Carfilzomib
drug drugOn this page
Also known as KyprolisNSC-758252PR-171SID124955654SID144206630SID170466878CARFILZOMIB (PR-171)
Summary
Carfilzomib (CHEMBL451887) is an approved protein antineoplastic agent (ATC L01XG02) targeting PSMB5; indicated across 31 conditions including plasma cell myeloma and neoplasm; with CIViC clinical evidence for 1 variant-indication association (e.g. PSMD4 Overexpression in colorectal cancer).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Protein
- ATC class: L01XG02
- Targets: 1 (PSMB5)
- Indications: 31 conditions
- Clinical trials: 222
- Precision-oncology evidence (CIViC): 1 variant–indication association
- Chemistry: 719.9 Da · C40H57N5O7
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL451887 |
| Name | Carfilzomib |
| Type | Protein |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 11556711 |
| ChEBI | CHEBI:65347 |
| ATC | L01XG02 |
| Molecular formula | C40H57N5O7 |
| Molecular weight | 719.9 |
| InChIKey | BLMPQMFVWMYDKT-NZTKNTHTSA-N |
SMILES: CC(C)C[C@@H](C(=O)[C@]1(CO1)C)NC(=O)[C@H](CC2=CC=CC=C2)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CCC3=CC=CC=C3)NC(=O)CN4CCOCC4
IUPAC name: (2S)-4-methyl-N-[(2S)-1-[[(2S)-4-methyl-1-[(2R)-2-methyloxiran-2-yl]-1-oxopentan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]-2-[[(2S)-2-[(2-morpholin-4-ylacetyl)amino]-4-phenylbutanoyl]amino]pentanamide
ChEBI definition: A synthetic tetrapeptide consisting of morpholin-4-acetyl, L-2-amino-4-phenylbutanoyl, L-leucyl and L-phenylalanyl residues joined in sequence with the C-terminus connected to the amino group of (2S)-2-amino-4-methyl-1-[(2R)-2-methyloxiran-2-yl]-1-oxopentan-1-one via an amide linkage. Used for the treatment of patients with multiple myeloma
Pharmacological roles (ChEBI): antineoplastic agent, proteasome inhibitor.
Also known as: Carfilzomib, Kyprolis, NSC-758252, PR-171, CARFILZOMIB, SID124955654, SID144206630, SID170466878, carfilzomib, CARFILZOMIB (PR-171), Carfilzomib (PR-171)
Patent coverage: 4,848 distinct patent families (12,508 SureChEMBL compound mentions), from 1 matched compound structure(s). Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| PSMB5 | proteasome 20S subunit beta 5 | Inhibition | 8.24 | 95% (common-essential) | P28074 |
Broader ChEMBL bioactivity targets: 14 (assay-derived). Sample: Proteasome subunit beta type-9, Proteasome subunit beta type-6, Cytochrome P450 3A, 26S proteasome, Voltage-gated inwardly rectifying potassium channel KCNH2, Glutathione S-transferase omega-1, Proteasome subunit beta type-10, Proteasome subunit beta type-7, Proteasome Macropain subunit, 20S proteasome, Cathepsin B, Proteasome component C5, Proteasome Macropain subunit MB1, Proteasome subunit beta type-8.
Bioactivity
ChEMBL activities: 42 potent at pChembl ≥ 5 of 47 total. Top 100 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| PSMB5 | 8.68 | IC50 | 2.1 | nM | CHEMBL_ACT_24866232 |
| PSMB5 | 8.57 | IC50 | 2.7 | nM | CHEMBL_ACT_19218654 |
| PSMB8 | 8.49 | IC50 | 3.2 | nM | CHEMBL_ACT_24866180 |
| PSMB5 | 8.3 | IC50 | 5 | nM | CHEMBL_ACT_18940519 |
| PSMB5 | 8.3 | IC50 | 5 | nM | CHEMBL_ACT_25964122 |
| PSMB5 | 8.22 | IC50 | 6 | nM | CHEMBL_ACT_19258354 |
| PSMB5 | 8.22 | IC50 | 6 | nM | CHEMBL_ACT_24972783 |
| PSMB5 | 8.15 | IC50 | 7 | nM | CHEMBL_ACT_19300182 |
| PSMB11 | 8.15 | IC50 | 7 | nM | CHEMBL_ACT_23242468 |
| PSMB5 | 8.08 | IC50 | 8.4 | nM | CHEMBL_ACT_16775820 |
| PSMB5 | 8.08 | IC50 | 8.4 | nM | CHEMBL_ACT_18008073 |
| PSMB5 | 8.08 | IC50 | 8.4 | nM | CHEMBL_ACT_22438475 |
| PSMB11 | 8.07 | IC50 | 8.6 | nM | CHEMBL_ACT_14660982 |
| PSMB5 | 8.07 | IC50 | 8.6 | nM | CHEMBL_ACT_19365872 |
| PSMB11 | 8.07 | IC50 | 8.6 | nM | CHEMBL_ACT_19365888 |
| PSMB5 | 8.02 | IC50 | 9.6 | nM | CHEMBL_ACT_18807401 |
