin • MG132
2ms
Two Schemes Response in Multiple Myeloma (clinicaltrials.gov)
P=N/A, N=83, Recruiting, Hospital General de Mexico | Trial completion date: Mar 2024 --> Oct 2024
Trial completion date
|
bortezomib • dexamethasone • thalidomide
2ms
Daratumumab-bortezomib-dexamethasone (Dara-VCd) vs Bortezomib-Thalidomide-Dexamethasone (VTd), Then Maintenance With Ixazomib (IXA) or IXA-Dara (clinicaltrials.gov)
P2, N=401, Active, not recruiting, Stichting European Myeloma Network | Trial completion date: Feb 2025 --> Feb 2026 | Trial primary completion date: May 2024 --> Jun 2025
Trial completion date • Trial primary completion date
|
IGH (Immunoglobulin Heavy Locus)
|
bortezomib • cyclophosphamide • Ninlaro (ixazomib) • Darzalex (daratumumab) • thalidomide • melphalan
2ms
Trial completion date
|
lenalidomide • Ninlaro (ixazomib)
2ms
Phase classification • Combination therapy
|
dexamethasone • pomalidomide • oprozomib (ONX 0912)
2ms
A Study of NINLARO® in Chinese Adults With Multiple Myeloma (clinicaltrials.gov)
P=N/A, N=160, Recruiting, Takeda | N=320 --> 160 | Trial completion date: Oct 2025 --> Jun 2027 | Trial primary completion date: Oct 2025 --> Jun 2027
Enrollment change • Trial completion date • Trial primary completion date • Real-world evidence • Real-world
|
bortezomib • Ninlaro (ixazomib) • carfilzomib
2ms
A novel hydrophobic tag leads to the efficient degradation of programmed death-ligand 1. (PubMed, RSC Med Chem)
Meanwhile, the reduction of PD-L1 protein levels by Z2d/Z3d was counteracted by MG132, which indicated that Z2d/Z3d degraded PD-L1 through the proteasome pathway. Moreover, the molecular modeling results indicated that the HyT group of Z2d or Z3d extended the surface of the protein to mimic the misfold. Importantly, our work also identified a novel HyT, which could be applied to develop the HyTTD for other target proteins.
Journal • PD(L)-1 Biomarker • IO biomarker
|
PD-L1 (Programmed death ligand 1)
|
PD-L1 expression
|
MG132
2ms
Pilot Study Dara-CyBorD in Newly Diagnosed Multiple Myeloma Patients with Renal Failure (clinicaltrials.gov)
P1, N=30, Not yet recruiting, Augusta University | Initiation date: Jan 2024 --> Oct 2024
Trial initiation date
|
bortezomib • cyclophosphamide • Darzalex Faspro (daratumumab and hyaluronidase-fihj)
2ms
Distinct pathway activities are associated with prognosis and response to bortezomib-containing treatment in MCL1-M based molecular subtypes of multiple myeloma. (PubMed, Ann Hematol)
Further, bortezomib-mediated killing of MM cells could be enhanced or inhibited by in vitro manipulation of UPR activities in representative cell lines. In conclusion, MCL1-M based molecular subtypes of MM are characterized by distinct signaling activities from both malignant cells and bone marrow microenvironment, which may drive distinct prognosis and treatment responses.
Journal
|
MCL1 (Myeloid cell leukemia 1)
|
MCL1 expression
|
bortezomib