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Vinorelbine

Generic Name
Vinorelbine
Drug Type
Small Molecule
Chemical Formula
C45H54N4O8
CAS Number
71486-22-1
Unique Ingredient Identifier
Q6C979R91Y

Overview

Vinorelbine is an anti-mitotic chemotherapy drug that is used in the treatment of several types of malignancies, including breast cancer and non-small cell lung cancer (NSCLC) . It was initially approved in the USA in 1990's for the treatment of NSCLC . It is a third-generation vinca alkaloid. The introduction of third-generation drugs (vinorelbine, gemcitabine, taxanes) in platinum combination improved survival of patients with advanced NSCLC, with very similar results from the various drugs. Treatment toxicities are considerable in the combination treatment setting . A study was done on the clearance rate of vinorelbine on individuals with various single polymorphonuclear mutations. It was found that there was 4.3-fold variation in vinorelbine clearance across the cohort, suggesting a strong influence of genetics on the clearance of this drug .

Background

Vinorelbine is an anti-mitotic chemotherapy drug that is used in the treatment of several types of malignancies, including breast cancer and non-small cell lung cancer (NSCLC) . It was initially approved in the USA in 1990's for the treatment of NSCLC . It is a third-generation vinca alkaloid. The introduction of third-generation drugs (vinorelbine, gemcitabine, taxanes) in platinum combination improved survival of patients with advanced NSCLC, with very similar results from the various drugs. Treatment toxicities are considerable in the combination treatment setting . A study was done on the clearance rate of vinorelbine on individuals with various single polymorphonuclear mutations. It was found that there was 4.3-fold variation in vinorelbine clearance across the cohort, suggesting a strong influence of genetics on the clearance of this drug .

Indication

Vinorelbine tartrate is indicated for adults in the treatment of advanced non-small cell lung cancer (NSCLC), as a single therapy or in combination with other chemotherapeutic drugs . Used in relapsed or refractory Hodgkin lymphoma, in combination with other chemotherapy agents . For the treatment of desmoid tumor or aggressive fibromatosis, in combination with methotrexate . For the treatment of recurrent or metastatic squamous cell head and neck cancer . For the treatment of recurrent ovarian cancer . For the treatment of metastatic breast cancer, in patients previously treated with anthracyline and/or taxane therapy . For the treatment of HER2-positive, trastuzumab-resistant, advanced breast cancer in patients previously treated with a taxane, in combination with trastuzumab and everolimus .

Associated Conditions

  • Locally Advanced Non-Small Cell Lung Cancer
  • Metastatic Breast Cancer
  • Metastatic Cervical Cancer
  • Metastatic Non-Small Cell Lung Cancer
  • Recurrent Cervical Cancer
  • Soft Tissue Sarcoma

Clinical Trials

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Title
Posted
Study ID
Phase
Status
Sponsor
2012/02/13
Phase 2
Terminated
University of Magdeburg
2012/02/08
Phase 2
UNKNOWN
2012/01/27
Phase 2
Completed
2011/12/23
Phase 2
Completed
Eugene Hwang
2011/09/29
Phase 2
Completed
2011/09/27
Phase 2
Completed
2011/09/23
Phase 2
Completed
Shanghai CP Guojian Pharmaceutical Co., Ltd.
2011/03/29
Phase 2
Completed
2011/03/01
Phase 2
Completed
2011/01/07
Phase 2
Completed

FDA Drug Approvals

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HSA Drug Approvals

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NMPA Drug Approvals

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