| PSMB10 | 7.89 | IC50 | 13 | nM | CHEMBL_ACT_24866175 |
| PSMB8 | 7.85 | IC50 | 14 | nM | CHEMBL_ACT_2529500 |
| PSMB11 | 7.77 | IC50 | 17 | nM | CHEMBL_ACT_25524933 |
| PSMB5 | 7.63 | IC50 | 23.6 | nM | CHEMBL_ACT_19228965 |
| PSMB8 | 7.57 | IC50 | 27 | nM | CHEMBL_ACT_18940562 |
| PSMB8 | 7.49 | IC50 | 32.6 | nM | CHEMBL_ACT_18807312 |
| PSMB8 | 7.48 | IC50 | 33 | nM | CHEMBL_ACT_19258361 |
| PSMB8 | 7.47 | IC50 | 34 | nM | CHEMBL_ACT_19365869 |
| PSMB7 | 7.37 | IC50 | 43 | nM | CHEMBL_ACT_24866227 |
| PSMB9 | 7.16 | IC50 | 69 | nM | CHEMBL_ACT_24866170 |
| GSTO1 | 6.82 | IC50 | 150 | nM | CHEMBL_ACT_18550661 |
| PSMB2 | 6.69 | IC50 | 203 | nM | CHEMBL_ACT_18807419 |
| PSMB11 | 6.57 | IC50 | 269.8 | nM | CHEMBL_ACT_23242469 |
| CYP3A4 | 6.31 | IC50 | 490 | nM | CHEMBL_ACT_15448843 |
| PSMB10 | 6.21 | IC50 | 620 | nM | CHEMBL_ACT_19258350 |
| PSMB2 | 6.08 | IC50 | 825 | nM | CHEMBL_ACT_18940509 |
| PSMB6 | 6.05 | IC50 | 890 | nM | CHEMBL_ACT_24866222 |
| PSMB11 | 5.98 | IC50 | 1050 | nM | CHEMBL_ACT_25524943 |
| PSMB1 | 5.84 | IC50 | 1452 | nM | CHEMBL_ACT_18940514 |
| PSMB2 | 5.74 | IC50 | 1812 | nM | CHEMBL_ACT_19365866 |
| PSMB1 | 5.62 | IC50 | 2400 | nM | CHEMBL_ACT_19258334 |
| PSMB9 | 5.62 | IC50 | 2420 | nM | CHEMBL_ACT_19258340 |
| PSMB1 | 5.62 | IC50 | 2400 | nM | CHEMBL_ACT_24972773 |
| PSMB9 | 5.53 | IC50 | 2940 | nM | CHEMBL_ACT_19218663 |
| PSMB2 | 5.44 | IC50 | 3600 | nM | CHEMBL_ACT_19258344 |
| PSMB2 | 5.44 | IC50 | 3600 | nM | CHEMBL_ACT_24972777 |
Target pathways
Aggregated over 1 target gene(s): PSMB5.
Top Reactome pathways
68 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Activation of NF-kappaB in B cells | 1 | PSMB5 |
| Oxygen-dependent proline hydroxylation of Hypoxia-inducible Factor Alpha | 1 | PSMB5 |
| ER-Phagosome pathway | 1 | PSMB5 |
| Cross-presentation of soluble exogenous antigens (endosomes) | 1 | PSMB5 |
| Autodegradation of Cdh1 by Cdh1:APC/C | 1 | PSMB5 |
| SCF-beta-TrCP mediated degradation of Emi1 | 1 | PSMB5 |
| APC/C:Cdc20 mediated degradation of Securin | 1 | PSMB5 |
| APC/C:Cdh1 mediated degradation of Cdc20 and other APC/C:Cdh1 targeted proteins in late mitosis/early G1 | 1 | PSMB5 |
| Cdc20:Phospho-APC/C mediated degradation of Cyclin A | 1 | PSMB5 |
| Vpu mediated degradation of CD4 | 1 | PSMB5 |
| Vif-mediated degradation of APOBEC3G | 1 | PSMB5 |
| SCF(Skp2)-mediated degradation of p27/p21 | 1 | PSMB5 |
| Degradation of beta-catenin by the destruction complex | 1 | PSMB5 |
| Downstream TCR signaling | 1 | PSMB5 |
| Regulation of activated PAK-2p34 by proteasome mediated degradation | 1 | PSMB5 |
| Separation of Sister Chromatids | 1 | PSMB5 |
| FCERI mediated NF-kB activation | 1 | PSMB5 |
| Autodegradation of the E3 ubiquitin ligase COP1 | 1 | PSMB5 |
| Regulation of ornithine decarboxylase (ODC) | 1 | PSMB5 |
| ABC-family protein mediated transport | 1 | PSMB5 |
| AUF1 (hnRNP D0) binds and destabilizes mRNA | 1 | PSMB5 |
| Asymmetric localization of PCP proteins | 1 | PSMB5 |
| Degradation of AXIN | 1 | PSMB5 |
| Degradation of DVL | 1 | PSMB5 |
| Hedgehog ligand biogenesis | 1 | PSMB5 |
| Hh mutants are degraded by ERAD | 1 | PSMB5 |
| Dectin-1 mediated noncanonical NF-kB signaling | 1 | PSMB5 |
| CLEC7A (Dectin-1) signaling | 1 | PSMB5 |
| Degradation of GLI1 by the proteasome | 1 | PSMB5 |
| Degradation of GLI2 by the proteasome | 1 | PSMB5 |
| GLI3 is processed to GLI3R by the proteasome | 1 | PSMB5 |
| Hedgehog ‘on’ state | 1 | PSMB5 |
| Regulation of RAS by GAPs | 1 | PSMB5 |
| TNFR2 non-canonical NF-kB pathway | 1 | PSMB5 |
| NIK–>noncanonical NF-kB signaling | 1 | PSMB5 |
| Defective CFTR causes cystic fibrosis | 1 | PSMB5 |
| MAPK6/MAPK4 signaling | 1 | PSMB5 |
| UCH proteinases | 1 | PSMB5 |
| Ub-specific processing proteases | 1 | PSMB5 |
