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Update on the optimal use of bortezomib in the treatment of multiple myeloma

Authors Mohan M, Matin A, Davies FE

Received 27 January 2016

Accepted for publication 28 November 2016

Published 2 March 2017 Volume 2017:9 Pages 51—63


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Kenan Onel

Meera Mohan, Aasiya Matin, Faith E Davies

Myeloma Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA

Abstract: The proteasome inhibitor (PI) “bortezomib” has now been in routine clinical practice for over a decade. It is now considered an important backbone therapy for all stages of the disease, and data continue to grow to support its use in newly diagnosed patients, relapsed and relapsed/refractory disease, maintenance therapy, high risk, and renal failure. Much has been learnt about the most clinically effective way of delivering therapy, with patients often benefiting more from a triplet bortezomib combination compared to a doublet combination. It is well tolerated and can be administered in the outpatient setting with manageable toxicity. The key to good results is managing side effects so that patients remain on therapy with minimal interruptions. Therefore, proactive management of peripheral neuropathy and thrombocytopenia is advised using dose delay and reduction strategies. The recent introduction of second- and third-generation PIs with different chemical and biological properties has resulted in a plethora of new clinical studies and has confirmed the ongoing role of this class of drugs in future myeloma therapy.

multiple myeloma, proteasome inhibitor, bortezomib, treatment

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