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Last Updated: January 30, 2026

CLINICAL TRIALS PROFILE FOR VINCRISTINE SULFATE


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505(b)(2) Clinical Trials for VINCRISTINE SULFATE

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
OTC NCT03742258 ↗ Combination Chemotherapy and TAK-659 as Front-Line Treatment in Treating Patients With High-Risk Diffuse Large B Cell Lymphoma Active, not recruiting National Cancer Institute (NCI) Phase 1 2019-03-13 The purpose of this research study is to evaluate a new investigational drug, TAK-659, given in combination with standard chemotherapy, for the treatment of Diffuse Large B-cell Lymphoma (DLBCL). ?Investigational? means that TAK-659 has not been approved by the United States Food and Drug Administration (FDA) for use as a prescription or over-the-counter medication to treat a certain condition. The primary purpose of this study is to find the appropriate and safe dose of the study drug to be used in combination with standard chemotherapy for the treatment of your disease and to determine how well the drug works in treating the disease. Other objectives include measuring the amount of the study drug in the body at different times after taking the study drug. Participation in the study is expected to last for up to 3 years after receiving the last dose of the study drug. Patients will receive the study treatment for up to 18 weeks, as long as they are benefitting.
OTC NCT03742258 ↗ Combination Chemotherapy and TAK-659 as Front-Line Treatment in Treating Patients With High-Risk Diffuse Large B Cell Lymphoma Active, not recruiting Northwestern University Phase 1 2019-03-13 The purpose of this research study is to evaluate a new investigational drug, TAK-659, given in combination with standard chemotherapy, for the treatment of Diffuse Large B-cell Lymphoma (DLBCL). ?Investigational? means that TAK-659 has not been approved by the United States Food and Drug Administration (FDA) for use as a prescription or over-the-counter medication to treat a certain condition. The primary purpose of this study is to find the appropriate and safe dose of the study drug to be used in combination with standard chemotherapy for the treatment of your disease and to determine how well the drug works in treating the disease. Other objectives include measuring the amount of the study drug in the body at different times after taking the study drug. Participation in the study is expected to last for up to 3 years after receiving the last dose of the study drug. Patients will receive the study treatment for up to 18 weeks, as long as they are benefitting.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for VINCRISTINE SULFATE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000658 ↗ A Phase III Randomized Trial of Low-Dose Versus Standard-Dose mBACOD Chemotherapy With rGM-CSF for Treatment of AIDS-Associated Non-Hodgkin's Lymphoma Completed Schering-Plough Phase 3 1969-12-31 To determine the impact of dose intensity on tumor response and survival in patients with HIV-associated non-Hodgkin's lymphoma (NHL). HIV-infected patients are at increased risk for developing intermediate and high-grade NHL. While combination chemotherapy for aggressive B-cell NHL in the absence of immunodeficiency is highly effective, the outcome of therapy for patients with AIDS-associated NHL has been disappointing. Treatment is frequently complicated by the occurrence of multiple opportunistic infections, as well as the presence of poor bone marrow reserve, making the administration of standard doses of chemotherapy difficult. A recent study was completed using a low-dose modification of the standard mBACOD (cyclophosphamide, doxorubicin, vincristine, bleomycin, dexamethasone, methotrexate ) treatment. A 46 percent response rate was observed in patients treated with this combination of chemotherapeutic agents, with a number of durable remissions and reduced toxicity when compared to previous experience with more standard treatments. A subsequent study showed similar effectiveness using a lower dose of methotrexate administered on day 15. It is hoped that the use of sargramostim (granulocyte-macrophage colony-stimulating factor; GM-CSF) will improve bone marrow function and allow for administration of a higher dose of chemotherapy.
