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Drugs and Medicinal Substances

Vincristine

Antineoplastic and Immunomodulating Agents

Vincristine is a chemotherapy medication used to treat a number of cancers, including acute lymphocytic leukemia, acute myeloid leukemia, Hodgkin lymphoma, neuroblastoma and small cell lung cancer, given intravenously. It acts as a mitotic inhibitor by binding to the protein tubulin, preventing the formation of microtubules needed to separate chromosomes during cell division, which stops cells from dividing and ultimately triggers their death. The compound is a vinca alkaloid, first isolated in 1961 from the Madagascar periwinkle plant, and research at Eli Lilly and Company's Indianapolis laboratories showed it was effective against leukemia induced in mice and against childhood acute leukemias; the Food and Drug Administration approved it in July 1963 under the brand name Oncovin. It appears on the World Health Organization's List of Essential Medicines and, while originally extracted from the plant, is increasingly produced by synthetic methods.

Facts
Drug Class
Vinca alkaloid chemotherapy medication 1
Mechanism of Action
Binds tubulin, blocking microtubule formation needed for chromosome separation 1
Approved Use
Chemotherapy for cancers including acute lymphocytic leukemia, acute myeloid leukemia, Hodgkin lymphoma, neuroblastoma and small cell lung cancer 1
First Approved / Isolated Year
1963 1
Significant Risk
Accidental intrathecal injection is almost always fatal 1
Classification
Approval Status
Approved 1
ATC ClassSourced to the subject's own account
L: Antineoplastic and Immunomodulating Agents 2
Route of Administration
Intravenous 3
WHO Essential MedicineSourced to the subject's own account
Complementary List 4
Sources
1. Vincristine (Wikipedia)
  • Lead section
    It is a vinca alkaloid that can be obtained from the Madagascar periwinkle Catharanthus roseus.
  • Mechanism of action section
    Vincristine works partly by binding to the tubulin protein, stopping the tubulin dimers from polymerizing to form microtubules, causing the cell to be unable to separate its chromosomes during the metaphase.
  • History section
    Vincristine was approved by the US Food and Drug Administration (FDA) in July 1963
  • Side effects section
    Accidental injection of vinca alkaloids into the spinal canal (intrathecal administration) is highly dangerous, with a mortality rate approaching 100 percent
  • Lead section, paragraph 1
    chemotherapy medication used to treat a number of types of cancer
  • https://en.wikipedia.org/wiki/Vincristine, lead section
    uroblastoma, and small cell lung cancer among others. It is given intravenously.
  • Regulatory approval status
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2. Anatomical Therapeutic Chemical Classification System (Wikipedia)
WikipediaFirst-level anatomical group codes, Code L
Quote, First-level anatomical group codes, Code L
Antineoplastic and immunomodulating agents
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3. Wikipedia
Wikipedia contributors, Wikimedia Foundation
4. WHO Model List of Essential Medicines (Wikipedia)
WikipediaWHO Model List of Essential Medicines, Cytotoxic medicines section
Quote, WHO Model List of Essential Medicines, Cytotoxic medicines section
Vincristine
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