vinblastine
Trade name: velban
Approved
Nov 25, 1965
Vinblastine is a Vinca alkaloid obtained from the Madagascar periwinkle plant. Vinca alkaloids were found out in the 1950's by Canadian scientists, Robert Noble and Charles Beer for the first time. Medicinal applications of this plant lead to the monitoring of these compounds for their hypoglycemic activity, which is of little importance compared to their cytotoxic effects. They have been used to treat diabetes, high blood pressure and the drugs have even been used as disinfectants. Nevertheless, the vinca alkaloids are so important for being cancer fighters. The mechanism of action of vinblastine sulfate has been related to the inhibition of microtubule formation in the mitotic spindle, resulting in an arrest of dividing cells at the metaphase stage. Vinblastine is an antineoplastic agent used to treat Hodgkin's disease, non-Hodgkin's lymphomas, mycosis fungoides, cancer of the testis, Kaposi's sarcoma, Letterer-Siwe disease, as well as other cancers. — NCATS
Clinical trial activity
207 trials · 218 clinical orgs · 7 marketing orgs
Earliest trial started Apr 1, 1989 (NCT00002715)
Timeline
1980s
1990s
- Jan 1, 1995
Earliest Phase 1 Sponsor(trial)
Indications
Approved for
Studied for
- Acne Vulgaris · Phase 2
- Astrocytoma · Phase 3
- Bile Duct Neoplasms · Phase 1/Phase 2
- Brain Neoplasms · Phase 1
- Breast Neoplasms · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 4
- Carcinoma, Renal Cell · Phase 3
- Carcinoma, Squamous Cell · Phase 1/Phase 2
- Carcinoma, Transitional Cell · Phase 3
- Central Nervous System · Phase 1
- Central Nervous System Neoplasms · Phase 1
- Chordoma · Phase 1/Phase 2
- Cisplatin · Phase 3
- Colonic Neoplasms · Phase 1/Phase 2
- Doxorubicin · Phase 3
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Drugs, Investigational · Phase 3
- General Surgery · Phase 3
- Geriatrics · Phase 3
- Glioma · Phase 3
- Head and Neck Neoplasms · Phase 1/Phase 2
- Healthy Volunteers · Phase 1
- Histiocytosis, Langerhans-Cell · Phase 3
- HIV Infections · Phase 2
- Hodgkin Disease · Phase 4
- Immune Checkpoint Inhibitors · Phase 3
- Kidney Neoplasms · Phase 2
- Leukemia · Phase 3
- Leukemia, Myeloid, Acute · Phase 2
- Liver Neoplasms · Phase 1/Phase 2
- Lung Diseases · Phase 2
- Lung Neoplasms · Phase 3
- Lymphocytosis · Phase 2
- Lymphoma · Phase 4
- Lymphoma, Large B-Cell, Diffuse · Phase 3
- Lymphoma, Large-Cell, Anaplastic · Phase 2
- Lymphoma, Large-Cell, Immunoblastic · Phase 2
- Lymphoma, Non-Hodgkin · Phase 2
- Lymphoma, T-Cell, Peripheral · Phase 3
- Melanoma · Phase 3
- Mesothelioma, Malignant · Phase 2
- Methotrexate · Phase 3
- Mycoses · Phase 1
- Neoadjuvant Therapy · Phase 2
- Neoplasm Metastasis · Phase 1
- Neoplasms, Germ Cell and Embryonal · Phase 2
- Neuroblastoma · Phase 2
- Neurofibromatosis 1 · Phase 2
- Ovarian Neoplasms · Phase 3
- Pancreatic Neoplasms · Phase 1/Phase 2
- Precancerous Conditions · Phase 2
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 2
