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 .
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 .
NorthBay Healthcare System, Fairfield, California, United States
University of Chicago Cancer Research Center, Chicago, Illinois, United States
Ireland Cancer Center, Cleveland, Ohio, United States
Boston Baskin Cancer Group, University Tennessee Oncology/Hematology Group, Memphis, Tennessee, United States
Texas Cancer Care, Fort Worth, Texas, United States
Gould Medical Group, Modesto, California, United States
Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States
Royal Adelaide Hospital, Adelaide, South Australia, Australia
University of Ljubljana, Ljubljana, Slovenia
Nagoya University Hospital, Aichi, Japan
Asahikawa Medical College, Asahikawa, Japan
National Hospital Organization - Ehime National Hospital, Ehime, Japan
Middlesex Hospital- Meyerstein Institute, London, England, United Kingdom
University of Florida Health Science Center - Jacksonville, Jacksonville, Florida, United States
Los Angeles County Harbor-UCLA Medical Center, Torrance, California, United States
John Wayne Cancer Institute, Santa Monica, California, United States
Norris Cotton Cancer Center, Lebanon, New Hampshire, United States
Siouxland Hematology-Oncology, Sioux City, Iowa, United States
CCOP - Geisinger Clinic and Medical Center, Danville, Pennsylvania, United States
CCOP - Cedar Rapids Oncology Project, Cedar Rapids, Iowa, United States
Royal Marsden NHS Foundation Trust - Surrey, Sutton, England, United Kingdom
Leeds General Infirmary at Leeds Teaching Hospital NHS Trust, Leeds, England, United Kingdom
Saint Bartholomew's Hospital, London, England, United Kingdom
Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center, Cleveland, Ohio, United States
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