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Vinorelbine

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

Vinorelbine in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer

Phase 2
Completed
Conditions
Lung Cancer
First Posted Date
2004-03-24
Last Posted Date
2014-01-06
Lead Sponsor
GlaxoSmithKline
Registration Number
NCT00005865
Locations
🇺🇸

NorthBay Healthcare System, Fairfield, California, United States

🇺🇸

University of Chicago Cancer Research Center, Chicago, Illinois, United States

🇺🇸

Ireland Cancer Center, Cleveland, Ohio, United States

and more 47 locations

Docetaxel and Vinorelbine Plus Filgrastim in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer

Phase 2
Conditions
Lung Cancer
First Posted Date
2004-03-17
Last Posted Date
2013-12-19
Lead Sponsor
Amgen
Registration Number
NCT00006215
Locations
🇺🇸

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

and more 16 locations

Combination Chemotherapy Compared With No Treatment Following Surgery in Treating Patients With Non-small Cell Lung Cancer

Phase 3
Completed
Conditions
Lung Cancer
First Posted Date
2004-03-11
Last Posted Date
2013-03-28
Lead Sponsor
Gustave Roussy, Cancer Campus, Grand Paris
Target Recruit Count
3300
Registration Number
NCT00002823
Locations
🇺🇸

Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States

🇦🇺

Royal Adelaide Hospital, Adelaide, South Australia, Australia

🇸🇮

University of Ljubljana, Ljubljana, Slovenia

and more 120 locations

Vinorelbine, Gemcitabine, and Docetaxel Compared With Paclitaxel and Carboplatin in Treating Patients With Advanced Non-Small Cell Lung Cancer

Phase 3
Completed
Conditions
Lung Cancer
First Posted Date
2004-03-10
Last Posted Date
2013-09-17
Lead Sponsor
Japan Multinational Trial Organization
Registration Number
NCT00079287
Locations
🇯🇵

Nagoya University Hospital, Aichi, Japan

🇯🇵

Asahikawa Medical College, Asahikawa, Japan

🇯🇵

National Hospital Organization - Ehime National Hospital, Ehime, Japan

and more 21 locations

Standard Therapy Given With or Without Combination Chemotherapy in Treating Patients With Non-small Cell Lung Cancer

Phase 3
Conditions
Lung Cancer
First Posted Date
2004-02-20
Last Posted Date
2013-12-18
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
1800
Registration Number
NCT00003240
Locations
🇬🇧

Middlesex Hospital- Meyerstein Institute, London, England, United Kingdom

Cisplatin Plus Vinorelbine With or Without Tirapazamine in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer

Phase 3
Completed
Conditions
Lung Cancer
First Posted Date
2004-02-16
Last Posted Date
2013-08-02
Lead Sponsor
Sanofi
Registration Number
NCT00017459
Locations
🇺🇸

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

and more 39 locations

Chemotherapy Plus Trastuzumab in Treating Patients With Breast Cancer

Phase 1
Completed
Conditions
Breast Cancer
First Posted Date
2004-02-16
Last Posted Date
2013-03-14
Lead Sponsor
Dartmouth-Hitchcock Medical Center
Target Recruit Count
13
Registration Number
NCT00014430
Locations
🇺🇸

Norris Cotton Cancer Center, Lebanon, New Hampshire, United States

Vinorelbine in Treating Older Patients With Stage IIIB or Stage IV Non-small Cell Lung Cancer

Phase 2
Completed
Conditions
Lung Cancer
Interventions
First Posted Date
2004-02-03
Last Posted Date
2016-07-13
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
59
Registration Number
NCT00008333
Locations
🇺🇸

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

and more 10 locations

Active Symptom Control With or Without Chemotherapy in Treating Patients With Malignant Pleural Mesothelioma

Phase 3
Completed
Conditions
Malignant Mesothelioma
First Posted Date
2004-01-13
Last Posted Date
2013-08-07
Lead Sponsor
Medical Research Council
Target Recruit Count
840
Registration Number
NCT00075699
Locations
🇬🇧

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

Vinorelbine and Celecoxib in Treating Women With Relapsed or Metastatic Breast Cancer

Phase 1
Terminated
Conditions
Breast Cancer
First Posted Date
2004-01-12
Last Posted Date
2020-07-27
Lead Sponsor
Case Comprehensive Cancer Center
Target Recruit Count
6
Registration Number
NCT00075673
Locations
🇺🇸

Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center, Cleveland, Ohio, United States

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