Drug intelligence / Profile preview

bortezomib + doxorubicin + dexamethasone

Development stage
Unknown
Lead developer
Janssen Pharmaceutical
Modality
Small Molecules
Administration
Intravenous, Subcutaneous, Oral
01

Overview

PAD induction is a combination chemotherapy regimen consisting of bortezomib, doxorubicin, and dexamethasone. It is primarily used as induction therapy for patients with newly diagnosed multiple myeloma who are candidates for autologous stem cell transplant (ASCT). Bortezomib is a proteasome inhibitor that induces apoptosis by blocking the degradation of pro-apoptotic proteins. Doxorubicin is an anthracycline that intercalates into DNA and inhibits topoisomerase II, while dexamethasone is a corticosteroid that provides synergistic anti-myeloma activity and helps manage inflammation. The regimen was notably evaluated in the Phase II PIMMS trial (NCT00872521) sponsored by Janssen-Cilag Pty Ltd.

Other names
PAD inductionPAD regimenPAD therapybortezomib, doxorubicin, and dexamethasone
02

Targets

GR (Glucocorticoid receptor)PSMB6 (Proteasome 20S subunit beta 6)DNAPSMB5 (Proteasome subunit beta Type-5)TOP2A (DNA topoisomerase II)

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