Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Vinflunine
Drug ID BADD_D02362
Description Vinflunine is a third-generation member of the vinca alkaloid family with anti-tumour actions. It was first described in 1998 at the Pierre Fabre research center in France. Like other vinca agents, vinflunine is an anti-mitotic agent that induces a cell cycle arrest at the G2/M phase and promotes cell death via apoptosis [L1396]. Vinflunine is a microtubule inhibitor that binds to tubulin at or near to the vinca binding sites to inhibits its polymerization into microtubules during cell proliferation [L1396]. In murine tumors and human tumor xenografts, vinflunine exhibits an antitumor efficacy than [DB00361], [DB00570], and [DB00541] [A31975]. Having an incidence of 429,700 new cases per year worldwide, urothelial carcinoma of the bladder is one of the most common malignancies that mostly affects individuals aged 50–79 years [A32626]. Some patients with advanced urothelial carcinoma experience inadequate therapeutic response from a prior platinum-containing regimen. While these patients have a median survival of approximately 4 months and a poor prognosis [L1396], there is currently no standard therapy in patients with advanced urothelial carcinoma [A32626]. In 2009, vinflunine was approved by the European Medicines Agency (EMA) as a second-line therapy of metastatic and advanced urothelial cancer after failure of platinum-based treatment [A32626]. Vinflunine ditartrate is an active ingredient in the EMA-authorised product Javlor for intravenous infusion. Efficacy and safety of vinflunine has not been studied in patients with performance status of 2 or less. The clinical use of vinflunine in other urologic malignancies, such as inoperable cancer of the penis, are currently have been investigated [A32626].
Indications and Usage For use as a monotherapy in adults with advanced or transitional cell carcinoma of the urothelial tract after failure of a prior platinum-containing therapy [L2381].
Marketing Status approved; investigational
ATC Code L01CA05
DrugBank ID DB11641
KEGG ID D09032
MeSH ID C111217
PubChem ID 10629256
TTD Drug ID D0OT9S
NDC Product Code Not Available
UNII 5BF646324K
Synonyms vinflunine | Javlor
Chemical Information
Molecular Formula C45H54F2N4O8
CAS Registry Number 162652-95-1
SMILES CCC12C=CCN3C1C4(CC3)C(C(C2OC(=O)C)(C(=O)OC)O)N(C5=CC(=C(C=C45)C6(CC7CC(CN(C7)CC8 =C6NC9=CC=CC=C89)C(C)(F)F)C(=O)OC)OC)C
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Seasonal allergy10.01.04.001; 06.04.01.013; 22.04.04.008--Not Available
Neutropenic sepsis11.01.11.006; 01.02.03.007--Not Available
Ureterostomy site discomfort12.02.10.006--Not Available
Anal haemorrhage24.07.02.029; 07.12.03.004--
Subileus07.13.01.004--Not Available
Penile discharge21.12.01.005--Not Available
Musculoskeletal chest pain22.09.01.001; 15.03.04.012--
Deep vein thrombosis24.01.02.003--Not Available
Acute coronary syndrome24.04.04.011; 02.02.02.015--Not Available
Infusion related reaction12.02.05.009; 10.01.01.017; 08.01.03.002--
Lymphatic disorder01.09.01.003--Not Available
Musculoskeletal stiffness15.03.05.027--Not Available
Epigastric discomfort07.01.02.004--Not Available
Musculoskeletal discomfort15.03.04.001--Not Available
Inappropriate antidiuretic hormone secretion14.05.07.001; 05.03.03.001--Not Available
Infusion site pain12.07.05.002; 08.02.05.014--Not Available
Infusion site phlebitis24.12.03.002; 12.07.05.004; 08.02.05.003--Not Available
Transaminases increased13.03.04.036--Not Available
Paraesthesia oral07.05.05.035; 17.02.06.008--Not Available
Cancer pain16.32.03.004--Not Available
Early satiety14.03.01.010; 08.01.09.004; 07.01.06.027--Not Available
Angiopathy24.03.02.007--Not Available
Neutropenic infection11.01.08.024; 01.02.03.009--Not Available
Hot flush24.03.01.005; 21.02.02.001; 08.01.03.027--
Arterial disorder24.03.02.020--Not Available
Breast disorder21.05.04.004--Not Available
Cardiac disorder02.11.01.003--Not Available
Connective tissue disorder15.06.01.006; 10.04.04.026--Not Available
Infestation23.11.01.002; 11.09.01.001--Not Available
Inflammation10.02.01.089; 08.01.05.007--Not Available
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