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 2
- Prostatic Neoplasms · Phase 3
- Sarcoma · Phase 3
- Sarcoma, Kaposi · Phase 2
- Sclerosis · Phase 2
- Skin Neoplasms · Phase 3
- Survival · Phase 2
- Testicular Neoplasms · Phase 3
- Triple Negative Breast Neoplasms · Phase 2
- Ureteral Neoplasms · Phase 3
- Urethral Neoplasms · Phase 3
- Urinary Bladder Neoplasms · Phase 3
- Uterine Cervical Neoplasms · Phase 3
- Vinblastine · Phase 3
Mechanism of action
- TubulinINHIBITOR
Tubulin inhibitor
Binds to beta tubulin, vinca site (PMID: 15057285)
- Tubulin beta-4B chain (TUBB4B) ↗
- Tubulin beta-1 chain (TUBB1) ↗
- Tubulin alpha-3C chain (TUBA3C) ↗
- Tubulin alpha-4A chain (TUBA4A) ↗
- Tubulin beta-3 chain (TUBB3) ↗
- Tubulin alpha-1A chain (TUBA1A) ↗
- Tubulin beta-4A chain (TUBB4A) ↗
- Tubulin beta-8 chain (TUBB8) ↗
- Tubulin beta chain (TUBB) ↗
- Tubulin alpha-1B chain (TUBA1B) ↗
- Tubulin alpha-1C chain (TUBA1C) ↗
- Tubulin alpha-3E chain (TUBA3E) ↗
- Tubulin beta-2A chain (TUBB2A) ↗
- Tubulin beta-2B chain (TUBB2B) ↗
- Tubulin beta-6 chain (TUBB6) ↗
Approval history
- approvedPriority reviewNov 25, 1965
Chemistry & pharmacology
SMILES
CC[C@]1(O)C[C@@H]2CN(CCc3c([nH]c4ccccc34)[C@@](C(=O)OC)(c3cc4c(cc3OC)N(C)[C@H]3[C@@](O)(C(=O)OC)[C@H](OC(C)=O)[C@]5(CC)C=CCN6CC[C@]43[C@@H]65)C2)C1- Mol. weight
- 810.99 g/mol
- Lipinski Ro5
- 2 violation(s)
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL159 ↗
- WikipediaVinblastine ↗
- NCATS5V9KLZ54CY ↗
- ChEMBLCHEMBL378544 ↗
Also known as
- 29060-le
- 29060-le
- [3h]-vinblastine
- [3h]-vinblastine
- int230-6
- velban
- velban
- velban
- velban
- velbe
- velbe
- vinblastin
- vinblastin
- vinblastin
- vinblastina
- vinblastina
- vinblastine
- vinblastine
- vinblastine
- vinblastine
- vinblastine
- vinblastine
- vinblastine
- vinblastine
- vinblastine
- vinblastine
- vinblastine sulfate
- vinblastine sulfate
- vinblastine sulfate
- vinblastine sulfate
- vinblastine sulphate
- vinblastine sulphate
- vinblastinum
- vinblastinum
- vinblast,lederle
- vincaleucoblastin
- vincaleucoblastine
- vincaleucoblastine
- vincaleukoblastine
- vincaleukoblastine
- vincaleukoblastine
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07013565 | Phase 2 | Aug 7, 2025 | Medical College of Wisconsin, Memorial Sloan-Kettering Cancer Center, Michigan State University, New York Medical College, Ohio State University, University of Alabama, Birmingham, University of California, Irvine, University of North Carolina at Chapel Hill, University of Pennsylvania, University of Utah |
| NCT06745076 | Phase 2 | Jun 1, 2025 | University of Washington |
| NCT06960577 | Phase 3 | May 15, 2025 | AstraZeneca |
| NCT06984146 | Phase 2 | Apr 15, 2025 | Government of Russia |
| NCT06358573 | Phase 2 | Oct 24, 2024 | Cantonal Hospital of St. Gallen, Cantonal Hospital Winterthur, Swiss Group for Clinical Cancer Research |
| NCT06848569 | Phase 2 | Oct 23, 2024 | Sun Yat-Sen University |
| NCT06831370 | Phase 4 | Aug 28, 2024 | Takeda |
