vinorelbine
Trade name: navelbine
Approved
Dec 23, 1994
Vinorelbine (trade name Navelbine) is a semi-synthetic vinca-alkaloid with a broad spectrum of anti-tumour activity. Vinorelbine is a mitotic spindle poison that impairs chromosomal segregation during mitosis. It blocks cells at G2/M. Microtubules (derived from polymers of tubulin) are the principal target of vinorelbine. Vinorelbine was developed by Pierre Fabre under licence from the CNRS in France. NAVELBINE (vinorelbine tartrate) as a single agent or in combination is indicated for the first line treatment of non small cell lung cancer and advanced breast cancer. — NCATS
Clinical trial activity
478 trials · 462 clinical orgs · 14 marketing orgs
Earliest trial started Jul 1, 1992 (NCT00002498)
Timeline
1990s
- Jan 1, 1992
Earliest Phase 2 Sponsor(trial)
- Jan 1, 1993
Earliest Phase 3 Sponsor(trial)
- Dec 23, 1994
Pierre Fabre — Earliest FDA Approval
- Dec 23, 1994
Pierre Fabre — NDA Organization
- Dec 23, 1994
Pierre Fabre — NDA Secondary Org
- Jan 1, 1995
Earliest Phase 1 Sponsor(trial)
2000s
- Feb 3, 2003
Teva — Marketing Organization
- Jun 10, 2003
West-Ward Pharmaceutical — Marketing Organization
- Jun 10, 2003
Hikma — Marketing Organization
- Apr 18, 2005
Fresenius — Marketing Organization
- Jun 2, 2005
Hospira — Marketing Organization
- Feb 13, 2008
EBEWE Pharma — Marketing Organization
- Jul 22, 2009
Actavis — Marketing Organization
2010s
- Aug 31, 2012
Mylan — Marketing Organization
- Aug 31, 2012
Rising Pharmaceuticals — Marketing Organization
- Sep 26, 2012
Jiangsu Hansoh Pharmaceutical Co., Ltd. — Marketing Organization
- Sep 12, 2013
Dr. Reddy's Laboratories — Marketing Organization
- Aug 5, 2019
Novast Labs — Marketing Organization
- Aug 5, 2019
Ingenus Pharmaceuticals — Marketing Organization
Indications
Studied for
- Adenocarcinoma · Phase 2
- Adenocarcinoma of Lung · Phase 3
- Adolescent · Phase 2
- Amyloidosis · Phase 2
- Angiogenesis Inhibitors · Phase 3
- Brain Neoplasms · Phase 2
- Breast · Phase 1/Phase 2
- Breast Carcinoma In Situ · Phase 2
- Breast Diseases · Phase 2
- Breast Neoplasms · Phase 4
- Breast Neoplasms, Male · Phase 2
- Bronchial Neoplasms · Phase 3
- Carcinoma · Phase 2
- Carcinoma, Bronchogenic · Phase 3
- Carcinoma, Ductal, Breast · Phase 3
- Carcinoma, Islet Cell · Phase 1
- Carcinoma, Non-Small-Cell Lung · Phase 4
- Carcinoma, Renal Cell · Phase 1
- Carcinoma, Squamous Cell · Phase 3
- Chemoradiotherapy · Phase 2
- Child · Phase 2
- Choroidal Neovascularization · Phase 1
- Circulating Tumor DNA · Phase 2
- Cisplatin · Phase 2
- Colonic Neoplasms · Phase 2
- Colorectal Neoplasms · Phase 2
- Cytoreduction Surgical Procedures · Phase 2
- Desmoplastic Small Round Cell Tumor · Phase 1/Phase 2
- Diffuse Intrinsic Pontine Glioma · Phase 2
- Disease-Free Survival · Phase 2/Phase 3
- Disease Progression · Phase 2
- Doxorubicin · Phase 2
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Drugs, Investigational · Phase 2
- Endometrial Neoplasms · Phase 1
- Epidermal Growth Factor · Phase 3
- Esophageal Neoplasms · Phase 3
- Esophageal Squamous Cell Carcinoma · Phase 3
- Fallopian Tube Neoplasms · Phase 2
- Fatigue · Phase 2
- Genetic Predisposition to Disease · Phase 3
- Glioma · Phase 2
- Granulocyte-Macrophage Colony-Stimulating Factor · Phase 2
- Hamartoma · Phase 2
- Head and Neck Neoplasms · Phase 2
- Hodgkin Disease · Phase 3
- Immunotherapy · Phase 2
- Inflammatory Breast Neoplasms · Phase 2
- Intestinal Neoplasms · Phase 1
- Kidney Neoplasms · Phase 2
