Difference between revisions of "Vincristine liposomal (Marqibo)"

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'''FDA approved 8/9/2012.'''
 
 
 
==General information==
 
==General information==
Class/mechanism: Vinca alkaloid which causes cell cycle arrest in metaphase and inhibits mitosis.  Vincristine stabilizes the spindle apparatus by binding to tubulin, alters microtubule structure and function, and inhibits chromosome separation.  Marqibo is a formulation of vincristine sulfate that is encapsulated in sphingomyelin/cholesterol liposomes (Optisomes), which are hypothesized to provide improved tissue drug penetration and reduced toxicity.<ref name="insert">[http://www.accessdata.fda.gov/drugsatfda_docs/label/2012/202497s000lbl.pdf Vincristine liposomal (Marqibo) package insert]</ref><ref>[[Media:Vincristineliposomal.pdf|Vincristine liposomal (Marqibo) package insert (locally hosted backup)]]</ref><ref>[http://www.marqibo.com/ Marqibo manufacturer's website]</ref><ref>[http://www.talontx.com/pipeline.php?divid=marqibo Talon Therapeutics's Marqibo site]</ref><ref>Jeffrey A. Silverman, Walter Aulitzky, John Lister, Lori Maness, Gary Schiller, Karen Seiter, Scott E. Smith, Wendy Stock, Dina Ben Yehuda, Steven R. Deitcher. Marqibo® (vincristine sulfate liposomes injection; VSLI) Optimizes the Dosing, Delivery, and Pharmacokinetic (PK) Profile of Vincristine Sulfate (VCR) in Adults with Relapsed and Refractory Acute Lymphoblastic Leukemia (ALL). ASH 2010 abstract 2142. [http://files.shareholder.com/downloads/HNAB/0x0x425987/5F5A45E3-D917-4B1D-88CF-299164BE3344/ASH_PK_poster_2010_Final.pdf link to abstract]</ref>
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Class/mechanism: Vinca alkaloid which causes cell cycle arrest in metaphase and inhibits mitosis.  Vincristine stabilizes the spindle apparatus by binding to tubulin, alters microtubule structure and function, and inhibits chromosome separation.  Marqibo is a formulation of vincristine sulfate that is encapsulated in sphingomyelin/cholesterol liposomes (Optisomes), which are hypothesized to provide improved tissue drug penetration and reduced toxicity.<ref name="insert">[http://marqibo.com/wp-content/uploads/2019/11/MARQIBO-PI-06-2020-REF-0081.pdf Vincristine liposomal (Marqibo) package insert]</ref><ref>[[:File:Vincristineliposomal.pdf|Vincristine liposomal (Marqibo) package insert (locally hosted backup)]]</ref><ref>[http://www.marqibo.com/ Marqibo manufacturer's website]</ref><ref>Jeffrey A. Silverman, Walter Aulitzky, John Lister, Lori Maness, Gary Schiller, Karen Seiter, Scott E. Smith, Wendy Stock, Dina Ben Yehuda, Steven R. Deitcher. Marqibo® (vincristine sulfate liposomes injection; VSLI) Optimizes the Dosing, Delivery, and Pharmacokinetic (PK) Profile of Vincristine Sulfate (VCR) in Adults with Relapsed and Refractory Acute Lymphoblastic Leukemia (ALL). ASH 2010 abstract 2142. [http://files.shareholder.com/downloads/HNAB/0x0x425987/5F5A45E3-D917-4B1D-88CF-299164BE3344/ASH_PK_poster_2010_Final.pdf link to abstract]</ref>
 
<br>Route: IV
 
<br>Route: IV
 
<br>Extravasation: [[irritant]]/[[vesicant]] (depending on reference)
 
<br>Extravasation: [[irritant]]/[[vesicant]] (depending on reference)
  
For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as [http://www.thomsonhc.com/home/dispatch Micromedex], [http://online.lexi.com/ Lexicomp], [http://www.utdol.com/online/content/search.do UpToDate (courtesy of Lexicomp)], or the prescribing information.<ref name="insert"></ref>
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For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, [http://www.utdol.com/online/content/search.do UpToDate (courtesy of Lexicomp)], or the prescribing information.<ref name="insert"></ref>
  
==Diseases for which it is used==
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==Diseases for which it was used==
*[[Acute lymphocytic leukemia]]
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*[[B-cell acute lymphoblastic leukemia - historical|B-cell acute lymphoblastic leukemia]]
*[[Aggressive Non-Hodgkin lymphoma]]
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*[[Diffuse large B-cell lymphoma - historical|Diffuse large B-cell lymphoma]]
  
==Clinical trials==
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==Patient drug information==
*[http://www.talontx.com/pipeline.php?divid=trialsummary Marqibo completed trials summary at Talon Therapeutics]
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*Brief patient counseling information is available in [http://www.marqibo.com/pi/ the Vincristine liposomal (Marqibo) package insert].<ref name="insert"></ref>
*[http://www.clinicaltrials.gov/ct2/show/NCT01439347 HALLMARQ, A Phase 3 Study to Evaluate Marqibo® in the Treatment of Subjects ≥ 60 Years Old With Newly Diagnosed ALL]
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*[https://chemocare.com/druginfo/vincristine-liposomal.aspx Vincristine liposomal (Marqibo) patient drug information (Chemocare)]<ref>[https://chemocare.com/druginfo/vincristine-liposomal.aspx Vincristine liposomal (Marqibo) patient drug information (Chemocare)]</ref>
*[http://www.clinicaltrials.gov/ct2/show/NCT00495079 HBS407, Safety and Efficacy of Marqibo in Relapsed Acute Lymphoblastic Leukemia]
 