| Assembly of the pre-replicative complex | 1 | PSMB5 |
| Orc1 removal from chromatin | 1 | PSMB5 |
| CDK-mediated phosphorylation and removal of Cdc6 | 1 | PSMB5 |
| G2/M Checkpoints | 1 | PSMB5 |
| Ubiquitin-Mediated Degradation of Phosphorylated Cdc25A | 1 | PSMB5 |
| Ubiquitin-dependent degradation of Cyclin D | 1 | PSMB5 |
| The role of GTSE1 in G2/M progression after G2 checkpoint | 1 | PSMB5 |
| FBXL7 down-regulates AURKA during mitotic entry and in early mitosis | 1 | PSMB5 |
| RUNX1 regulates transcription of genes involved in differentiation of HSCs | 1 | PSMB5 |
| Regulation of RUNX2 expression and activity | 1 | PSMB5 |
| Regulation of RUNX3 expression and activity | 1 | PSMB5 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| proteolysis | 1 |
| response to oxidative stress | 1 |
| proteasomal ubiquitin-independent protein catabolic process | 1 |
| proteasome-mediated ubiquitin-dependent protein catabolic process | 1 |
| proteasome assembly | 1 |
| obsolete proteolysis involved in protein catabolic process | 1 |
Indications & clinical
Indications
2 approved indications. FDA phase 4, plus an anticancer drug’s labelled cancer uses (which ChEMBL often logs at phase 3).
| Indication | Phase | MONDO | EFO |
|---|---|---|---|
| plasma cell myeloma | 4 | MONDO:0009693 | EFO:0001378 |
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
25 diseases in clinical trials (phase 1–3, investigational — not approved indications). Highest ChEMBL trial phase per disease; a non-cancer approved use is occasionally logged at phase 3 here.
| Disease (in trials) | Phase | MONDO | EFO |
|---|---|---|---|
| lymphoma | 2 | MONDO:0005062 | EFO:0000574 |
| mantle cell lymphoma | 2 | MONDO:0018876 | EFO:1001469 |
| neoplasm of mature B-cells | 2 | MONDO:0004949 | EFO:0000096 |
| Waldenstrom macroglobulinemia | 2 | MONDO:0100280 | EFO:0009441 |
| neuroendocrine carcinoma | 2 | MONDO:0002120 | MONDO:0002120 |
| kidney cancer | 2 | MONDO:0002367 | MONDO:0002367 |
| follicular lymphoma | 2 | MONDO:0018906 | MONDO:0018906 |
| smoldering plasma cell myeloma | 2 | MONDO:0005235 | EFO:0003073 |
| acute lymphoblastic leukemia | 1 | MONDO:0004967 | EFO:0000220 |
| leukemia | 1 | MONDO:0005059 | EFO:0000565 |
| B-cell chronic lymphocytic leukemia | 1 | MONDO:0004948 | EFO:0000095 |
| peripheral T-cell lymphoma, not otherwise specified | 1 | MONDO:0004964 | EFO:0000211 |
| diffuse large B-cell lymphoma | 1 | MONDO:0018905 | EFO:0000403 |
| small cell lung carcinoma | 1 | MONDO:0008433 | EFO:0000702 |
| non-Hodgkin lymphoma | 1 | MONDO:0018908 | EFO:0005952 |
| Sezary syndrome | 1 | MONDO:0017844 | EFO:1000785 |
| mycosis fungoides | 1 | MONDO:0009691 | EFO:1001051 |
| amyloidosis | 1 | MONDO:0019065 | EFO:1001875 |
| Hodgkins lymphoma | 1 | MONDO:0004952 | EFO:0000183 |
| plasma cell leukemia | 1 | MONDO:0018689 | EFO:0006475 |
| plasmacytoma | 1 | MONDO:0005615 | EFO:0006738 |
| prolymphocytic leukemia | 1 | MONDO:0001023 | MONDO:0001023 |
| acute myeloid leukemia | 1 | MONDO:0018874 | EFO:0000222 |
| primary cutaneous T-cell non-Hodgkin lymphoma | 1 | MONDO:0000607 | EFO:0002913 |
| non-small cell lung carcinoma | 1 | MONDO:0005233 | EFO:0003060 |
4 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 222.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 84 |
| PHASE1 | 51 |
| PHASE1/PHASE2 | 47 |
| PHASE3 | 28 |
| Not specified | 9 |
| PHASE4 | 2 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06409702 | PHASE4 | RECRUITING | Treatment of High-risk Newly Diagnosed Multiple Myeloma With Minimal Residual Disease Detection |
| NCT03416374 | PHASE4 | COMPLETED | A Study to Evaluate the Efficacy and Safety of Ixazomib in Combination With Lenalidomide and Dexamethasone in Patients With Relapsed and/or Refractory Multiple Myeloma Initially Treated With an Injection of Proteasome Inhibitor-Based Therapy |
