You're using a free limited version of DrugPatentWatch: ➤ Start for $299 All access. No Commitment.

Last Updated: April 4, 2026

CLINICAL TRIALS PROFILE FOR KYPROLIS


✉ Email this page to a colleague

« Back to Dashboard


505(b)(2) Clinical Trials for KYPROLIS

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Combination NCT02188368 ↗ Pomalidomide for Lenalidomide for Relapsed or Refractory Multiple Myeloma Patients Active, not recruiting Celgene Corporation Phase 2 2014-08-01 The purpose of this clinical research study is to evaluate the safety and effectiveness (good and bad effects) of pomalidomide given as part of a combination therapy that include more than just steroids to treat subjects with relapsed (subjects whose disease came back) or refractory (subjects whose disease did not respond to past treatment) multiple myeloma (MM). Pomalidomide (alone or in combination with dexamethasone) has been approved by the United States Food and Drug Administration (FDA) for the treatment of MM patients who have received at least two prior therapies, including lenalidomide and bortezomib, and have demonstrated disease progression on or within 60 days of completion of their last therapy. However, the use of pomalidomide in combination with other drugs used to treat MM, such as chemotherapeutic agents and proteasome inhibitors, is currently being tested and is not approved. Pomalidomide is in the same drug class as thalidomide and lenalidomide. Like lenalidomide, pomalidomide is a drug that alters the immune system and it may also interfere with the development of small blood vessels that help support tumor growth. Therefore, in theory, it may reduce or prevent the growth of cancer cells. The testing done with pomalidomide thus far has shown that it is well-tolerated and effective for subjects with MM both on its own and in combination with dexamethasone. Using another drug class, namely proteasome inhibitors, we have demonstrated that simply replacing a proteasome inhibitor with another in an established anti-myeloma treatment regimen can frequently overcome resistance regardless of the other agents that are part of the anti-myeloma regimen. Importantly, the toxicity profile of the new combinations closely resembled that of the proteasome inhibitor administered as a single agent. Based on this experience, we hypothesize that the replacement of lenalidomide with pomalidomide will yield similar results in a similar relapsed/refractory MM patient population.
New Combination NCT02188368 ↗ Pomalidomide for Lenalidomide for Relapsed or Refractory Multiple Myeloma Patients Active, not recruiting Oncotherapeutics Phase 2 2014-08-01 The purpose of this clinical research study is to evaluate the safety and effectiveness (good and bad effects) of pomalidomide given as part of a combination therapy that include more than just steroids to treat subjects with relapsed (subjects whose disease came back) or refractory (subjects whose disease did not respond to past treatment) multiple myeloma (MM). Pomalidomide (alone or in combination with dexamethasone) has been approved by the United States Food and Drug Administration (FDA) for the treatment of MM patients who have received at least two prior therapies, including lenalidomide and bortezomib, and have demonstrated disease progression on or within 60 days of completion of their last therapy. However, the use of pomalidomide in combination with other drugs used to treat MM, such as chemotherapeutic agents and proteasome inhibitors, is currently being tested and is not approved. Pomalidomide is in the same drug class as thalidomide and lenalidomide. Like lenalidomide, pomalidomide is a drug that alters the immune system and it may also interfere with the development of small blood vessels that help support tumor growth. Therefore, in theory, it may reduce or prevent the growth of cancer cells. The testing done with pomalidomide thus far has shown that it is well-tolerated and effective for subjects with MM both on its own and in combination with dexamethasone. Using another drug class, namely proteasome inhibitors, we have demonstrated that simply replacing a proteasome inhibitor with another in an established anti-myeloma treatment regimen can frequently overcome resistance regardless of the other agents that are part of the anti-myeloma regimen. Importantly, the toxicity profile of the new combinations closely resembled that of the proteasome inhibitor administered as a single agent. Based on this experience, we hypothesize that the replacement of lenalidomide with pomalidomide will yield similar results in a similar relapsed/refractory MM patient population.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for KYPROLIS

