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**Plitidepsin + bortezomib + dexamethasone** is an investigational antineoplastic combination regimen being studied primarily in relapsed and/or refractory multiple myeloma. Plitidepsin is a marine-derived cyclic peptide that induces apoptosis in tumor cells by binding to eEF1A2 and interfering with protein synthesis. Bortezomib is a proteasome inhibitor that disrupts proteasomal-mediated protein degradation, leading to apoptosis of cancer cells. Dexamethasone is a synthetic glucocorticoid with anti-inflammatory and antineoplastic properties, inducing apoptosis in certain hematologic malignancies. The combination is developed for synergistic cytotoxicity in multiple myeloma. Clinical studies have shown this triple regimen to have an acceptable safety profile and moderate antitumor activity in heavily pretreated relapsed/refractory multiple myeloma patients. The developer is PharmaMar, with clinical research involving use in patients with disease resistant to standard therapies[1][3][4][5].
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