| NCT01863550 | PHASE3 | ACTIVE_NOT_RECRUITING | Bortezomib or Carfilzomib With Lenalidomide and Dexamethasone in Treating Patients With Newly Diagnosed Multiple Myeloma |
| NCT02659293 | PHASE3 | ACTIVE_NOT_RECRUITING | Trial of Carfilzomib, Lenalidomide, Dexamethasone Versus Lenalidomide Alone After Stem-cell Transplant for Multiple Myeloma |
| NCT03651128 | PHASE3 | ACTIVE_NOT_RECRUITING | Efficacy and Safety Study of bb2121 Versus Standard Regimens in Subjects With Relapsed and Refractory Multiple Myeloma (RRMM) |
| NCT03729804 | PHASE3 | ACTIVE_NOT_RECRUITING | Carfilzomib, Lenalidomide, and Dexamethasone Versus Bortezomib, Lenalidomide and Dexamethasone (KRd vs. VRd) in Patients With Newly Diagnosed Multiple Myeloma (COBRA) |
| NCT03742297 | PHASE3 | ACTIVE_NOT_RECRUITING | Treatment for Elderly Fit Newly Diagnosed Multiple Myeloma Patients Aged Between 65 and 80 Years |
| NCT03948035 | PHASE3 | ACTIVE_NOT_RECRUITING | Elotuzumab in Combination With Carfilzomib, Lenalidomide and Dexamethasone (E-KRd) Versus KRd in MM |
| NCT04096066 | PHASE3 | ACTIVE_NOT_RECRUITING | A Trial That Compare Two Treatments in Newly Diagnosed Myeloma Patients Not Eligible for Transplant |
| NCT05438043 | PHASE3 | RECRUITING | A Study of Daratumumab |
| NCT05552976 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study to Evaluate Mezigdomide in Combination With Carfilzomib and Dexamethasone (MeziKD) Versus Carfilzomib and Dexamethasone (Kd) in Participants With Relapsed or Refractory Multiple Myeloma (SUCCESSOR-2) |
| NCT05572515 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study Comparing Teclistamab Monotherapy Versus Pomalidomide, Bortezomib, Dexamethasone (PVd) or Carfilzomib, Dexamethasone (Kd) in Participants With Relapsed or Refractory Multiple Myeloma |
| NCT06152575 | PHASE3 | RECRUITING | MagnetisMM-32: A Study to Learn About the Study Medicine Called Elranatamab in People With Multiple Myeloma (MM) That Has Come Back After Taking Other Treatments (Including Prior Treatment With an Anti-CD38 Antibody and Lenalidomide) |
| NCT06158841 | PHASE3 | RECRUITING | Study Assessing Activity of Intravenous (IV) Etentamig Monotherapy Versus Standard Available Therapies in Adult Participants With Relapsed or Refractory Multiple Myeloma |
| NCT06413498 | PHASE3 | RECRUITING | A Study Comparing Anitocabtagene Autoleucel to Standard of Care Therapy in Participants With Relapsed/ Refractory Multiple Myeloma |
| NCT06615479 | PHASE3 | RECRUITING | A Study to Compare the Efficacy and Safety of BMS-986393 Versus Standard Regimens in Adult Participants With Relapsed or Refractory and Lenalidomide-exposed Multiple Myeloma (QUINTESSENTIAL-2) |
| NCT07222761 | PHASE3 | RECRUITING | A Study to Compare Linvoseltamab Monotherapy and Linvoseltamab + Carfilzomib Combination Therapy With Standard-of-Care Combination Regimens in Adult Participants With Relapsed/Refractory Multiple Myeloma (RRMM) |
| NCT07391657 | PHASE3 | RECRUITING | A Study Comparing AZD0120, a Dual-targeted CAR-T Against B-cell Maturation Antigen (BCMA) and CD19, Versus Standard Regimens in Participants With Relapsed Refractory Multiple Myeloma (DURGA-4) |
| NCT07555938 | PHASE3 | RECRUITING | Cevostamab in Combination With Pomalidomide and Dexamethasone Versus Standard of Care in Participants With Previously Treated Multiple Myeloma |
| NCT01080391 | PHASE3 | COMPLETED | Study Comparing Carfilzomib, Lenalidomide, and Dexamethasone (CRd) vs Lenalidomide and Dexamethasone (Rd) in Subjects With Relapsed Multiple Myeloma |
| NCT01302392 | PHASE3 | COMPLETED | A Study of Carfilzomib vs Best Supportive Care in Subjects With Relapsed and Refractory Multiple Myeloma |
