MedPath

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

Inetetamab Combined With Pyrotinib Plus Oral Vinorelbine for the Treatment of HER2-positive Metastatic Breast Cancer

Phase 2
Recruiting
Conditions
Breast Cancer
Interventions
First Posted Date
2023-04-21
Last Posted Date
2023-09-14
Lead Sponsor
The First Affiliated Hospital with Nanjing Medical University
Target Recruit Count
30
Registration Number
NCT05823623
Locations
🇨🇳

The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China

Inetetamab Combined With Pyrotinib and Vinorelbine as First-line to Third-line Treatment for HER2-positive Metastatic Breast Cancer

Recruiting
Conditions
Breast Neoplasms
Interventions
First Posted Date
2023-03-13
Last Posted Date
2023-03-27
Lead Sponsor
The First Affiliated Hospital with Nanjing Medical University
Target Recruit Count
100
Registration Number
NCT05764941
Locations
🇨🇳

Jiangsu Provincial People's Hospital, Nanjing, Jiangsu, China

A Trial Comparing Chemotherapy Versus Novel Immune Checkpoint Inhibitor (Pembrolizumab) Plus Chemotherapy in Treating Relapsed/Refractory Classical Hodgkin Lymphoma

Phase 3
Withdrawn
Conditions
Recurrent Classic Hodgkin Lymphoma
Refractory Classic Hodgkin Lymphoma
Interventions
Procedure: Autologous Hematopoietic Stem Cell Transplantation
Procedure: Computed Tomography
Procedure: Positron Emission Tomography
Biological: Pembrolizumab
Radiation: Radiation Therapy
Other: Transplant Conditioning
First Posted Date
2023-02-03
Last Posted Date
2024-03-20
Lead Sponsor
National Cancer Institute (NCI)
Registration Number
NCT05711628

Vinorelbine Metronomic Chemotherapy Combined With Hypofractionated Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2 for Treatment of Advanced Refractory Non-small Cell Lung Cancer and Breast Cancer(PRaG 6.0)

Phase 2
Not yet recruiting
Conditions
Carcinoma Breast
Carcinoma, Non-Small-Cell Lung
Interventions
Radiation: Radiotherapy
Drug: PD-1/PD-L1 inhibitor
First Posted Date
2022-11-02
Last Posted Date
2022-11-02
Lead Sponsor
Second Affiliated Hospital of Soochow University
Target Recruit Count
45
Registration Number
NCT05603013
Locations
🇨🇳

Second Affiliated Hospital of Soochow University, Suzhou, China

Efficacy and Safety of the Combination of Trastuzumab Plus TUCAtinib Plus viNorelbine in Patients With HER2-positive Non-resectable Locally Advanced or Metastatic Breast Cancer

Phase 2
Active, not recruiting
Conditions
HER2-positive Metastatic Breast Cancer
Locally Advanced HER2 Positive Breast Carcinoma
Interventions
First Posted Date
2022-10-17
Last Posted Date
2025-04-01
Lead Sponsor
Spanish Breast Cancer Research Group
Target Recruit Count
13
Registration Number
NCT05583110
Locations
🇪🇸

Hospital Universitario de Jeréz De La Frontera, Cádiz, Andalucía, Spain

🇪🇸

Hospital Universitario Reina Sofía, Córdoba, Andalucía, Spain

🇪🇸

Hospital Universitario de Jaén, Jaén, Andalucía, Spain

and more 15 locations

A Study of QL1706 Combined With Platinum-containing Chemotherapy in Adjuvant Treatment of Stage II-IIIB Non-small Cell Lung Cancer After Complete Surgical Resection.

Phase 3
Recruiting
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
First Posted Date
2022-08-04
Last Posted Date
2024-10-15
Lead Sponsor
Qilu Pharmaceutical Co., Ltd.
Target Recruit Count
632
Registration Number
NCT05487391
Locations
🇨🇳

Shanghai Pulmonary Hospital, Shanghai. China, Shanghai, China

Anlotinib Combination With Vinorelbine in the HER2- Advanced Breast Cancer

Phase 2
Recruiting
Conditions
Breast Cancer
Interventions
First Posted Date
2022-03-25
Last Posted Date
2023-09-25
Lead Sponsor
Henan Cancer Hospital
Target Recruit Count
134
Registration Number
NCT05296577
Locations
🇨🇳

Henan Cancer Hospital, Zhengzhou, Henan, China

SMMART Adaptive Clinical Treatment (ACT) Trial

Early Phase 1
Withdrawn
Conditions
Advanced Breast Carcinoma
Anatomic Stage IV Breast Cancer AJCC v8
Stage II Pancreatic Cancer AJCC v8
Stage III Ovarian Cancer AJCC v8
Advanced Prostate Carcinoma
Recurrent Adult Soft Tissue Sarcoma
Recurrent Breast Carcinoma
Stage IV Ovarian Cancer AJCC v8
Advanced Malignant Solid Neoplasm
Advanced Ovarian Carcinoma
Interventions
Biological: Atezolizumab
Biological: Bevacizumab
Procedure: Biopsy
Procedure: Biospecimen Collection
Biological: Hyaluronidase-zzxf/Pertuzumab/Trastuzumab
Biological: Pertuzumab
Other: Quality-of-Life Assessment
Biological: Trastuzumab
Biological: Trastuzumab Emtansine
First Posted Date
2022-02-14
Last Posted Date
2024-01-23
Lead Sponsor
OHSU Knight Cancer Institute
Registration Number
NCT05238831

Trastuzumab + Alpelisib +/- Fulvestrant vs Trastuzumab + CT in Patients With PIK3CA Mutated Previously Treated HER2+ Advanced BrEasT Cancer (ALPHABET)

Phase 3
Active, not recruiting
Conditions
Advanced Breast Cancer
Interventions
First Posted Date
2021-10-01
Last Posted Date
2025-02-24
Lead Sponsor
Spanish Breast Cancer Research Group
Target Recruit Count
27
Registration Number
NCT05063786
Locations
🇪🇸

Hospital Galdakao-Usansolo, Bilbao, Spain

🇦🇹

Ordensklinikum Linz GmbH - BHS, Linz, Austria

🇦🇹

Pyhrn - Eisenwurzen Klinikum Steyr, Steyr, Austria

and more 103 locations
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