- Leiomyosarcoma · Phase 1
- Leukemia · Phase 1/Phase 2
- Lung Diseases · Phase 3
- Lung Neoplasms · Phase 3
- Lymphoma · Phase 3
- Lymphoma, Large B-Cell, Diffuse · Phase 2
- Lymphoma, Large-Cell, Anaplastic · Phase 3
- Lymphoma, Large-Cell, Immunoblastic · Phase 2
- Lymphoma, Non-Hodgkin · Phase 3
- Lymphoma, T-Cell, Peripheral · Phase 2
- Maintenance · Phase 2
- Medulloblastoma · Phase 2
- Melanoma · Phase 2
- Mesothelioma · Phase 3
- Mesothelioma, Malignant · Phase 3
- Multiple Myeloma · Phase 2
- Musculoskeletal Diseases · Phase 2
- Mutation · Phase 3
- Neoadjuvant Therapy · Phase 2
- Neoplasm Metastasis · Phase 3
- Neoplasms, Connective and Soft Tissue · Phase 2
- Neuroblastoma · Phase 2
- Neuroendocrine Tumors · Phase 2
- Oncogene Proteins · Phase 2
- Osteosarcoma · Phase 2
- Ovarian Diseases · Phase 1/Phase 2
- Ovarian Neoplasms · Phase 3
- Pancreatic Neoplasms · Phase 2
- Pathology · Phase 2
- Pheochromocytoma · Phase 1
- Prostatic Neoplasms · Phase 2
- Radiation Oncology · Phase 2
- Radiotherapy · Phase 3
- Respiratory Tract Diseases · Phase 3
- Respiratory Tract Neoplasms · Phase 3
- Rhabdomyosarcoma · Phase 3
- Rhabdomyosarcoma, Alveolar · Phase 3
- Rhabdomyosarcoma, Embryonal · Phase 3
- Sarcoma · Phase 3
- Sarcoma, Ewing · Phase 2
- Small Cell Lung Carcinoma · Phase 1/Phase 2
- Stomach Neoplasms · Phase 3
- Thoracic Neoplasms · Phase 3
- Thymidylate Synthase · Phase 2
- Thyroid Neoplasms · Phase 1
- Triple Negative Breast Neoplasms · Phase 3
- Urinary Bladder Neoplasms · Phase 1
- Uterine Cervical Neoplasms · Phase 3
- Vaginal Neoplasms · Phase 1
- Vinorelbine · Phase 2
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 reviewDec 23, 1994
Chemistry & pharmacology
SMILES
CCC1=C[C@@H]2CN(C1)Cc1c([nH]c3ccccc13)[C@@](C(=O)OC)(c1cc3c(cc1OC)N(C)[C@H]1[C@@](O)(C(=O)OC)[C@H](OC(C)=O)[C@]4(CC)C=CCN5CC[C@]31[C@@H]54)C2- Mol. weight
- 778.95 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
- ChEMBLCHEMBL553025 ↗
- WikipediaVinorelbine ↗
- NCATSQ6C979R91Y ↗
- ChEMBLCHEMBL538943 ↗
- ChEMBLCHEMBL3039595 ↗
Also known as
- 5'-anhydrovinblastine
- 5'-noranhydrovinblastine
- 5'-noranhydrovinblastine
- 5'-noranhydrovinblastine
- 5'-nor-anhydrovinblastine
- c'-norvincaleukoblastine, 3',4'-didehydro-4'-deoxy-
- kw 2307
- kw-2307
- liposomal vinorelbine
- navelbin
- navelbine
- navelbine
- navelbine
- navelbine
- navelbine
- navelbine
- navelbine base
- nor-5'-anhydrovinblastine
- nor-5'-anhydrovinblastine
- noranhydrovinblastine tartrate
- vinorelbin
- vinorelbin
- vinorelbina
- vinorelbina
- vinorelbin ditartrate
- vinorelbin ditartrate
- vinorelbin ditartrate
- vinorelbin ditartrate
- vinorelbin ditartrate
- vinorelbine
- vinorelbine
- vinorelbine
- vinorelbine
- vinorelbine
- vinorelbine
- vinorelbine
- vinorelbine
- vinorelbine
- vinorelbine base
- vinorelbine base
- vinorelbine base
- vinorelbine ditartarate
- vinorelbine ditartarate
- vinorelbine ditartrate
- vinorelbine ditartrate
- vinorelbine (ditartrate)
- vinorelbine ditartrate salt hydrate
- vinorelbine tartrate
- vinorelbine tartrate
- vinorelbine tartrate
- vinorelbine tartrate
- vinorelbine tartrate
- vinorelbinum
- vinorelbinum
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07214779 | Phase 3 | Dec 1, 2025 | ENGOT Foundation, GOG Foundation, Inc., Incyte |
| NCT07230626 | Phase 3 | Nov 20, 2025 | Shijiazhuang Pharma Group (CSPC) |
| NCT06908304 | Phase 3 | Nov 3, 2025 | Maia Biotechnology |
| NCT07021989 | Phase 2 | Oct 31, 2025 | Gateway for Cancer Research, University of California, San Francisco |
