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Velcade (Bortezomib) & Nervous System Disorders

    Basic Details
    Status
    Complete
    Last Updated
    Wednesday, July 2, 2025
    Original Posting Date
    Health Outcome(s)
    nervous system disorders
    Purpose
    Methods, Characterization, or Development
    Meets requirements of FD&C Act Sec 505(o) prior to requiring a PMR
    No
    Study Summary

    Velcade (bortezomib) was approved by the U.S. Food and Drug Administration (FDA) in June 2008 for the treatment of multiple myeloma, a cancer of plasma cells. FDA initiated this study in the Sentinel System to explore the feasibility of assessing the rates and timing of the development of health outcomes after initiating bortezomib therapy, focusing on amyotrophic lateral sclerosis (ALS), Alzheimer’s disease, Parkinson’s disease, frontotemporal lobar degeneration (FTLD), amyloidosis, and dementia.

    Findings showed that few events were observed among new bortezomib users (N=24,832). ALS had the least (4 events among new users; 2.76 events per 10,000 years at risk); dementia had the most (471 events among new users; 328.75 events per 10,000 years at risk).

    The results from this exploratory study informed FDA about the feasibility of identifying the events of interest in the Sentinel Distributed Database.