| NCT06263231 | Phase 3 | Jun 28, 2024 | Intensity Therapeutics, Johns Hopkins University, Premier Research Group |
| NCT06377566 | Phase 2 | Apr 17, 2024 | Memorial Sloan-Kettering Cancer Center, Seattle Genetics |
| NCT06204614 | Early Phase 1 (Phase 1) | Feb 14, 2024 | Harvard University |
| NCT06164275 | Phase 2 | Dec 31, 2023 | National Cancer Institute (NCI), Northwestern University |
| NCT05776758 | Phase 3 | Nov 30, 2023 | ISTITUTO REGINA ELENA |
| NCT05949931 | Phase 2 | Aug 31, 2023 | Sun Yat-Sen University |
| NCT05675410 | Phase 3 | May 11, 2023 | National Cancer Institute (NCI), State University of New York, Buffalo |
| NCT07171827 | N/A | Mar 1, 2023 | Helwan University |
| NCT05404945 | Phase 2 | Jul 26, 2022 | Merck, University of Virginia |
| NCT05180825 | Phase 2 | May 5, 2022 | University of Strasbourg |
| NCT05253495 | Phase 2 | Feb 1, 2022 | New York Medical College |
| NCT04685616 | Phase 3 | Nov 30, 2021 | Canadian Cancer Trials Group, Takeda, University of London, University of Manchester |
| NCT05137262 | Phase 2 | Oct 13, 2021 | AstraZeneca, University of Texas at Houston |
Organizations
Research & Development (218)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| National Cancer Institute (NCI) | Government | 51 | 18 | 4 | 1989 |
| University of Texas at Houston | Academic/Hospital | 13 | 11 | 3 | 1995 |
| European Organisation for Research and Treatment of Cancer | Academic/Hospital | 12 | 11 | 2 | 1989 |
| Cornell University | Academic/Hospital | 10 | 6 | 4 | 1996 |
| University of Cologne | Academic/Hospital | 10 | 10 | 3 | 1998 |
| Eastern Cooperative Oncology Group | Academic/Hospital | 9 | 4 | 2 | 1994 |
| Seattle Genetics | For profit | 9 | 2 | 5 | 2010 |
| Southwest Oncology Group | Academic/Hospital | 9 | 6 | 2 | 1992 |
| Stanford University | Academic/Hospital | 9 | 5 | 3 | 1989 |
| Institut Gustave Roussy | Academic/Hospital | 8 | 4 | 3 | 1994 |
| St. Jude Children's Hospital | Academic/Hospital | 8 | 7 | 2 | 1997 |
| University of Toronto | Academic/Hospital | 8 | 4 | 3 | 1997 |
| Canadian Cancer Trials Group | Academic/Hospital | 6 | 2 | 2 | 1994 |
| Cancer and Leukemia Group B (CALGB) | Academic/Hospital | 6 | 0 | 1 | 1992 |
| Fondazione Italiana Diabete Onlus | Academic/Hospital | 6 | 5 | 2 | 2003 |
| Harvard University | Academic/Hospital | 6 | 4 | 3 | 2000 |
| Merck | For profit | 6 | 2 | 1 | 2017 |
| University of Washington | Academic/Hospital | 6 | 3 | 2 | 1992 |
| AstraZeneca | For profit | 5 | 1 | 2 | 2014 |
| Baylor University | Academic/Hospital | 5 | 2 | 3 | 1997 |
Marketing (9)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Abraxis | For profit | MKTG | — |
| Athenex, Inc. | For profit | MKTG | — |
| Eli Lilly | For profit | SYN | Nov 25, 1965 |
| Eli Lilly | For profit | NDA | Nov 25, 1965 |
| Fresenius | For profit | MKTG | Apr 29, 1987 |
| Hikma | For profit | SYN | Apr 9, 1987 |
| Hikma | For profit | MKTG | Apr 9, 1987 |
| Hospira | For profit | MKTG | Aug 18, 1987 |
| West-Ward Pharmaceutical | For profit | MKTG | Apr 9, 1987 |