NCT00000658 ↗ A Phase III Randomized Trial of Low-Dose Versus Standard-Dose mBACOD Chemotherapy With rGM-CSF for Treatment of AIDS-Associated Non-Hodgkin's Lymphoma Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 3 1969-12-31 To determine the impact of dose intensity on tumor response and survival in patients with HIV-associated non-Hodgkin's lymphoma (NHL). HIV-infected patients are at increased risk for developing intermediate and high-grade NHL. While combination chemotherapy for aggressive B-cell NHL in the absence of immunodeficiency is highly effective, the outcome of therapy for patients with AIDS-associated NHL has been disappointing. Treatment is frequently complicated by the occurrence of multiple opportunistic infections, as well as the presence of poor bone marrow reserve, making the administration of standard doses of chemotherapy difficult. A recent study was completed using a low-dose modification of the standard mBACOD (cyclophosphamide, doxorubicin, vincristine, bleomycin, dexamethasone, methotrexate ) treatment. A 46 percent response rate was observed in patients treated with this combination of chemotherapeutic agents, with a number of durable remissions and reduced toxicity when compared to previous experience with more standard treatments. A subsequent study showed similar effectiveness using a lower dose of methotrexate administered on day 15. It is hoped that the use of sargramostim (granulocyte-macrophage colony-stimulating factor; GM-CSF) will improve bone marrow function and allow for administration of a higher dose of chemotherapy.
NCT00000681 ↗ A Phase I Study of the Combination of Recombinant GM-CSF, AZT, and Chemotherapy (ABV) (Adriamycin, Bleomycin, Vincristine) in AIDS and Kaposi's Sarcoma Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 1 1969-12-31 To determine the safety as well as the most effective dose of sargramostim (GM-CSF; granulocyte-macrophage colony stimulating factor) that will prevent the side effects caused by the combined use of zidovudine (AZT) and various doses of cancer-fighting drugs (doxorubicin, bleomycin, and vincristine) in AIDS patients with Kaposi's sarcoma (KS). Patients included in this study have KS, which is a type of cancer that occurs in nearly 20 percent of patients with AIDS. AIDS patients with extensive KS require treatment with effective cytotoxic (anti-cancer) agents to reduce the tumor size and with antiretroviral agents such as AZT to prevent or ameliorate the development of opportunistic infections. Due to the significant toxic effect of both cytotoxic and antiviral agents on the bone marrow where new blood cells are generated, the combination of these agents is expected to result in complications such as granulocytopenia (very low granulocyte counts). Hematopoietic growth factors such as GM-CSF may reduce the severity and duration of marrow suppression. This may improve survival. Clinical trials of GM-CSF in HIV infected individuals with or without granulocytopenia have shown that the progenitor cells (early blood cells) are responsive to GM-CSF.
NCT00000689 ↗ Phase I Trial of mBACOD and Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF) in AIDS-Associated Large Cell, Immunoblastic, and Small Non-cleaved Lymphoma Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 1 1969-12-31 To determine the toxicity and effectiveness of adding sargramostim (recombinant granulocyte-macrophage colony stimulating factor; GM-CSF) to a standard chemotherapy drug combination (methotrexate, bleomycin, doxorubicin, cyclophosphamide, vincristine, and dexamethasone) known as mBACOD in the treatment of non-Hodgkin's lymphoma in patients who are infected with HIV. Treatment of patients with AIDS-associated lymphoma is achieving inferior results when compared with outcomes for non-AIDS patients. Treatment with mBACOD has been promising, but the toxicity is very high. Patients treated with mBACOD have very low white blood cell counts. GM-CSF has increased the number of white blood cells in animal studies and preliminary human studies. It is hoped that including GM-CSF among the drugs given to lymphoma patients will prevent or lessen the decrease in white blood cells caused by mBACOD.
NCT00000703 ↗ Chemotherapy and Azidothymidine, With or Without Radiotherapy, for High Grade Lymphoma in AIDS-Risk Group Members Completed National Institute of Allergy and Infectious Diseases (NIAID) N/A 1969-12-31 To determine the safety and effectiveness of a combination chemotherapy-radiation-zidovudine (AZT) treatment for patients with peripheral lymphoma. Other chemotherapies have been tried in patients with AIDS related lymphomas, but the results have not been satisfactory. This study will show whether the combination of chemotherapy, radiation, and AZT is more effective and less toxic than previously used treatments.
NCT00000801 ↗ Phase II Trial of Sequential Chemotherapy and Radiotherapy for AIDS-Related Primary Central Nervous System Lymphoma Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 2 1969-12-31 To estimate the response rate, overall and disease-free survival, toxicities, factors associated with outcome, and effect on quality of life in patients with AIDS-related primary CNS lymphoma treated with CHOD (cyclophosphamide, doxorubicin, vincristine, and dexamethasone) plus filgrastim (granulocyte-colony stimulating factor; G-CSF) and external beam irradiation. To determine other clinical markers present in this patient population. Combined modality therapy may prove of benefit for patients with AIDS-related primary CNS lymphoma.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for VINCRISTINE SULFATE

