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**oprozomib + dexamethasone** is an investigational oral combination therapy primarily evaluated for treatment of **relapsed and refractory multiple myeloma (RRMM)**. Oprozomib is an **irreversible oral proteasome inhibitor** structurally related to carfilzomib, acting through inhibition of the chymotrypsin-like activity of the proteasome, leading to apoptosis and anti-angiogenic effects in myeloma cells[1][3]. Dexamethasone is a synthetic glucocorticoid widely used for its **immunosuppressive and anti-inflammatory properties** and is included to enhance cytotoxicity against myeloma cells. The combination has been studied for its tolerability and efficacy in phase 1b/2 trials in RRMM patients, showing promising anti-myeloma activity, but also exhibiting dose-limiting toxicities such as thrombocytopenia and transaminitis. No unique brand name is assigned to this combination as it is used in clinical trials rather than commercialized.
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