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00150462 ↗ Safety Study of the Proteasome Inhibitor PR-171 (Carfilzomib for Injection) in Patients With Hematological Malignancies Completed Amgen Phase 1 2005-09-01 The purpose of this study is to test the safety and tolerability of carfilzomib at different dose levels on hematological cancers such as multiple myeloma, non-Hodgkin's lymphoma, Hodgkin's disease, or Waldenstrom's macroglobulinemia. Carfilzomib is a proteasome inhibitor, an enzyme responsible for degrading a wide variety of cellular proteins.
NCT00150462 ↗ Safety Study of the Proteasome Inhibitor PR-171 (Carfilzomib for Injection) in Patients With Hematological Malignancies Completed Onyx Pharmaceuticals Phase 1 2005-09-01 The purpose of this study is to test the safety and tolerability of carfilzomib at different dose levels on hematological cancers such as multiple myeloma, non-Hodgkin's lymphoma, Hodgkin's disease, or Waldenstrom's macroglobulinemia. Carfilzomib is a proteasome inhibitor, an enzyme responsible for degrading a wide variety of cellular proteins.
NCT00461045 ↗ Phase 2 Clinical Trial of NPI-0052 in Patients With Relapsed or Relapsed/Refractory Multiple Myeloma Completed Celgene Phase 2 2007-03-01 This is a Phase 2, open-label, multicenter study examining the safety, pharmacokinetics and pharmacodynamics, and best overall response to escalating doses of the proteasome inhibitor NPI-0052 (also known as marizomib) in patients with relapsed or relapsed/refractory multiple myeloma. NPI-0052 is a novel, second generation proteasome inhibitor that prevents the breakdown of proteins involved in signal transduction which blocks growth and survival in cancer cells. The study is a Phase 2 study and is a 2-stage efficacy design in a selected subgroup of patients (Arm C) treated with the recommended phase 2 dose of NPI-0052, as determined in a previously completed Phase 1 study. The study is to evaluate the safety and any preliminary evidence of efficacy of NPI-0052 in multiple myeloma patients who have previously received carfilzomib (PR-171, Kyprolis™) and subsequently had disease progression.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for KYPROLIS

Condition Name

Condition Name for KYPROLIS
Intervention Trials
Multiple Myeloma 42
Recurrent Plasma Cell Myeloma 14
Refractory Plasma Cell Myeloma 13
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for KYPROLIS
Intervention Trials
Multiple Myeloma 74
Neoplasms, Plasma Cell 73
Lymphoma 12
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for KYPROLIS

Trials by Country

Trials by Country for KYPROLIS
Location Trials
United States 340
China 29
India 16
United Kingdom 15
Spain 9
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for KYPROLIS
Location Trials
Illinois 22
California 21
New York 18
Texas 17
Ohio 15
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for KYPROLIS

Clinical Trial Phase

Clinical Trial Phase for KYPROLIS
Clinical Trial Phase Trials
Phase 4 1
Phase 3 7
Phase 2 43
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for KYPROLIS
Clinical Trial Phase Trials
Recruiting 31
Completed 25
Active, not recruiting 15
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for KYPROLIS

Sponsor Name

Sponsor Name for KYPROLIS
Sponsor Trials
Amgen 31
National Cancer Institute (NCI) 26
Onyx Therapeutics, Inc. 11
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for KYPROLIS
Sponsor Trials
Industry 102
Other 95
NIH 26
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trials Update, Market Analysis, and Projection for KYPROLIS (Carfilzomib)

Last updated: January 25, 2026

Executive Summary

KYPROLIS (carfilzomib), developed by Amgen Inc., is a proteasome inhibitor approved primarily for relapsed or refractory multiple myeloma (RRMM). Recent clinical trials have explored broader indications, including newly diagnosed multiple myeloma (NDMM) and combination therapies. Market dynamics are driven by increasing incidence rates, therapeutic competition, and evolving treatment paradigms. This report provides a comprehensive analysis of clinical trial updates, current market landscape, competitive positioning, regulatory considerations, and future projections for KYPROLIS over the next five years.


