Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Vinorelbine
Drug ID BADD_D02363
Description Vinorelbine is an anti-mitotic chemotherapy drug that is used in the treatment of several types of malignancies, including breast cancer and non-small cell lung cancer (NSCLC) [L1998]. It was initially approved in the USA in 1990's for the treatment of NSCLC [L2010]. It is a third-generation vinca alkaloid. The introduction of third-generation drugs (vinorelbine, gemcitabine, taxanes) in platinum combination improved survival of patients with advanced NSCLC, with very similar results from the various drugs. Treatment toxicities are considerable in the combination treatment setting [A32347]. A study was done on the clearance rate of vinorelbine on individuals with various single polymorphonuclear mutations. It was found that there was 4.3-fold variation in vinorelbine clearance across the cohort, suggesting a strong influence of genetics on the clearance of this drug [L2002].
Indications and Usage Not Available
Marketing Status Prescription; Discontinued
ATC Code L01CA04
DrugBank ID DB00361
KEGG ID D08680
MeSH ID D000077235
PubChem ID 5311497
TTD Drug ID D01HTL
NDC Product Code 25021-204; 45963-607
Synonyms Vinorelbine | 5'-Nor-anhydrovinblastine | 5' Nor anhydrovinblastine | KW 2307 | KW-2307 | KW2307 | Navelbine | Vinorelbine Tartrate
Chemical Information
Molecular Formula C45H54N4O8
CAS Registry Number 71486-22-1
SMILES CCC1=CC2CC(C3=C(CN(C2)C1)C4=CC=CC=C4N3)(C5=C(C=C6C(=C5)C78CCN9C7C(C=CC9)(C(C(C8N 6C)(C(=O)OC)O)OC(=O)C)CC)OC)C(=O)OC
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Deafness neurosensory17.04.07.001; 04.02.01.0020.000533%Not Available
Death08.04.01.001--
Dehydration14.05.05.0010.002931%
Dermatitis23.03.04.002--Not Available
Dermatitis bullous23.03.01.0020.000533%
Diarrhoea07.02.01.0010.005861%
Disturbance in attention19.21.02.002; 17.03.03.0010.000533%
Dizziness24.06.02.007; 02.01.02.004; 17.02.05.0030.001865%
Dysgeusia17.02.07.003; 07.14.03.001--
Dysphagia07.01.06.003--
Dyspnoea22.02.01.004; 02.01.03.0020.002931%
Dyspnoea exertional22.02.01.005; 02.01.03.0030.000533%Not Available
Electrolyte imbalance14.05.01.002--Not Available
Epilepsy17.12.03.0020.000208%Not Available
Epistaxis24.07.01.005; 22.04.03.0010.000139%
Erythema23.03.06.0010.001598%Not Available
Extravasation08.01.03.0080.000533%Not Available
Fatigue08.01.01.002--
Febrile neutropenia08.05.02.004; 01.02.03.0020.005861%
Flushing24.03.01.002; 23.06.05.003; 08.01.03.025--
Gait disturbance17.02.05.016; 08.01.02.002--
Granulocytopenia01.02.03.0030.001066%Not Available
Haemoglobin13.01.05.018--Not Available
Haemoptysis02.01.02.006; 24.07.01.006; 22.02.03.0040.001598%Not Available
Headache17.14.01.001--
Hepatic cirrhosis09.01.04.0010.000139%Not Available
Hepatitis acute09.01.07.0050.000533%Not Available
Hyperpyrexia08.05.02.0020.000533%Not Available
Hypersensitivity10.01.03.0030.001598%
Hypertension24.08.02.0010.000799%
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