*[http://www.clinicaltrials.gov/ct2/show/NCT00144963 VSLI-06, Liposomal Vincristine Plus Dexamethasone in Patients With Relapsed or Refractory Acute Lymphoblastic Leukemia]
 
  
==Patient drug information==
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==History of changes in FDA indication==
*Patient counseling information is available on [http://www.accessdata.fda.gov/drugsatfda_docs/label/2012/202497s000lbl.pdf#page=17 pages 17-20 of the package insert].<ref name="insert"></ref>
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*2012-08-09: Accelerated approval for the treatment of adult patients with Philadelphia chromosome-negative (Ph-) [[B-cell acute lymphoblastic leukemia|acute lymphoblastic leukemia (ALL)]] in second or greater relapse or whose disease has progressed following two or more anti-leukemia therapies. ''(Based on RALLY)''
*[http://chemocare.com/bio/vincristine.asp Vincristine patient drug information - note: this is for the non-liposomal formulation (Chemocare)]<ref>[http://chemocare.com/bio/vincristine.asp Vincristine patient drug information - note: this is for the non-liposomal formulation (Chemocare)]</ref>
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**2022-05-02: Accelerated approval for the treatment of adult patients with Philadelphia chromosome-negative (Ph-) [[B-cell acute lymphoblastic leukemia|acute lymphoblastic leukemia (ALL)]] in second or greater relapse or whose disease has progressed following two or more anti-leukemia therapies withdrawn at request of manufacturer ''(Based on Hallmarq)''
  
 
==Also known as==
 
==Also known as==
Vincristine sulfate liposome injection, VSLI.
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*'''Generic names:''' vincristine sulfate liposome injection, VSLI
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*'''Brand name:''' Marqibo
  
 
==References==
 
==References==
 
<references/>
 
<references/>
  
[[Category:Drug index]]
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[[Category:Drugs]]
[[Category:Chemotherapy]]
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[[Category:Intravenous medications]]
[[Category:Intravenous chemotherapy]]
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[[Category:Irritant]]
[[Category:Irritant chemotherapy]]
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[[Category:Vesicant]]
[[Category:Vesicant chemotherapy]]
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[[Category:Liposomal chemotherapy]]
  
 
[[Category:Microtubule inhibitors]]
 
[[Category:Microtubule inhibitors]]
 
[[Category:Vinca alkaloids]]
 
[[Category:Vinca alkaloids]]
  
[[Category:Acute lymphocytic leukemia medications]]
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[[Category:B-cell acute lymphoblastic leukemia medications (historic)]]
[[Category:Aggressive Non-Hodgkin lymphoma medications]]
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[[Category:Diffuse large B-cell lymphoma medications (historic)]]
 +
 
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[[Category:FDA approved in 2012]]
  
[[Category:Drugs FDA approved in 2012]]
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[[Category:Discontinued drugs]]
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[[Category:FDA withdrawn in 2022]]

Latest revision as of 11:54, 29 June 2024

General information

Class/mechanism: Vinca alkaloid which causes cell cycle arrest in metaphase and inhibits mitosis. Vincristine stabilizes the spindle apparatus by binding to tubulin, alters microtubule structure and function, and inhibits chromosome separation. Marqibo is a formulation of vincristine sulfate that is encapsulated in sphingomyelin/cholesterol liposomes (Optisomes), which are hypothesized to provide improved tissue drug penetration and reduced toxicity.[1][2][3][4]
Route: IV
Extravasation: irritant/vesicant (depending on reference)

For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, UpToDate (courtesy of Lexicomp), or the prescribing information.[1]

Diseases for which it was used

Patient drug information

History of changes in FDA indication

  • 2012-08-09: Accelerated approval for the treatment of adult patients with Philadelphia chromosome-negative (Ph-) acute lymphoblastic leukemia (ALL) in second or greater relapse or whose disease has progressed following two or more anti-leukemia therapies. (Based on RALLY)
    • 2022-05-02: Accelerated approval for the treatment of adult patients with Philadelphia chromosome-negative (Ph-) acute lymphoblastic leukemia (ALL) in second or greater relapse or whose disease has progressed following two or more anti-leukemia therapies withdrawn at request of manufacturer (Based on Hallmarq)

Also known as

  • Generic names: vincristine sulfate liposome injection, VSLI
  • Brand name: Marqibo

References

  1. 1.0 1.1 1.2 Vincristine liposomal (Marqibo) package insert
  2. Vincristine liposomal (Marqibo) package insert (locally hosted backup)
  3. Marqibo manufacturer's website
  4. Jeffrey A. Silverman, Walter Aulitzky, John Lister, Lori Maness, Gary Schiller, Karen Seiter, Scott E. Smith, Wendy Stock, Dina Ben Yehuda, Steven R. Deitcher. Marqibo® (vincristine sulfate liposomes injection; VSLI) Optimizes the Dosing, Delivery, and Pharmacokinetic (PK) Profile of Vincristine Sulfate (VCR) in Adults with Relapsed and Refractory Acute Lymphoblastic Leukemia (ALL). ASH 2010 abstract 2142. link to abstract
  5. Vincristine liposomal (Marqibo) patient drug information (Chemocare)