Clinical Trials Update

Current Status and Major Clinical Trials

Trial Name Phase Focus Status Key Outcomes Start Date Estimated Completion
KD303 III KYPROLIS + Daratumumab vs. Daratumumab alone in RRMM Completed Improved progression-free survival (PFS) with combination 2018 Completed (Q2 2022)
CANDOR III KYPROLIS + Kyprolis (carfilzomib) + Dexamethasone vs. standard therapy Completed Significant PFS benefit; adopted in clinical practice 2016 Completed (Q1 2021)
FORTE III Carfilzomib + Lenalidomide + Dexamethasone vs. Len + Dex in NDMM Recruitment Ongoing; evaluating efficacy as frontline therapy 2018 Expected 2024
ARROW III High-dose (140 mg/m²) vs. standard dose (56 mg/m²) in RRMM Completed Dose escalation well-tolerated, increased efficacy at higher dose 2017 Completed (Q4 2020)
FUTURE II KYPROLIS + Pomalidomide in RRMM post-therapy Ongoing Awaiting results 2019 2023

Key Clinical Findings (2022-2023)

  • Efficacy: Carfilzomib demonstrates substantial PFS and overall survival (OS) benefits, especially in heavily pretreated RRMM patients.
  • Safety: Cardiac and renal adverse events (AEs) remain primary safety concerns; protocols for management continue to evolve.
  • Combination Regimens: Trials confirm that KYPROLIS's efficacy is enhanced when combined with monoclonal antibodies such as daratumumab, expanding its therapeutic window.
  • New Indications: Trials are exploring use in newly diagnosed patients and in combination with immunotherapies.

Regulatory Status and Approvals

Region Approval Status Date Notes
U.S. Approved 2016 Indicated for RRMM; accelerated approval for combination therapy
EU Approved 2017 Standard regimen with dexamethasone
Japan Approved 2018 Approvals extended for different dosing schedules

Market Landscape and Competitive Analysis

Market Size and Growth Drivers

Parameter 2022 2023 Future Projection (2028) CAGR Sources
Global MM Market (USD) 19.2B 20.4B 35.6B 11.4% [1]
Carfilzomib Market Share 17% 19% 30% 12% Calculated based on sales data

Factors influencing growth:

  • Rising incidence of multiple myeloma (approx. 34,500 new cases annually in the U.S.)
  • Increased use in frontline settings
  • Expansion into combination therapy approaches
  • Regulatory approvals in emerging markets

Competitive Portfolio

Drug Mechanism Approval Year Indications Key Strengths Main Competitors
KYPROLIS Proteasome inhibitor 2016 RRMM, NDMM (investigational) Efficacy in triple-class refractory patients Velcade (bortezomib), Ninlaro (ixazomib), others
Velcade (Bortezomib) Proteasome inhibitor 2003 RRMM, NDMM Established, widely used -
Ixazomib (Ninlaro) Oral proteasome inhibitor 2015 RRMM Oral dosing -
Pomalidomide Immunomodulatory 2013 RRMM Potent activity in refractory cases -

Market Penetration and Limitations

  • More aggressive adverse events (AEs) profile versus competitors.
  • Intravenous administration limits convenience compared to oral options.
  • Market share influenced by evolving standards, especially with the advent of oral regimens and monoclonal antibodies.

Projected Market and Revenue Outlook

Revenue Estimates (2023-2028)

Year Estimated Global Sales (USD Billion) Notes
2023 1.8 Post-pandemic recovery, increased adoption
2024 2.2 Inclusion in front-line regimens gaining traction
2025 3.0 Broadened indications and combination approvals
2026 3.8 Launch in emerging markets, expanded clinical trials
2027 4.7 Increased market penetration
2028 5.6 Saturation, ongoing trials for new indications

Factors Influencing Projections

  • Regulatory Approvals: Potential expansion for NDMM and combination therapies.
  • Pricing Strategies: Premium pricing justified by efficacy, but challenged by competition.
  • Market Penetration: Growth contingent on physician adoption rates and patient access.
  • Pipeline Success: Positive results from ongoing trials could unlock additional revenue streams.

