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Clinical Pharmacokinetics and Pharmacodynamics of Bortezomib | Clinical Pharmacokinetics
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Proteasome inhibitors disrupt multiple pathways in cells and the bone marrow microenvironment, resulting in apoptosis and inhibition of cell-cycle progression, angiogenesis, and proliferation. Bortezomib is a first-in-class proteasome inhibitor approved for the treatment of multiple myeloma and mantle cell lymphoma after one prior therapy. It is also effective in other plasma cell disorders and non-Hodgkin lymphomas. The main mechanism of action of bortezomib is to inhibit the chymotrypsin-like site of the 20S proteolytic core within the 26S proteasome, thereby inducing cell-cycle arrest and apoptosis. The pharmacokinetic profile of intravenous bortezomib is characterized by a two-compartment model with a rapid initial distribution phase followed by a longer elimination phase and a large volume of distribution. Bortezomib is available for subcutaneous and intravenous administration. Pharmacokinetic studies comparing subcutaneous and intravenous bortezomib demonstrated that systemic exposure was equivalent for both routes; pharmacodynamic parameters of 20S proteasome inhibition were also similar. Renal impairment does not influence the intrinsic pharmacokinetics of bortezomib. However, moderate or severe hepatic impairment causes an increase in plasma concentrations of bortezomib. Therefore, patients with moderate or severe hepatic impairment should start at a reduced dose. Because bortezomib undergoes extensive metabolism by hepatic cytochrome P450 3A4 and 2C19 enzymes, certain strong cytochrome P450 3A4 inducers and inhibitors can also alter the systemic exposure of bortezomib. This article critically reviews and summarizes the clinical pharmacokinetics and pharmacodynamics of bortezomib at various dosing levels and routes of administration as well as in specific patient subsets. In addition, we discuss the clinical efficacy and safety of bortezomib.
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month download article/chapter tnf-alpha-induced apoptosis autologous stem-cell transplant prolonged progression-free survival san miguel jf relapsed/refractory clonal disease inducing cell-cycle arrest cancer therapy-induced apoptosis androgen-independent prostate cancer national cancer institute potential drug-drug interactions relapsed/refractory multiple myeloma full article pdf transplant-eligible myeloma patients article critically reviews model-based support bortezomib exposure–response relationships related subjects privacy choices/manage cookies pediatric leukemia patients cytochrome p450 reaction received research support population pharmacokinetic analysis saif abdul-majeed van de velde dipeptidyl boronic acids cytochrome p450 enzymes proteasome inhibitor ps-341 cell-cycle progression bortezomib-based therapy drug metab rev drug–drug interactions drug-drug interactions refractory hematologic malignancies european economic area bone marrow microenvironment intracellular protein degradation van der holt potential drug interactions mantle cell lymphoma adverse drug reactions computerised drug database proteasome inhibitor ps341 natl cancer inst randomized controlled trials newly diagnosed myeloma cell cycle control cyp3a inhibitor ketoconazole complete hematologic response de la rubia
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