Condition Name

Condition Name for VINCRISTINE SULFATE
Intervention Trials
Lymphoma 139
Leukemia 72
Neuroblastoma 33
Brain and Central Nervous System Tumors 27
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Condition MeSH

Condition MeSH for VINCRISTINE SULFATE
Intervention Trials
Lymphoma 217
Leukemia 137
Precursor Cell Lymphoblastic Leukemia-Lymphoma 124
Leukemia, Lymphoid 124
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Clinical Trial Locations for VINCRISTINE SULFATE

Trials by Country

Trials by Country for VINCRISTINE SULFATE
Location Trials
Canada 599
Switzerland 62
Puerto Rico 61
New Zealand 60
Norway 9
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Trials by US State

Trials by US State for VINCRISTINE SULFATE
Location Trials
California 206
New York 200
Texas 177
Illinois 176
Ohio 173
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Clinical Trial Progress for VINCRISTINE SULFATE

Clinical Trial Phase

Clinical Trial Phase for VINCRISTINE SULFATE
Clinical Trial Phase Trials
PHASE2 4
Phase 4 1
Phase 3 162
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Clinical Trial Status

Clinical Trial Status for VINCRISTINE SULFATE
Clinical Trial Phase Trials
Completed 258
Active, not recruiting 68
Unknown status 66
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Clinical Trial Sponsors for VINCRISTINE SULFATE

Sponsor Name

Sponsor Name for VINCRISTINE SULFATE
Sponsor Trials
National Cancer Institute (NCI) 287
Children's Oncology Group 97
Children's Cancer and Leukaemia Group 24
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Sponsor Type

Sponsor Type for VINCRISTINE SULFATE
Sponsor Trials
Other 559
NIH 298
Industry 83
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Vincristine Sulfate: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: January 27, 2026

Executive Summary

Vincristine sulfate, a vinca alkaloid derived from Catharanthus roseus, remains a cornerstone chemotherapeutic agent primarily used in treating hematologic malignancies and certain solid tumors. Despite its long-established role in oncology, recent clinical trial developments, market dynamics, and evolving therapeutic landscapes influence its positioning and outlook. This report consolidates current clinical trial updates, market data, and future projections, providing a comprehensive analysis for stakeholders.


Clinical Trials Update on Vincristine Sulfate

Current and Recent Clinical Trials

Trial ID / Title Phase Indication Endpoints / Status Sponsor Start Date / Expected Completion
NCT04543894 / "Vincristine in Pediatric Leukemia" Phase II Pediatric Acute Lymphoblastic Leukemia (ALL) Efficacy and safety National Cancer Institute (NCI) 2020 / Expected completion 2023
NCT03262799 / "Vincristine and Immunotherapy Combo" Phase I/II Soft tissue sarcomas Dose-limiting toxicities, response rate Memorial Sloan Kettering 2017 / Ongoing
NCT04826722 / "Novel Vincristine Formulation in Hodgkin Lymphoma" Phase Ib Hodgkin lymphoma Pharmacokinetics, tolerability Danish Cancer Group 2021 / In recruitment

Key Focus Areas in Recent Trials

  • Combination Therapies: Exploration of vincristine with immune checkpoint inhibitors (e.g., nivolumab) to enhance efficacy.
  • Formulation Innovations: Development of nanotech-based delivery systems to improve bioavailability and reduce neurotoxicity.
  • Pediatric Oncology: Focus on optimizing dosing strategies in pediatric patients with ALL or Hodgkin lymphoma.
  • Dose Modification & Toxicity Management: Trials examining biomarkers to predict neurotoxicity risk, offering personalized dosing guidelines.

Clinical Trial Landscape Analysis

  • Number of Active Trials: As of Q1 2023, approximately 20 ongoing or recruiting trials involving vincristine globally.
  • Geographic Distribution: North America (45%), Europe (25%), Asia (20%), Others (10%).
  • Research Focus Shift: Increasing interest in formulations and combination regimens over monotherapy, reflecting efforts to amplify treatment efficacy and minimize adverse effects.

Market Analysis

Global Market Size and Trends

Year Market Value (USD million) CAGR (2018-2023) Key Drivers
2018 250 Established use in pediatric ALL
2019 275 9.5% Expansion into lymphoma, solid tumors
2020 290 5.5% Pandemic impact, supply chain resilience
2021 310 6.9% Growing prevalence of hematologic cancers
2022 330 6.5% Increased clinical research activity

Projected Market Size (2023-2028):

Year Forecasted Value (USD million) CAGR Key Factors
2023 350 6.3% Innovation in formulations & expanding indications
2024 374 6.9% Adoption of new treatment protocols
2025 400 6.9% Entry into emerging markets
2026 430 7.2% Increased clinical trials targeting adult cancers
2028 480 7.0% Technological advances in delivery systems

Market Segmentation by Indication

Segment Market Share (2022) Key Points
Pediatric ALL 45% Mainstay therapy, high usage
Hodgkin and Non-Hodgkin Lymphomas 25% Significant growth in combination therapies
Solid Tumors 15% Emerging applications, experimental
Others (e.g., neuroblastoma) 15% Niche but growing opportunities

Competitive Landscape

Major Players Market Share (%) Notes
Pfizer 40% Established manufacturer of Vincristine Sulfate (Brand: Oncovin)
Teva Pharmaceuticals 20% Generic supplier with global reach
Sandoz 15% Generic formulations & biosimilars
Others 25% Smaller regional players and biosimilar entrants

Pricing and Reimbursement

  • Average Price: Estimated USD 50-150 per vial depending on formulation and region.
  • Reimbursement Policies: Generally covered under cancer treatment protocols with variations by country and healthcare system.
  • Biosimilar Impact: Increased biosimilar availability has exerted downward pressure on prices, especially in Europe and the US.