| NCT07137884 | Phase 2 | Oct 1, 2025 | Sun Yat-Sen University |
| NCT06875128 | Phase 2 | Sep 30, 2025 | Delcath Systems |
| NCT07152405 | Phase 3 | Sep 24, 2025 | Baili Pharmaceutical Group |
| NCT07165769 | Phase 2 | Sep 4, 2025 | China Academy of Chinese Medical Sciences |
| NCT07088263 | Phase 3 | Aug 4, 2025 | Sun Yat-Sen University |
| NCT06632327 | Phase 3 | May 30, 2025 | National Cancer Institute (NCI) |
| NCT07007559 | Phase 1/Phase 2 (Phase 2) | Apr 28, 2025 | ALX Oncology |
| NCT06857747 | N/A | Mar 1, 2025 | Chinese Academy of Medical Sciences |
| NCT06839560 | Phase 2 | Mar 1, 2025 | Chinese Academy of Medical Sciences |
| NCT06692491 | Phase 2 | Jan 1, 2025 | Peking University |
| NCT06690840 | Phase 2 | Dec 31, 2024 | University of Milan |
| NCT06653972 | Phase 2 | Nov 1, 2024 | Chinese Academy of Medical Sciences |
| NCT06564844 | Phase 3 | Oct 28, 2024 | AstraZeneca, Daiichi Sankyo, Universidad Autonoma de Barcelona |
| NCT06714084 | N/A | Oct 8, 2024 | Akeso Pharmaceuticals, Inc., People's Hospital Of Yichang, Wuhan University |
| NCT06576635 | N/A | Sep 30, 2024 | University of Illinois at Chicago |
| NCT06435429 | Phase 3 | Aug 13, 2024 | Jazz Pharmaceuticals |
Organizations
Research & Development (462)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| National Cancer Institute (NCI) | Government | 61 | 22 | 4 | 1994 |
| Fudan University | Academic/Hospital | 26 | 17 | 2 | 2005 |
| Chinese Academy of Medical Sciences | Academic/Hospital | 23 | 14 | 5 | 2005 |
| Sun Yat-Sen University | Academic/Hospital | 22 | 17 | 3 | 2011 |
| Roche | For profit | 20 | 10 | 4 | 2002 |
| Pierre Fabre | For profit | 18 | 3 | 3 | 2002 |
| GlaxoSmithKline | For profit | 13 | 5 | 3 | 2000 |
| Eli Lilly | For profit | 11 | 6 | 2 | 2004 |
| Genentech | For profit | 11 | 2 | 2 | 1999 |
| Harvard University | Academic/Hospital | 11 | 10 | 3 | 2000 |
| Sanofi | For profit | 11 | 2 | 4 | 2000 |
| University of Crete | Academic/Hospital | 10 | 1 | 3 | 2002 |
| Boehringer Ingelheim | For profit | 9 | 6 | 3 | 2009 |
| Hellenic Oncology Research Group | Academic/Hospital | 9 | 9 | 3 | 2002 |
| Southwest Oncology Group | Academic/Hospital | 9 | 7 | 2 | 1994 |
| University of Washington | Academic/Hospital | 9 | 7 | 4 | 1994 |
| Jiao Tong University | Academic/Hospital | 8 | 3 | 2 | 2014 |
| Peking University | Academic/Hospital | 8 | 2 | 3 | 2005 |
| AstraZeneca | For profit | 7 | 5 | 2 | 2004 |
| Cornell University | Academic/Hospital | 7 | 5 | 3 | 2001 |
Marketing (17)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Actavis | For profit | MKTG | Jul 22, 2009 |
| Dr. Reddy's Laboratories | For profit | MKTG | Sep 12, 2013 |
| Dr. Reddy's Laboratories | For profit | SYN | Sep 12, 2013 |
| EBEWE Pharma | For profit | MKTG | Feb 13, 2008 |
| Fresenius | For profit | MKTG | Apr 18, 2005 |
| Hikma | For profit | SYN | Jun 10, 2003 |
| Hikma | For profit | MKTG | Jun 10, 2003 |
| Hospira | For profit | MKTG | Jun 2, 2005 |
| Ingenus Pharmaceuticals | For profit | MKTG | Aug 5, 2019 |
| Jiangsu Hansoh Pharmaceutical Co., Ltd. | For profit | MKTG | Sep 26, 2012 |
| Mylan | For profit | MKTG | Aug 31, 2012 |
| Novast Labs | For profit | MKTG | Aug 5, 2019 |
| Pierre Fabre | For profit | NDA | Dec 23, 1994 |
| Pierre Fabre | For profit | NDA2 | Dec 23, 1994 |
| Rising Pharmaceuticals | For profit | MKTG | Aug 31, 2012 |
| Teva | For profit | MKTG | Feb 3, 2003 |
| West-Ward Pharmaceutical | For profit | MKTG | Jun 10, 2003 |