Table 1 Completed clinical trials of proteasome inhibition in AML patients

From: The role of the proteasome in AML

Trial no. (Phase)

Patients (Median age) a

Intervention

Adverse events b

Response c

Survival (Months) d

NCT00005064 (I)

15 total, 11 r/r AML (59 years)

Bortezomib

Orthostatic hypotension

Nausea

Diarrhea

No CR/CRi

Reduced blasts in 33%

N/R

EUDRACT 2006-006923-38 (II)

14 new or r/r AML ineligible for conventional chemotherapy (70 years)

Bortezomib

Infection/FN

Neuropathy

No CR/CRi

Reduced blasts in 61%

4

NCT00382954 (I)

20 new or r/r AML (65 years)

Bortezomib Idarubicin

Infection/FN

Constitutional

Gastrointestinal

20% CR

5% PR

Reduced blasts in 75%

4

NCT00624936 (I)

23 r/r AML (65 years)

Bortezomib Azacitidine

Infection/FN

Neuropathy

Thrombocytopenia

22% CR/CRi

N/R

NCT00703300 (I)

19 poor-risk AML (70 years)

Bortezomib

Decitabine

Infection/FN

Neuropathy

37% CR/CRi

N/R

NCT00818649 (II)

12 total, 8 AML (65.5 years)

Bortezomib

Vorinostat

Cardiac events

Nausea

Neuropathy

8% CR

N/Re

NCT00505700 (I)

31 new and r/r AML (62 years)

Bortezomib

Idarubicin

Cytarabine

Hypoxia

Hyperbilirubinemia

Elevate AST

71% CR/CRi

12

NCT00742625 (II)

95 untreated AML (67 years)

Bortezomib

Daunorubicin

Cytarabine

Infection/FN

Neuropathy

69% CR/CRi

12

NCT01174888 (I)

23 r/r AML (53 years)

Bortezomib

Midostaurin

MEC

Neuropathy

Decreased LVEF

Diarrhea

82.5% CR/CRi

11

NCT00666588 (II)

37 r/r AML (8 years)

Bortezomib plus: Idarubicin/Cytarabine or Cytarabine/Etoposide

Infection/FN

Hypokalemia

Hypoxia

57% CR/Cri or 48% CR/CRi

39% at 2 years

NCT00666588 (I)

23 total, 9 AML (73 years)

Bortezomib

Lenalidomide

Infection/FN

Neuropathy

Hypoxia

11% CR/CRi

5

NCT00103272 (I)

11 r/r AML (63 years)

Bortezomib

17-AAGf

Infection/FN

Hepatotoxicity

Cardiotoxicity

No response

N/R

  1. aR/r, relapsed/refractory.
  2. bFN, febrile neutropenia.
  3. cCR, complete remission, CRi, complete remission with incomplete recovery of platelets or neutrophils, PR, partial remission.
  4. dN/R, not reported.
  5. eNo quantitative survival data was reported in this study, though all patients died of progressive disease within 1 year.
  6. f17-AAG, 17-allylamino-17-demethoxygeldanamycin.