III. Mechanism

  1. See Mitotic Inhibitor Chemotherapy
  2. Vinblastine, like Vincristine, is a natural Vinca Alkaloid with antineoplastic activity
    1. Isolated from the periwinkle plant (Vinca rosea Linn)
  3. Vinblastine is antitubular agent
    1. Binds tubulin and inhibits microtubule formation
    2. Disrupts mitotic spindle formation
    3. Arrests Cell Cycle in M phase
  4. Other possible activity
    1. Interferes with metabolism of Amino Acids cAMP, glutathione
    2. Interferes with calmodulin-dependent Calcium transport ATPase activity
    3. Interferes with biosynthesis of Nucleic Acids and lipids

IV. Medications

  1. Vinblastine injection solution: 1 mg/ml in 10 mg vials

V. Dosing

  1. See other references for disease specific dosing protocols

VI. Adverse Effects

  1. Impaired future fertility
  2. Alopecia
  3. Bronchospasm
  4. Severe skin and soft tissue necrosis on extravasation
    1. Vinblastine is a strong Vesicant (causes Blistering)
  5. Peripheral Neuropathy
    1. Less than Vincristine
  6. Myelosuppression (Bone Marrow suppression)
    1. Leukopenia
    2. More myelosuppression than Vincristine

VII. Safety

  1. Avoid in Lactation
  2. Avoid in pregnancy (all trimesters)
    1. Use reliable Contraception

VIII. Drug Interactions

  1. Drug levels decreased by Vinblastine
    1. Phenytoin
  2. Increased Vinblastine levels and toxicity
    1. CYP3A4 Inhibitors (e.g. Ketoconazole, Erythromycin)

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Ontology: Vinblastine (C0042670)

Definition (NCI_NCI-GLOSS) The active ingredient in a drug used together with other drugs to treat several types of cancer, including advanced Hodgkin lymphoma and advanced testicular germinal-cell cancers. It is also being studied in the treatment of other types of cancer. Vinblastine comes from the periwinkle plant Vinca rosea Linn. It blocks cell growth by stopping cell division and may kill cancer cells. It is a type of vinca alkaloid and a type of antimitotic agent.
Definition (NCI) A natural alkaloid isolated from the plant Vinca rosea Linn. Vinblastine binds to tubulin and inhibits microtubule formation, resulting in disruption of mitotic spindle assembly and arrest of tumor cells in the M phase of the cell cycle. This agent may also interfere with amino acid, cyclic AMP, and glutathione metabolism; calmodulin-dependent Ca++ -transport ATPase activity; cellular respiration; and nucleic acid and lipid biosynthesis. (NCI04)
Definition (MSH) Antitumor alkaloid isolated from Vinca rosea. (Merck, 11th ed.)
Definition (CSP) promotes paracrystalline aggregates of tubulin and thus inhibits microtubule formation; used as a cytologic probe for microtubule function, and clinically as an antineoplastic.
Definition (PDQ) A natural alkaloid isolated from the plant Vinca rosea Linn. Vinblastine binds to tubulin and inhibits microtubule formation, resulting in disruption of mitotic spindle assembly and arrest of tumor cells in the M phase of the cell cycle. This agent may also interfere with amino acid, cyclic AMP, and glutathione metabolism; calmodulin-dependent Ca++ -transport ATPase activity; cellular respiration; and nucleic acid and lipid biosynthesis. Check for "http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?id=42951&idtype=1" active clinical trials or "http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?id=42951&idtype=1&closed=1" closed clinical trials using this agent. ("http://nciterms.nci.nih.gov:80/NCIBrowser/ConceptReport.jsp?dictionary=NCI_Thesaurus&code=C930" NCI Thesaurus)
Concepts Pharmacologic Substance (T121) , Biologically Active Substance (T123) , Organic Chemical (T109)
MSH D014747
SnomedCT 12436009, 387051009, 20303001, 387115000
English Vinblastine, Vincaleukoblastine, vincaleukoblastine, Vincaleucoblastine, VBL, VinBLAStine, Vinblastine [Chemical/Ingredient], vinBLAStine, vinblastine, VINCALEUKOBLASTINE, VINBLASTINE, VLB, Vinblastine (product), Vinblastine (substance)
Swedish Vinblastin
Czech vinblastin
Finnish Vinblastiini
Russian VINBLASTIN, VINKALEIKOBLASTIN, ВИНБЛАСТИН, ВИНКАЛЕЙКОБЛАСТИН
Japanese ビンブラスチン, 硫酸ビンブラスチン, エクザール, ビンカロイコブラスチン
Croatian VINBLASTIN
Polish Winblastyna, Winkaleukoblastyna
Spanish vinblastina (producto), vinblastina (sustancia), vinblastina, Vinblastina, Vincaleucoblastina
French Vinblastine
German Vinblastin, Vincaleukoblastin
Italian Vinblastina
Portuguese Vimblastina, Vincaleucoblastina