Difference between revisions of "Vinorelbine (Navelbine)"

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m (Text replacement - "[[Sarcoma" to "[[Soft tissue sarcoma")
m (Text replacement - "[http://www.utdol.com/online/content/search.do UpToDate (courtesy of Lexicomp)], or" to "or")
 
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==General information==
 
==General information==
Class/mechanism: Vinca alkaloid, inhibits microtubule formation in the mitotic spindle, causing cell cycle arrest in metaphase.  Vinorelbine may possibly also disrupt: amino acid, cyclic AMP, and glutathione metabolism; calmodulin-dependent calcium transport ATPase activity; and DNA/RNA and lipid synthesis.<ref name="insert">[http://www.pierre-fabre.com/us/file/nvb_prescribing_info_us.pdf Vinorelbine (Navelbine) package insert]</ref><ref>[http://hemonc.org/docs/packageinsert/vinorelbine.pdf Vinorelbine (Navelbine) package insert (locally hosted backup)]</ref>
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Class/mechanism: Vinca alkaloid, inhibits microtubule formation in the mitotic spindle, causing cell cycle arrest in metaphase.  Vinorelbine may possibly also disrupt: amino acid, cyclic AMP, and glutathione metabolism; calmodulin-dependent calcium transport ATPase activity; and DNA/RNA and lipid synthesis.<ref name="insert">[http://www.pierre-fabre.com/us/file/nvb_prescribing_info_us.pdf Vinorelbine (Navelbine) package insert]</ref><ref>[https://hemonc.org/docs/packageinsert/vinorelbine.pdf Vinorelbine (Navelbine) package insert (locally hosted backup)]</ref>
 
<br>Route: IV
 
<br>Route: IV
 
<br>Extravasation: [[vesicant]]
 
<br>Extravasation: [[vesicant]]
  
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, or the prescribing information.<ref name="insert"></ref>  
  
 
==Disease for which it is used==
 
==Disease for which it is used==
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*[[Cervical cancer]]
 
*[[Cervical cancer]]
 
*[[Diffuse large B-cell lymphoma]]
 
*[[Diffuse large B-cell lymphoma]]
*[[Hodgkin lymphoma]]
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*[[Esophageal cancer]]
*[[Mesothelioma]]
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**[[Esophageal squamous cell carcinoma]]
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*[[Classical Hodgkin lymphoma]]
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*[[Malignant pleural mesothelioma]]
 
*[[Non-small cell lung cancer]]
 
*[[Non-small cell lung cancer]]
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**[[Non-small cell lung cancer, nonsquamous]]
 
*[[Ovarian cancer]]
 
*[[Ovarian cancer]]
 
*[[Soft tissue sarcoma]]
 
*[[Soft tissue sarcoma]]
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==History of changes in FDA indication==
 
==History of changes in FDA indication==
* 12/23/1994: Initial FDA approval
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* 1994-12-23: Initial FDA approval as a single agent or in combination with cisplatin for the first-line treatment of ambulatory patients with unresectable, advanced [[non-small cell lung cancer|non-small cell lung cancer (NSCLC)]]. ''(Based on Crawford et al. 1996, Le Chevalier et al. 1994, SWOG S9308)''
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==History of changes in EMA indication==
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*1989-04-11: EURD
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==History of changes in PMDA indication==
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*2005-05-31: New indication for the treatment of inoperable or recurrent [[breast cancer]].
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==Also known as==
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*'''Code name:''' KW-2307
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*'''Generic name:''' NVB, vinorelbine tartrate
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*'''Brand names:''' Binorel, Biovelbin, Eunades, Flonorbin, Navelbine, Neoben, Relbovin, Vinelbine, Vinorelbel, Vinotec
  
 
==References==
 
==References==
 
<references/>
 
<references/>
  
[[Category:Drug index]]
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[[Category:Drugs]]
[[Category:Chemotherapy]]
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[[Category:Intravenous medications]]
 
[[Category:Intravenous medications]]
[[Category:Vesicant chemotherapy]]
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[[Category:Vesicant]]
  
 
[[Category:Microtubule inhibitors]]
 
[[Category:Microtubule inhibitors]]
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[[Category:Cervical cancer medications]]
 
[[Category:Cervical cancer medications]]
 
[[Category:Diffuse large B-cell lymphoma medications]]
 
[[Category:Diffuse large B-cell lymphoma medications]]
[[Category:Hodgkin lymphoma medications]]
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[[Category:Esophageal cancer medications]]
[[Category:Mesothelioma medications]]
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[[Category:Esophageal squamous cell carcinoma medications]]
 +
[[Category:Classical Hodgkin lymphoma medications]]
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[[Category:Malignant pleural mesothelioma medications]]
 
[[Category:Non-small cell lung cancer medications]]
 
[[Category:Non-small cell lung cancer medications]]
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[[Category:Non-small cell lung cancer, nonsquamous medications]]
 
[[Category:Ovarian cancer medications]]
 
[[Category:Ovarian cancer medications]]
[[Category:Sarcoma medications]]  
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[[Category:Soft tissue sarcoma medications]]  
 
[[Category:Small cell lung cancer medications]]
 
[[Category:Small cell lung cancer medications]]
  
[[Category:Drugs FDA approved in 1994]]
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[[Category:FDA approved in 1994]]
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[[Category:EMA approved in 1989]]
 
[[Category:WHO Essential Cancer Medicine]]
 
[[Category:WHO Essential Cancer Medicine]]

Latest revision as of 00:14, 6 July 2024

General information

Class/mechanism: Vinca alkaloid, inhibits microtubule formation in the mitotic spindle, causing cell cycle arrest in metaphase. Vinorelbine may possibly also disrupt: amino acid, cyclic AMP, and glutathione metabolism; calmodulin-dependent calcium transport ATPase activity; and DNA/RNA and lipid synthesis.[1][2]
Route: IV
Extravasation: vesicant

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, or the prescribing information.[1]

Disease for which it is used

Patient drug information

History of changes in FDA indication

  • 1994-12-23: Initial FDA approval as a single agent or in combination with cisplatin for the first-line treatment of ambulatory patients with unresectable, advanced non-small cell lung cancer (NSCLC). (Based on Crawford et al. 1996, Le Chevalier et al. 1994, SWOG S9308)

History of changes in EMA indication

  • 1989-04-11: EURD

History of changes in PMDA indication

  • 2005-05-31: New indication for the treatment of inoperable or recurrent breast cancer.

Also known as

  • Code name: KW-2307
  • Generic name: NVB, vinorelbine tartrate
  • Brand names: Binorel, Biovelbin, Eunades, Flonorbin, Navelbine, Neoben, Relbovin, Vinelbine, Vinorelbel, Vinotec

References