13


Proteasome Inhibitors

What are the chemotherapy agents in the proteasome inhibitor class?

      Bortezomib (Velcade®), carfilzomib (Kyprolis®)

What malignancies are each proteasome inhibitor FDA approved for?

FDA-Approved Uses of Proteasome Inhibitors


Bortezomib  

Carfilzomib  

Multiple myeloma, mantle cell lymphoma  

Multiple myeloma, relapsed/refractory  


Abbreviation: FDA, U.S. Food and Drug Administration.

How do the proteasome inhibitors work?

      In normal cells, the proteasome works to degrade intracellular proteins and maintain homeostasis

      Proteasome inhibitors bind and inhibit the chymotrypsin-like activity of the proteasome, preventing degradation of intracellular proteins

       Bortezomib binds reversibly to the proteasome

       Carfilzomib binds irreversibly, is more potent than bortezomib, more selective for the chymotrypsin-like activity of the proteasome, and is active in bortezomib-resistant cells

      Accumulation of proteins normally marked for degradation leads to cell death through the unfolded protein response and the endoplasmic reticulum stress pathway

      Accumulation of proteins critical for regulating cell cycle progression (eg, p27, cyclin B) leads to cell cycle arrest

      Proteasome inhibitors also inhibit nuclear factor kappa B (NF-KB) activity of cancer cells through preventing degradation of the inhibitor of NF-KB (IKB); NF-KB activation is heavily involved in cell proliferation, angiogenesis, and suppression of apoptosis

What are the common mechanisms of resistance to proteasome inhibitor therapy?

      Alternative degradation of ubiquitinated proteins through the aggresome pathway, dependent on histone deacetylase 6 (HDAC6) (HDAC inhibitors can synergize with proteasome inhibitors through inhibition of this resistance pathway—see Chapter 11)

      Mutations in the β-subunits of the proteasome that alter proteasome inhibitor binding

      Upregulation of proteasomal subunits

What are the common dosing ranges for each proteasome inhibitor?

      Bortezomib: 1.3 mg/m2 intravenously (IV)/subcutaneously (subQ) days 1, 4, 8, and 11 of a 21-day cycle; 1.5 mg/m2 IV weekly, days 1, 8, 15, and 22 of a 28-day cycle

      Carfilzomib: 20 mg/m2 IV days 1, 2, 8, 9, 15, and 16 (cycle 1; 28-day cycle), then 27 mg/m2 IV days 1, 2, 8, 9, 15, and 16 of subsequent 28-day cycles

Are the proteasome inhibitors metabolized/eliminated renally or hepatically?

      The proteasome inhibitors are metabolized hepatically and require dose adjustment for hepatic dysfunction

Are there drug interactions with any of the proteasome inhibitors?

      Drugs that modulate the CYP3A4 pathway may increase/decrease bortezomib concentrations

What are the most common adverse effects of the proteasome inhibitors?

      Peripheral neuropathy

       Typically a reversible sensory neuropathy

       More common with bortezomib than carfilzomib

       SubQ administration and weekly administration of bortezomib have both been shown (individually) to reduce peripheral neuropathy without impacting efficacy

      Myelosuppression (primarily thrombocytopenia)

      Herpes zoster and herpes simplex reactivation (prophylaxis with acyclovir is recommended)

      Nausea, vomiting, and diarrhea (typically mild)

      Fevers, fatigue, and weakness

      Congestive heart failure, dyspnea, peripheral edema, and renal failure (more common with carfilzomib)

What are the premedications required?

Premedications Required for Proteasome Inhibitors


Drug  

Premedication  

Bortezomib  

None  

Carfilzomib  

250–500 mL normal saline (or other intravenous [IV] fluid) predose; can also give another 250–500 mL postdose if needed
Dexamethasone 4 mg (oral or IV) prior to all doses in cycle 1, all doses with dose escalation cycle, and as needed with future cycles to reduce infusion reaction risk  


What is the emetogenicity level of the proteasome inhibitors?

      Both agents are categorized as low (10%–30% frequency)

Are the proteasome inhibitors vesicants or irritants?

      Bortezomib and carfilzomib are neither vesicants nor irritants