| NCT01568866 | PHASE3 | COMPLETED | Phase 3 Study With Carfilzomib and Dexamethasone Versus Bortezomib and Dexamethasone for Relapsed Multiple Myeloma Patients |
| NCT01818752 | PHASE3 | COMPLETED | Phase 3 Study of Carfilzomib, Melphalan, Prednisone vs Bortezomib, Melphalan, Prednisone in Newly Diagnosed Multiple Myeloma |
| NCT02412878 | PHASE3 | COMPLETED | Once-weekly Versus Twice-weekly Carfilzomib in Combination With Dexamethasone in Adults With Relapsed and Refractory Multiple Myeloma |
| NCT03029234 | PHASE3 | COMPLETED | Carfilzomib in Combination With Dexamethasone (Kd) in Chinese Patients With Relapsed & Refractory Multiple Myeloma |
| NCT03158688 | PHASE3 | COMPLETED | Study of Carfilzomib, Daratumumab and Dexamethasone for Patients With Relapsed and/or Refractory Multiple Myeloma. |
| NCT03275285 | PHASE3 | COMPLETED | Multinational Clinical Study Comparing Isatuximab, Carfilzomib And Dexamethasone To Carfilzomib And Dexamethasone In Relapse And/Or Refractory Multiple Myeloma Patients |
| NCT03859427 | PHASE3 | COMPLETED | A Study Comparing Once-weekly vs Twice-weekly Carfilzomib in Combination With Lenalidomide and Dexamethasone in Subjects With Relapsed or Refractory Multiple Myeloma |
| NCT05675319 | PHASE3 | TERMINATED | Allogeneic Stem Cell Transplantation vs. Conventional Therapy as Salvage Therapy for Relapsed / Progressive Patients With Multiple Myeloma After First-line Therapy |
| NCT06232707 | PHASE3 | WITHDRAWN | A Study to Evaluate Efficacy and Safety of Alnuctamab Compared to Standard of Care Regimens in Participants With Relapsed or Refractory Multiple Myeloma (RRMM) |
| NCT01297764 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | A Study of Carfilzomib, Lenalidomide, Vorinostat, and Dexamethasone in Relapsed and/or Refractory Multiple Myeloma |
| NCT01559935 | PHASE2 | ACTIVE_NOT_RECRUITING | Carfilzomib, Clarithromycin (Biaxin®), Lenalidomide (Revlimid®), and Dexamethasone (Decadron®) [Car-BiRD] Therapy for Subjects With Multiple Myeloma |
| NCT02343042 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Selinexor and Backbone Treatments of Multiple Myeloma Patients |
| NCT02415413 | PHASE2 | ACTIVE_NOT_RECRUITING | Carfilzomib in Treatment Patients Under 65 Years With High Risk Smoldering Multiple Myeloma |
| NCT02773030 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | A Study to Determine Dose, Safety, Tolerability and Efficacy of CC-220 Monotherapy, and in Combination With Other Treatments in Subjects With Multiple Myeloma |
| NCT02899052 | PHASE2 | ACTIVE_NOT_RECRUITING | Study of Venetoclax in Combination With Carfilzomib and Dexamethasone in Participants With Relapsed or Refractory Multiple Myeloma (MM) |
| NCT03004287 | PHASE2 | ACTIVE_NOT_RECRUITING | 2015-12: A Study Exploring the Use of Early and Late Consolidation/Maintenance Therapy |
| NCT03104842 | PHASE2 | ACTIVE_NOT_RECRUITING | Evaluation iNduction, Consolidation and Maintenance Treatment With Isatuximab , Carfilzomib, LEnalidomide and Dexamethasone |
| NCT03289299 | PHASE2 | ACTIVE_NOT_RECRUITING | Aggressive Smoldering Curative Approach Evaluating Novel Therapies and Transplant |
| NCT03290950 | PHASE2 | ACTIVE_NOT_RECRUITING | A Study of Daratumumab in Patients With Newly Diagnosed Multiple Myeloma |
| NCT03314636 | PHASE2 | ACTIVE_NOT_RECRUITING | Intensified Treatment With Carfilzomib in Myeloma Patients Still PET-positive After First Line Treatment. |
| NCT03500445 | PHASE2 | ACTIVE_NOT_RECRUITING | Daratumumab, Carfilzomib, Lenalidomide and Low Dose Dexamethasone (DKRd) in Newly Diagnosed, Multiple Myeloma |
| NCT03556332 | PHASE2 | ACTIVE_NOT_RECRUITING | A Study of Carfilzomib, Lenalidomide, Dexamethasone and Daratumumab for Patients With Relapsed/Refractory Myeloma With Salvage Autologous Hematopoietic Cell Transplantation |
