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Mezigdomide + bortezomib + dexamethasone is a combination therapy under clinical investigation for **relapsed/refractory multiple myeloma**. Mezigdomide is an oral selective cereblon E3 ligase modulator (CELMoD) that induces ubiquitination and degradation of specific substrates, stimulating immune response and direct anti-myeloma activity. Bortezomib is a proteasome inhibitor that disrupts protein homeostasis, leading to apoptosis in myeloma cells. Dexamethasone is a synthetic glucocorticoid used for its anti-inflammatory and anti-myeloma effects. This regimen synergistically targets myeloma cells through distinct mechanisms: immune modulation (mezigdomide), protein degradation (bortezomib), and anti-proliferative/apoptotic action (dexamethasone)[1][2][5][6].
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