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Updated: Feb 6, 2026

Interphase Fluorescence in situ Hybridization of Bone Marrow Smears of Multiple Myeloma
Published on: April 15, 2022
Proteasome inhibitors for multiple myeloma
Kiyoshi Okazuka1, Tadao Ishida1
1Department of Hematology, Japanese Red Cross Medical Center, Shibuya, Tokyo, Japan.
Proteasome inhibitors like bortezomib have transformed multiple myeloma treatment. This review covers advances in proteasome inhibitor therapies and managing their side effects for effective treatment.
Area of Science:
- Hematology
- Oncology
- Pharmacology
Background:
- Multiple myeloma treatment has evolved significantly over the past 20 years.
- The introduction of proteasome inhibitors marked a major advancement in therapy.
Purpose of the Study:
- To review recent advancements in proteasome inhibitor therapies for multiple myeloma.
- To highlight the importance of managing adverse events associated with these drugs.
Main Methods:
- Literature review of clinical studies and therapeutic strategies.
- Analysis of proteasome inhibitor properties and adverse event profiles.
Main Results:
- Proteasome inhibitors, including bortezomib, carfilzomib, and ixazomib, are now standard treatments.
- These agents are used in various combinations for newly diagnosed and relapsed/refractory multiple myeloma.
- Understanding and managing drug-specific adverse events is crucial for treatment continuity.
Conclusions:
- Proteasome inhibitors have revolutionized multiple myeloma care.
- Effective management of adverse events is essential for optimizing patient outcomes and maintaining therapeutic regimens.
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