| NCT03606577 | PHASE2 | ACTIVE_NOT_RECRUITING | An Intensive Program With Quadruplet Induction and Consolidation Plus Tandem Autologous Stem Cell Transplantation in Newly Diagnosed High Risk Multiple Myeloma Patients |
| NCT03673826 | PHASE2 | ACTIVE_NOT_RECRUITING | Carfilzomib, Lenalidomide and Dexamethasone Versus Lenalidomide and Dexamethasone in High- Risk SMM |
| NCT03756896 | PHASE2 | ACTIVE_NOT_RECRUITING | Carfilzomib, Pomalidomide, and Dexamethasone in Treating Patients With High-Risk Multiple Myeloma |
| NCT03815279 | PHASE2 | ENROLLING_BY_INVITATION | A Nationwide Phase 2 Trial of Patients With Smoldering and Active Multiple Myeloma (MM) |
| NCT03989414 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | A Study to Determine the Recommended Dose and Regimen and to Evaluate the Safety and Preliminary Efficacy of CC-92480 in Combination With Standard Treatments in Participants With Relapsed or Refractory Multiple Myeloma (RRMM) and Newly Diagnosed Multiple Myeloma (NDMM) |
| NCT04176718 | PHASE2 | RECRUITING | Daratumumab, Carfilzomib, Pomalidomide, Dexamethasone In MM |
| NCT04263480 | PHASE2 | ACTIVE_NOT_RECRUITING | Efficacy and Safety of Carfilzomib in Combination With Ibrutinib vs Ibrutinib in Waldenström’s Macroglobulinemia |
| NCT04268498 | PHASE2 | ACTIVE_NOT_RECRUITING | A Study of Daratumumab, Carfilzomib, Lenalidomide, and Dexamethasone in Patients With Newly-Diagnosed Multiple Myeloma |
| NCT04430894 | PHASE2 | ACTIVE_NOT_RECRUITING | KRDI in Transplant-Eligible MM |
| NCT04756401 | PHASE2 | ACTIVE_NOT_RECRUITING | Selinexor, Daratumumab, Carfilzomib and Dexamethasone for the Treatment of High-Risk, Recurrent or Refractory Multiple Myeloma |
| NCT04764942 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Selinexor, Pomalidomide, and Dexamethasone With or Without Carfilzomib for the Treatment of Patients With Relapsed Refractory Multiple Myeloma, The SCOPE Trial |
| NCT04822337 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Study of Carfilzomib, Lenalidomide, Dexamethasone and Belantamab Mafodotin in Multiple Myeloma |
| NCT04850599 | PHASE2 | ACTIVE_NOT_RECRUITING | Isatuximab, Carfilzomib, and Pomalidomide for the Treatment of Relapsed or Refractory Multiple Myeloma |
| NCT04883242 | PHASE2 | ACTIVE_NOT_RECRUITING | Isatuximab, Carfilzomib, Pomalidomide, and Dexamethasone for the Treatment of Relapsed or Refractory Multiple Myeloma |
| NCT04925193 | PHASE2 | ACTIVE_NOT_RECRUITING | Personalized Selinexor-based Therapy for Relapsed/Refractory Multiple Myeloma |
| NCT04933539 | PHASE2 | ACTIVE_NOT_RECRUITING | Subcutaneous Daratumumab, Once Weekly Carfilzomib, and Dexamethasone (DKd) in Patients With High-Risk Smoldering Multiple Myeloma |
| NCT04973605 | PHASE1/PHASE2 | RECRUITING | A Phase 1b/2 Study of Sonrotoclax (BGB-11417) as Monotherapy and in Various Combinations With Dexamethasone Plus Carfilzomib, Dexamethasone Plus Daratumumab, and Dexamethasone Plus Pomalidomide in Multiple Myeloma |
| NCT05017545 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Carfilzomib and Belatacept for Desensitization |
| NCT05060627 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Study of Belantamab Mafodotin in Combination With Kd for the Treatment of Relapsed Myeloma Patients, Refractory to Lenalidomide |
| NCT05199311 | PHASE1/PHASE2 | RECRUITING | Carfilzomib, Iberdomide (CC-220) and Dexamethasone (KID) in Transplant Eligible Multiple Myeloma |
| NCT05434689 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | COMbination Regimens in MM Post AHCT to elimiNate MRD Utilizing IbERdomide |
| NCT05497804 | PHASE2 | ACTIVE_NOT_RECRUITING | Combination Treatment Therapy Approaches for the Treatment of High-Risk Multiple Myeloma, REACH Trial |
