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)
Disease progression08.01.03.0380.000834%
Non-small cell lung cancer22.08.01.002; 16.19.01.0010.000139%Not Available
Respiratory tract infection22.07.07.001; 11.01.08.017--Not Available
Osteonecrosis of jaw24.04.05.005; 15.02.04.0100.001066%
Bone marrow failure01.03.03.0050.001598%
Acute kidney injury20.01.03.0160.001865%
Atypical femur fracture15.08.03.019; 12.04.01.0190.000533%Not Available
Posterior reversible encephalopathy syndrome17.13.02.0070.000417%
Bronchoscopy13.19.02.0030.000533%Not Available
Mixed deafness04.02.01.014; 17.04.07.0060.000533%Not Available
Breast cancer metastatic21.05.01.016; 16.10.01.0080.000139%Not Available
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