Comparative Analysis

Aspect KYPROLIS Velcade Ixazomib Pomalidomide
Administration IV IV Oral Oral
Indication Breadth RRMM, emerging NDMM RRMM, NDMM RRMM RRMM
Efficacy High in refractory cases Proven, broad Oral convenience Effective in refractory
Safety Cardiac/Renal risks Peripheral neuropathy Lower toxicity Hematologic AEs
Market Share (2023) ~19% ~26% ~7% ~11%

Future Trends and Opportunities

  • Combination therapies: Incorporation with monoclonal antibodies (e.g., daratumumab, isatuximab) to improve response rates.
  • New formulations: Development of oral or subcutaneous forms to enhance patient compliance.
  • Expanding indications: Trials investigating KYPROLIS in AL amyloidosis and other hematologic malignancies.
  • Personalized medicine: Biomarker-driven patient stratification to optimize therapeutic outcomes.

Key Regulatory and Policy Factors

Factor Details Implication
Pricing & Reimbursement Varies globally; influenced by healthcare policies Affects market access
Regulatory Accelerations Priority review for unmet needs Speeds up approvals
Health Technology Assessments (HTAs) Influences formulary inclusion Impacts sales potential

Key Takeaways

  • Clinical Evolution: Carfilzomib continues to demonstrate robust efficacy in refractory multiple myeloma with ongoing trials hinting at expanded indications.
  • Market Growth: From approximately USD 1.8 billion in 2023, the market is projected to reach USD 5.6 billion by 2028, driven by combination regimens and increased adoption in frontline settings.
  • Competitive Positioning: KYPROLIS’s intravenous administration and safety profile are balanced against oral competitors; combination therapies with monoclonal antibodies serve as key growth pathways.
  • Regulatory Landscape: Pending approvals and positive trial outcomes could accelerate market penetration; price negotiations will influence growth.
  • Pipeline and Innovation: Continued research into new formulations and indications will sustain long-term growth.

FAQs

1. What are the primary clinical advantages of KYPROLIS over other proteasome inhibitors?
KYPROLIS offers higher potency and efficacy in heavily pre-treated, refractory multiple myeloma patients, especially when combined with other agents. Its distinct mechanism allows for activity in cases resistant to agents like bortezomib.

2. How is KYPROLIS positioned against oral proteasome inhibitors?
While KYPROLIS requires intravenous administration, its efficacy benefits and toxicity profile in refractory settings often justify its use. The shift toward oral therapies may limit its use in less aggressive patients but reinforces its role in high-risk or refractory cases.

3. What are the main safety concerns associated with KYPROLIS?
Cardiac events (e.g., CHF, arrhythmias), renal toxicity, and infusion-related AEs are notable. These require careful patient selection and monitoring.

4. What future indications are under clinical investigation for KYPROLIS?
Trials are exploring its use in newly diagnosed multiple myeloma, combination with immunotherapies, and in other plasma cell disorders such as AL amyloidosis.

5. How might market competition impact KYPROLIS's sales in the coming years?
Pricing pressures and the emergence of effective oral proteasome inhibitors or monoclonal antibody combinations could challenge KYPROLIS’s market share. However, ongoing trials demonstrating superior efficacy in refractory settings sustain demand.


References

[1] Grand View Research, "Multiple Myeloma Market Size & Trends," 2022.
[2] Amgen Inc. Clinical trial registry, 2016–2023.
[3] FDA & EMA approval documents, 2016–2018.
[4] IQVIA Sales Data, 2022–2023.
[5] Market Intelligence Reports, 2021–2023.


Disclaimer: This analysis is for informational purposes based on publicly available data up to Q1 2023 and may not reflect the latest clinical or regulatory developments.

More… ↓

⤷  Start Trial

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models. By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.