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20S proteasome Inhibitors

1 drugs
Oncology
Target Attractiveness: Highly Attractive (81%)

About 20S proteasome

The 20S proteasome is a core component of the ubiquitin-proteasome system (UPS), responsible for degrading damaged or misfolded proteins to maintain cellular homeostasis. As a barrel-shaped structure, it plays a vital role in protein turnover within cells.

Strategic Insights

ℹ️ How we calculate
  • Validated target with strong trial activity and 81% attractiveness score.
  • White space opportunity in Relapsed Refractory Multiple Myeloma with only 2 trials.
  • phase2 represents biological uncertainty with 53% completion.
Risk Signals: ℹ️
White Space Available
1
Approved Drugs
1
Companies
1
Indications
1
Therapeutic Areas
Broadest Approval
KYPROLIS
ONYX PHARMS AMGEN
1
approved indications

Top 20S proteasome Drugs

KYPROLIS
ONYX PHARMS AMGEN
1 indications · 2012
🏢

ONYX PHARMS AMGEN is the only company with an approved drug targeting the 20S proteasome.

20S proteasome Drug Modality Landscape

Modalities

Small molecule
1
100%

Routes of Administration

💉 IV
1
100%
💡

Only one approved drug targets 20S proteasome, using small molecule modality.

The lack of diverse modalities represents a whitespace opportunity for novel approaches like antibodies or PROTACs.

Small molecules only

20S proteasome Clinical Trials 211 trials

211
Total Trials
81
Active
95
Completed
74%
Completion Rate

Completion by Phase

Phase Total Completed Failed Active Completion
Phase 1 97 56 17 24 77%
Phase 2 82 28 15 37 65%
Phase 3 29 9 2 18 82%
Phase 4 3 2 0 1 100%

Top Sponsors

Amgen 21 95%
National Cancer Institute (N... 10 60%
M.D. Anderson Cancer Center 9 56%
University of Chicago 8 100%
Mayo Clinic 6 50%
Janssen Research & Developme... 6 67%
Memorial Sloan Kettering Can... 5 100%
Hackensack Meridian Health 5 100%

By Modality

Small molecule
211 74%
Source: ClinicalTrials.gov · Completion rate = completed ÷ (completed + terminated + withdrawn)

Phase 3 Readout Calendar Pro

8 Phase 3 trials testing approved 20S proteasome drugs across all sponsors.

Full calendar →
Q3 2026
Mezigdomide
Bristol-Myers Squibb · Relapsed or Refractory Multiple Myeloma
Estimated · fresh NCT05552976
Q3 2026
Elranatamab
Pfizer · Multiple Myeloma
Estimated · fresh NCT06152575
Q2 2027
bb2121
Celgene · Multiple Myeloma
Estimated · stale NCT03651128
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Coverage: trials whose intervention is an approved drug targeting 20S 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

  • Competition: High (15 sponsors)
  • White space: 10 underexplored indications
  • Success rates by condition
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Full summary • All drugs • Genetic evidence • Trials • Timeline

How We Calculate These Metrics

Target Attractiveness Score

A 0-100 score based on trial activity, sponsor diversity, and completion rates. Calculated from 140 clinical trials targeting 20S proteasome.

Completion rate: Percentage of trials that reached their planned endpoint. Trials terminated early, withdrawn, or suspended are not counted—these often indicate safety issues, lack of efficacy, or strategic pivots.

  • Highly Attractive (80+): High trial activity, many sponsors, strong completion rates
  • Attractive (60-79): Good trial activity and validation
  • Moderate (40-59): Moderate interest from sponsors
  • Low (under 40): Limited trial activity or validation concerns

Strategic Insights

Auto-generated insights based on trial analytics including competition intensity, white space opportunities, modality shifts, and failure patterns. We analyze trial sponsors, phases, indications, and outcomes.

Risk Signals

  • High Competition: Many sponsors competing for this target (may reduce market opportunity)
  • High Failure Risk: Low trial completion rates suggest development challenges
  • Low Validation: Limited trial activity or poor outcomes indicate uncertain viability
  • White Space Available: Underexplored indications present opportunities