Vinflunine: Difference between revisions

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'''Vinflunine''' is a novel [[fluorinated]] [[vinca alkaloid]] that has been approved for the treatment of second-line [[transitional cell carcinoma of the urothelium]] and is being tested in other [[cancer]]s. It is the first [[microtubule inhibitor]] that has shown to improve survival in this disease. Vinflunine is produced semi-synthetically from a precursor extracted from the [[periwinkle plant]].
{{Short description|A chemotherapeutic agent used in cancer treatment}}
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== Mechanism of action ==
'''Vinflunine''' is a [[chemotherapeutic agent]] used in the treatment of various types of [[cancer]]. It is a [[vinca alkaloid]] derivative, specifically designed to improve upon the efficacy and safety profile of its predecessors, such as [[vincristine]] and [[vinblastine]].
Vinflunine acts by inhibiting [[microtubule]] dynamics, which are crucial for [[mitosis]] and cell proliferation. Its mechanism of action involves the suppression of microtubule dynamics by targeting tubulin into the vinca domain.  


== Clinical use ==
==Mechanism of Action==
Vinflunine has been approved in Europe for the treatment of bladder cancer. It is used as a second-line treatment following failure of a platinum-containing regimen. It has also been tested in non-small cell lung cancer, breast cancer, and malignant pleural mesothelioma, but not yet approved for these indications.
Vinflunine works by inhibiting [[microtubule]] assembly, which is crucial for [[cell division]]. By disrupting the microtubule dynamics, vinflunine effectively halts the [[mitotic]] process, leading to [[apoptosis]] of the [[cancer cells]]. This mechanism is similar to other vinca alkaloids, but vinflunine has been modified to enhance its binding affinity and reduce [[neurotoxicity]].


== Side effects ==
==Clinical Use==
The most common side effects of vinflunine are constipation, nausea, fatigue, neutropenia, and anemia. Severe neutropenia can be prevented with granulocyte colony-stimulating factor support. The use of vinflunine is contraindicated in patients with severe liver disease, recent history of cardiovascular disease, and uncontrolled hypertension.
Vinflunine is primarily used in the treatment of [[urothelial carcinoma]], particularly in patients who have previously been treated with [[platinum-based chemotherapy]]. It has also been investigated for use in other types of cancer, including [[non-small cell lung cancer]] and [[breast cancer]].


== References ==
==Side Effects==
<references />
Common side effects of vinflunine include [[neutropenia]], [[anemia]], [[constipation]], and [[fatigue]]. Less common but serious side effects can include [[cardiotoxicity]] and [[neurotoxicity]]. Patients undergoing treatment with vinflunine require regular monitoring of their [[blood cell counts]] and [[organ function]].


== See also ==
==Pharmacokinetics==
Vinflunine is administered intravenously and has a complex [[pharmacokinetic]] profile. It is extensively metabolized in the [[liver]], primarily by the [[cytochrome P450]] enzyme system. The drug and its metabolites are excreted mainly through the [[biliary]] route.
 
==Development and Approval==
Vinflunine was developed by [[Pierre Fabre]] Laboratories and received approval for use in the [[European Union]] in 2009. It is not approved by the [[Food and Drug Administration]] (FDA) for use in the [[United States]].
 
==Related pages==
* [[Vinca alkaloid]]
* [[Vinca alkaloid]]
* [[Microtubule inhibitor]]
* [[Chemotherapy]]
* [[Transitional cell carcinoma of the urothelium]]
* [[Cancer treatment]]


[[Category:Chemotherapy agents]]
[[Category:Chemotherapeutic agents]]
[[Category:Vinca alkaloids]]
[[Category:Vinca alkaloids]]
[[Category:Microtubule inhibitors]]
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Revision as of 03:38, 13 February 2025

A chemotherapeutic agent used in cancer treatment


Vinflunine
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Vinflunine is a chemotherapeutic agent used in the treatment of various types of cancer. It is a vinca alkaloid derivative, specifically designed to improve upon the efficacy and safety profile of its predecessors, such as vincristine and vinblastine.

Mechanism of Action

Vinflunine works by inhibiting microtubule assembly, which is crucial for cell division. By disrupting the microtubule dynamics, vinflunine effectively halts the mitotic process, leading to apoptosis of the cancer cells. This mechanism is similar to other vinca alkaloids, but vinflunine has been modified to enhance its binding affinity and reduce neurotoxicity.

Clinical Use

Vinflunine is primarily used in the treatment of urothelial carcinoma, particularly in patients who have previously been treated with platinum-based chemotherapy. It has also been investigated for use in other types of cancer, including non-small cell lung cancer and breast cancer.

Side Effects

Common side effects of vinflunine include neutropenia, anemia, constipation, and fatigue. Less common but serious side effects can include cardiotoxicity and neurotoxicity. Patients undergoing treatment with vinflunine require regular monitoring of their blood cell counts and organ function.

Pharmacokinetics

Vinflunine is administered intravenously and has a complex pharmacokinetic profile. It is extensively metabolized in the liver, primarily by the cytochrome P450 enzyme system. The drug and its metabolites are excreted mainly through the biliary route.

Development and Approval

Vinflunine was developed by Pierre Fabre Laboratories and received approval for use in the European Union in 2009. It is not approved by the Food and Drug Administration (FDA) for use in the United States.

Related pages