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. 2016 Jul 29;6(7):e451. doi: 10.1038/bcj.2016.53

Table 3. Comparison of proteasome inhibitors.

Feature Carfilzomib (Kyprolis) Bortezomib (Velcade) Ixazomib (Ninlaro) Marizomib (NPI-0052) Oprozomib (ONX-0912)
Nature of inhibition Irreversible inhibition Reversible inhibition Reversible inhibition Irreversible inhibition Irreversible inhibition
Chemical structure Tetrapeptide epoxyketone Boronic acid Boronic acid derivative Salinosporamide Tripeptide epoxyketone
specificity Highly selective for chymotrypsin-like active site, β-5 Inhibits both chymotrypsin-like and caspase-like sites, β-5 and β-1 Preferentially inhibits chymotrypsin-like site, β-5 Inhibits all three subunits of the proteasome, β-5, β-1 and β-2 Highly selective for chymotrypsin-like active site, β-5
Route of administration Intravenous Intravenous or subcutaneous Oral Intravenous Oral
Side effects/neuropathy risk Minimal peripheral neuropathy Risk of peripheral neuropathy Mild neuropathy and gastrointestinal side effects Peripheral neuropathy uncommon Gastrointestinal side effects, no neuropathy
Recommended dosing schedule 20/27 mg m2 On days 1, 2, 8, 9, 15 and 16 every 28 days 0.7–1.3 mg m2 Once weekly days 1, 8, 15 and 22 every 28 days 4 mg Once weekly on days 1, 8 and 15 every 28 days 0.5 mg m2 Over 120 min days 1, 4, 8 and 11 of a 21-day cycle 240/300 mg Per day twice a week, or 150/180 mg per day, 5 days in 2 weeks
US Food and Drug Administration approval status Approved Approved Approved Not approved Not approved