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About 26S proteasome

The 26S proteasome is a large protein complex responsible for degrading damaged or unnecessary proteins, maintaining cellular homeostasis. Its proteolytic function makes it a valuable drug target, particularly in oncology, by disrupting protein degradation and inducing cell death.

1
Approved Drugs
1
Companies
2
Indications
1
Therapeutic Areas
Broadest Approval
VELCADE
Takeda
2
approved indications

Top 26S proteasome Drugs

VELCADE
Takeda
2 indications · 2003
🏢

Takeda is the only company with an approved drug targeting the 26S proteasome.

26S proteasome Drug Modality Landscape

Modalities

Small molecule
1
100%

Routes of Administration

💉 IV
1
100%
💡

Only one approved drug targets 26S proteasome, using small molecule modality.

Exploring alternative modalities like antibodies or PROTACs could provide a competitive advantage.

Small molecules only

26S proteasome Clinical Trials 519 trials

Phase 1-4 trials started in 2008 or later that test an FDA-approved drug acting on 26S proteasome. Source: ClinicalTrials.gov. How we count

519
Total Trials
147
Active
259
Completed
70%
Completion Rate

Completion by Phase

Phase Total Completed Stopped Active Completion
Phase 1 155 90 38 27 70%
Phase 2 251 124 65 62 66%
Phase 3 99 39 6 54 87%
Phase 4 14 6 4 4 60%

Top Sponsors

National Cancer Institute (N... 30 80%
Janssen Research & Developme... 24 100%
GlaxoSmithKline 12 100%
M.D. Anderson Cancer Center 12 78%
PETHEMA Foundation 11 100%
Mayo Clinic 10 89%
Dana-Farber Cancer Institute 10 88%
University of Arkansas 9 17%

By Modality

Small molecule
519 70%
Source: ClinicalTrials.gov · Completion rate = completed ÷ (completed + terminated + withdrawn)

Phase 3 Readout Calendar Pro

8 Phase 3 trials testing approved 26S proteasome drugs across all sponsors.

Full calendar →
Q1 2027
mezigdomide
Celgene · Relapsed or Refractory Multiple Myeloma
Estimated · aging NCT05519085
Q2 2027
bb2121
Celgene · Multiple Myeloma
Estimated · stale NCT03651128
Q3 2027
Equecabtagene Autoleucel Injection
Nanjing IASO Biotechnology Co., Ltd. · Multiple Myeloma
Estimated · stale NCT06464991
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Coverage: trials whose intervention is an approved drug targeting 26S proteasome. Pre-approval candidates with development codes (e.g. AZD0901, MK-7240) are not yet linked. Anchored on CT.gov primary completion date.

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Competitive Landscape

  • • 1 companies competing
  • • Market share by company

Full Drug Portfolio

  • • All 1 approved drugs
  • • Approval dates & indications

Genetic Validation

  • • Full genetic evidence table
  • • Effect sizes & directions

Approval Timeline

  • • Full 1-drug timeline
  • • First-of-modality markers

Clinical Trials Analysis

  • • Sponsors: 228 (54 companies)
  • • Completion rates by condition
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Full summary • All drugs • Genetic evidence • Trials • Timeline

How We Count Trials

  • Trials: phase 1-4 interventional trials on ClinicalTrials.gov that started in 2008 or later and test an FDA-approved drug acting on 26S proteasome. A trial counts if an approved drug acting on 26S proteasome is in any arm, including as a comparator, and a trial that tests two such drugs counts once. Trials that test only unapproved drugs are not counted. A trial listed as phase 1/2 counts as phase 1, and phase 2/3 as phase 2.
  • Active: recruiting, not yet recruiting, enrolling by invitation, or active and no longer recruiting.
  • Completion rate: of the trials that have ended, the share marked Completed rather than Terminated or Withdrawn. Completed means the trial ended as planned; it does not mean the drug worked. Suspended trials are not counted as ended.
  • Stopped: terminated or withdrawn. Trials stop for many reasons, including slow enrolment and business decisions, not only safety or efficacy.
  • Sponsors: the lead sponsor of each trial. Companies are the sponsors ClinicalTrials.gov classes as industry; the rest are universities, hospitals, cooperative groups, government bodies and individuals.