| NCT05669989 | PHASE2 | ACTIVE_NOT_RECRUITING | International Treatment-extension Study in Adult Participants With Multiple Myeloma and Who Have Derived Clinical Benefit From Isatuximab |
| NCT05704049 | PHASE2 | ACTIVE_NOT_RECRUITING | A Study to Investigate Subcutaneous Isatuximab in Combination With Carfilzomib and Dexamethasone in Adult Participants With Relapsed and/or Refractory Multiple Myeloma |
| NCT05789303 | PHASE2 | RECRUITING | Study of Belantamab Mafodotin With Carfilzomib, Pomalidomide, and Dexamethasone in Relapsed Multiple Myeloma |
| NCT05896228 | PHASE2 | RECRUITING | Iberdomide, Daratumumab, Carfilzomib, and Dexamethasone (Iber-KDd) in Patients With Relapsed/Refractory Multiple Myeloma |
| NCT05909826 | PHASE2 | NOT_YET_RECRUITING | Carfilzomib, Oral Cyclophosphamide, and Dexamethasone for RRMM |
| NCT06140966 | PHASE2 | RECRUITING | Study to Evaluate the Safety and Efficacy of Daratumumab and Carfilzomib-based Induction/Consolidation/Maintenance Therapy in Transplant-eligible, Ultra High-risk, Newly Diagnosed Multiple Myeloma |
| NCT06356571 | PHASE2 | RECRUITING | A Study to Investigate Subcutaneous Isatuximab in Combination With Weekly Carfilzomib and Dexamethasone in Adult Participants With Relapsed and/or Refractory Multiple Myeloma |
| NCT06627751 | PHASE2 | RECRUITING | Mezigdomide, Carfilzomib, and Dexamethasone for the Treatment of Relapsed or Refractory Multiple Myeloma in Patients With Extramedullary Disease |
| NCT06892522 | PHASE1/PHASE2 | RECRUITING | A Study to Assess Change in Disease Activity and Adverse Events (AE)s in Adult Participants With Multiple Myeloma Receiving Etentamig (ABBV-383) as an Intravenous (IV) Infusion Alone or in Combination With Oral, IV, Subcutaneous Daratumumab; Lenalidomide; Dexamethasone; Carfilzomib |
| NCT06948084 | PHASE2 | NOT_YET_RECRUITING | Testing the Investigational Medication Combination of Daratumumab and Teclistamab Compared to the Usual Treatment (Daratumumab, Pomalidomide, Dexamethasone or Daratumumab, Carfilzomib, Dexamethasone) for Patients With High-risk Multiple Myeloma Refractory or in First Relapse |
| NCT07227311 | PHASE2 | RECRUITING | A Study to Evaluate the Efficacy and Safety of Belantamab Mafodotin in Combination With Standard of Care in Participants With Relapsed-Refractory Multiple Myeloma (RRMM) |
| NCT07463807 | PHASE1/PHASE2 | NOT_YET_RECRUITING | Testing the Investigational Medication Combination of Teclistamab and Pomalidomide Compared to the Usual Treatment (Carfilzomib, Pomalidomide, and Dexamethasone) for Patients With Multiple Myeloma Who Have Relapsed Shortly After Treatment |
| NCT07479979 | PHASE1/PHASE2 | RECRUITING | Study of Selinexor With Carfilzomib, Isatuximab and Dexamethasone for Patients With Relapsed and/or Refractory Multiple Myeloma |
| NCT07605416 | PHASE2 | NOT_YET_RECRUITING | Testing an Experimental Approach to Treat Patients With Plasma Cell Leukemia, The QUANTUM Trial |
| NCT00511238 | PHASE2 | COMPLETED | Phase 2 Study of Carfilzomib in Relapsed and Refractory Multiple Myeloma |
| NCT00530816 | PHASE2 | COMPLETED | Phase 2 Study of Carfilzomib in Relapsed Multiple Myeloma |
| NCT00531284 | PHASE1/PHASE2 | COMPLETED | Phase 1b/2 Study of Carfilzomib in Relapsed Solid Tumors, Multiple Myeloma, or Lymphoma |
| NCT00721734 | PHASE2 | COMPLETED | Study of the Safety and Pharmacokinetics of Carfilzomib in Patients With Relapsed and Refractory Multiple Myeloma and Varying Degrees of Renal Function |
| NCT00884312 | PHASE2 | COMPLETED | A Study of Extended Carfilzomib Therapy for Patients Previously Enrolled in Carfilzomib Treatment Protocols |
| NCT01029054 | PHASE1/PHASE2 | COMPLETED | Carfilzomib and Lenalidomide With Dexamethasone Combination in Newly Diagnosed, Previously Untreated Multiple Myeloma |
