Drug intelligence / Profile preview

bortezomib + lenalidomide + dexamethasone

Development stage
Unknown
Lead developer
Millennium Pharmaceuticals
Modality
Small Molecules
Administration
Subcutaneous, Intravenous, Oral
01

Overview

This is a combination drug regimen consisting of three agents used primarily for the treatment of multiple myeloma, especially newly diagnosed multiple myeloma (NDMM). - **Bortezomib** is a proteasome inhibitor that blocks proteasomes in cells, leading to accumulation of proteins and subsequent cell death. - **Lenalidomide** is an immunomodulatory agent that modulates the immune system and has anti-angiogenic and anti-cancer effects. - **Dexamethasone** is a corticosteroid that enhances the efficacy of bortezomib and lenalidomide by inducing apoptosis in myeloma cells. The combination (often abbreviated as VRd or RVD) is considered standard-of-care first-line therapy for patients with active multiple myeloma regardless of transplant eligibility. It achieves deep, durable responses with manageable toxicity profiles. The regimen has been studied extensively in clinical trials and real-world settings[1][2][6][8].

Brand names
Revlimid + Velcade + dexamethasone
Other names
Velcade + Revlimid + Dexamethasone
02

Targets

CRBN (Cereblon)PSMB5 (Proteasome subunit beta Type-5)GR (Glucocorticoid receptor)

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