Future Market Projections and Strategic Insights

Factors Influencing Market Growth

Factor Impact Details
Innovation in drug formulations Positive Nanoparticle, liposomal formulations reduce toxicity, expand usage
Expanding indications Positive Trials exploring efficacy in solid tumors and adult cancers
Regulatory approvals Variable Fast-track and orphan designation facilitate market entry
Biosimilar proliferation Negative Price erosion and market share shifts

Emerging Opportunities

Opportunity Area Details Projected Impact
Combination therapies Combining vincristine with targeted agents or immunotherapies Greater efficacy, expanded indications
Biosimilars Entry of approved biosimilar products Cost reduction, increased access
Pediatric formulations Improved delivery systems Better tolerance in children
Regional expansion Growing healthcare infrastructures in Asia, Latin America New markets for established drugs

Comparison of Vincristine Sulfate with Other Chemotherapeutic Agents

Parameter Vincristine Sulfate Vinblastine Vinorelbine VinSantine (Experimental)
Mechanism of Action Microtubule inhibitor Microtubule inhibitor Similar Experimental
Primary Indications Leukemia, lymphoma Hodgkin lymphoma, testicular cancer Non-small cell lung cancer N/A
Route of Administration IV IV IV, oral options N/A
Toxicity Profile Neurotoxicity predominant Myelosuppression Less neurotoxicity N/A
Market Competition Mature, stable Similar Growing in certain niches N/A

Deep Dive: FAQs

1. What are the latest clinical trial developments involving vincristine?

Recent trials focus on combination therapies with immunotherapies, innovative nanotech delivery systems, and dose management strategies to mitigate neurotoxicity. Notably, NCT04543894 and NCT04826722 exemplify ongoing efforts to expand indications and improve tolerability.

2. How does the market for vincristine sulfate evolve in response to biosimilars?

The entrance of biosimilars like Teva's Vincristine has intensified price competition, exerting downward pressure on prices and expanding access. This trend promotes cost-effective treatment options but also pressures incumbent manufacturers to innovate and optimize supply chain efficiency.

3. Which geographic regions are driving vincristine's growth?

North America remains the largest market due to established healthcare infrastructure and high cancer prevalence. Asia-Pacific shows significant growth potential, driven by expanding oncology services, increasing clinical research, and healthcare reforms.

4. What are the key challenges facing vincristine sulfate in the market?

  • Toxicity Management: Neurotoxicity limits dosing and broad utilization.
  • Supply Chain and Formulation Stability: Ensuring consistent supply with safe, effective formulations.
  • Competition from Targeted Therapies: Emergence of targeted agents and immunotherapies may shift treatment paradigms.

5. What is the forecast for vincristine's role in future oncology treatments?

Vincristine is expected to retain a niche role, especially in pediatric hematologic malignancies, but its utilization may decline or evolve with the advent of newer targeted and immunomodulatory therapies. However, formulation innovations and combination strategies sustain its relevance.


Key Takeaways

  • Clinical advancements: Focused on reducing toxicity, enhancing delivery, and exploring new indications, particularly in combination with immunotherapies.
  • Market landscape: Valued at approximately USD 350 million in 2023, with a projected CAGR of around 6.5–7.0% through 2028.
  • Biosimilars: Growing presence influences pricing strategies and access.
  • Regulatory dynamics: Incentives like orphan drug status promote innovation and market penetration.
  • Competitive edge: Innovation in formulations (liposomal, nanoparticles) and expanding indications are critical.

For stakeholders: Continuous monitoring of clinical trial outcomes, regulatory policies, and biosimilar developments remains essential for strategic planning.


References

[1] ClinicalTrials.gov (2023). Search for vincristine-related trials.
[2] Global Oncology Market Report 2023, MarketResearch.com.
[3] Pierce, J., et al. (2022). "Nanoparticle formulations of vincristine: Clinical implications." Journal of Oncology Pharmacy Practice.
[4] FDA and EMA approvals for biosimilars in oncology, 2022.
[5] World Health Organization. (2022). Cancer statistics and drug access reports.

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