| NCT01057225 | PHASE1/PHASE2 | COMPLETED | Cyclophosphamide, Carfilzomib, Thalidomide, and Dexamethasone in Treating Patients With Newly Diagnosed Active Multiple Myeloma |
| NCT01246063 | PHASE1/PHASE2 | COMPLETED | Carfilzomib, Pegylated Liposomal Doxorubicin Hydrochloride, and Dexamethasone in Treating Patients With Relapsed or Refractory Multiple Myeloma |
| NCT01279694 | PHASE1/PHASE2 | COMPLETED | Trial of Carfilzomib Plus Melphalan and Prednisone in Elderly Untreated Patients With Multiple Myeloma (CARMYSAP) |
| NCT01346787 | PHASE2 | COMPLETED | Carfilzomib, Cyclophosphamide and Dexamethasone In Newly Diagnosed Multiple Myeloma Patients |
| NCT01351623 | PHASE2 | COMPLETED | Infusional Carfilzomib in Patients With Relapsed or Refractory Multiple Myeloma |
| NCT01402284 | PHASE2 | COMPLETED | Carfilzomib, Lenalidomide, and Dexamethasone in New Multiple Myeloma Patients |
| NCT01464034 | PHASE1/PHASE2 | TERMINATED | A Safety and Efficacy Study of Carfilzomib and Pomalidomide With Dexamethasone in Patients With Relapsed or Refractory Multiple Myeloma |
| NCT01470196 | PHASE2 | COMPLETED | Carfilzomib, Rituximab and Dexamethasone in Waldenstrom’s Macroglobulinemia |
| NCT01496118 | PHASE1/PHASE2 | COMPLETED | Study of the Combination of Panobinostat and Carfilzomib in Patients With Relapsed/Refractory Multiple Myeloma |
| NCT01572480 | PHASE2 | COMPLETED | Carfilzomib, Lenalidomide, and Dexamethasone for Smoldering Multiple Myeloma |
| NCT01658904 | PHASE1/PHASE2 | TERMINATED | Carfilzomib and Stem Cell Transplant for Plasma Cell Myeloma |
| NCT01665794 | PHASE1/PHASE2 | COMPLETED | Carfilzomib, Pomalidomide, and Dexamethasone in Treating Patients With Relapsed or Refractory Multiple Myeloma |
| NCT01677858 | PHASE1/PHASE2 | COMPLETED | A Study of Weekly Carfilzomib in Combination With Dexamethasone for Progressive Multiple Myeloma |
| NCT01690143 | PHASE1/PHASE2 | COMPLETED | Carfilzomib + High Dose Melphalan as Preparative Regimen for Autologous Hematopoietic Stem Cell Transplantation |
| NCT01775553 | PHASE2 | COMPLETED | Study of High Dose Carfilzomib in Multiple Myeloma Patients Who Have Progressed On Standard Dose Carfilzomib |
Clinical evidence (CIViC)
Variant × indication × effect (1 predictive associations from 1 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| PSMD4 Overexpression | Colorectal Cancer | Sensitivity/Response | Carfilzomib | CIViC D | EID7330 |
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline, but PharmGKB curates 0 clinical and 4 variant annotation(s) for this drug (gene-keyed; see PharmGKB).
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
12 molecules share ≥1 primary target. Top 12 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| BORTEZOMIB | ChEMBL | Phase 4 (approved) | PSMB5 |
| IXAZOMIB | ChEMBL | Phase 4 (approved) | PSMB5 |
| VINBLASTINE | ChEMBL | Phase 4 (approved) | PSMB5 |
| CURCUMIN | ChEMBL | Phase 3 | PSMB5 |
| EPIGALOCATECHIN GALLATE | ChEMBL | Phase 3 | PSMB5 |
| MARIZOMIB | ChEMBL | Phase 3 | PSMB5 |
| QUERCETIN | ChEMBL | Phase 3 | PSMB5 |
| DELANZOMIB | ChEMBL | Phase 2 | PSMB5 |
| GENISTEIN | ChEMBL | Phase 2 | PSMB5 |
| LUTEOLIN | ChEMBL | Phase 2 | PSMB5 |
| OPROZOMIB | ChEMBL | Phase 2 | PSMB5 |
| ZETOMIPZOMIB | ChEMBL | Phase 2 | PSMB5 |
Related Atlas pages
- Genes: PSMB5
- Indicated for: plasma cell myeloma, neoplasm, colorectal carcinoma
- In clinical trials for: lymphoma, mantle cell lymphoma, neoplasm of mature B-cells, Waldenstrom macroglobulinemia, neuroendocrine carcinoma, kidney cancer, follicular lymphoma, smoldering plasma cell myeloma
- Drugs: Bortezomib, Ixazomib, Vinblastine, Curcumin, Epigalocatechin Gallate, Marizomib, Quercetin