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Last Updated: January 22, 2025

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
Acute Lymphoblastic Leukemia 27
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Condition MeSH

Condition MeSH for Vincristine Sulfate
Intervention Trials
Lymphoma 216
Leukemia 137
Leukemia, Lymphoid 124
Precursor Cell Lymphoblastic Leukemia-Lymphoma 123
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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 205
New York 199
Texas 177
Illinois 175
Ohio 172
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Clinical Trial Progress for Vincristine Sulfate

Clinical Trial Phase

Clinical Trial Phase for Vincristine Sulfate
Clinical Trial Phase Trials
Phase 4 1
Phase 3 162
Phase 2/Phase 3 9
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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) 286
Children's Oncology Group 95
Children's Cancer and Leukaemia Group 24
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Sponsor Type

Sponsor Type for Vincristine Sulfate
Sponsor Trials
Other 557
NIH 297
Industry 83
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Vincristine Sulfate: Clinical Trials, Market Analysis, and Projections

Introduction to Vincristine Sulfate

Vincristine sulfate is a vinca alkaloid compound used in the treatment of various types of cancer, including leukemia and lymphoma. It works by disrupting the microtubules in cancer cells, preventing their division and proliferation. Here, we will delve into recent clinical trials, market analysis, and future projections for this drug.

Clinical Trials Update

Phase I Trial with Bendamustine and Rituximab

A recent phase I trial investigated the combination of vincristine sulfate liposomal injection (VSLI) with bendamustine and rituximab (BR) for the treatment of indolent B-cell lymphoma and mantle cell lymphoma. This trial, conducted by the Brown University Oncology Research Group, involved 10 patients who received six cycles of the combination therapy. The dose of VSLI was escalated using the Escalation with Overdose Control (EWOC) model to determine the maximum tolerated dose (MTD)[1].

  • Key Findings:
    • The MTD of VSLI was determined to be 2.25 mg/m².
    • Common adverse events included lymphopenia, constipation, nausea, infusion reactions, neutropenia, and peripheral neuropathy.
    • Despite a 100% overall response rate with 50% complete responses, the trial highlighted significant toxicities and recurrences, leading to the decision not to pursue an expanded cohort.

Pilot Study for Relapsed Acute Lymphoblastic Leukemia

Another pilot study is ongoing, combining Marqibo (vincristine sulfate liposome injection) with dexamethasone, mitoxantrone, and asparaginase (UK ALL R3 induction chemotherapy) for children, adolescents, and young adults with relapsed acute lymphoblastic leukemia (ALL). This study aims to assess the safety and feasibility of using Marqibo in place of standard vincristine in combination chemotherapy[4].

  • Objective:
    • To evaluate whether the incorporation of Marqibo with combination chemotherapy is safe and feasible.
    • The study, initiated in 2020, is currently in progress.

Market Analysis

Global Market Size and Growth

The global vincristine sulfate market has been growing steadily due to several factors, including the increasing incidence of cancer, advancements in biotechnology and pharmaceutical research, and supportive government initiatives for cancer treatment.

  • Market Size:
    • The global vinca alkaloid compounds market, which includes vincristine, was valued at $81.0 million in 2023 and is projected to reach $161.5 million by 2033, growing at a CAGR of 7.2% from 2024 to 2033[3].

Market Segmentation

The market is segmented by product type, end user, and region.

  • Product Type:

    • Vincristine, vinblastine, vinorelbine, and vindesine are the primary vinca alkaloid compounds[3].
  • End User:

    • Hospitals, clinics, and academic & research institutes are the main end users[3].
  • Regional Analysis:

    • North America currently dominates the market due to high cancer prevalence and advanced healthcare infrastructure. However, the Asia-Pacific region is expected to experience rapid growth due to rising cancer incidence and improving healthcare systems[3].

Key Manufacturers

Major players in the global vincristine sulfate market include:

  • Fine Chemicals Corporation
  • Cipla
  • MINAKEM High Potent[2].

Market Projections

Future Growth Drivers

Several factors are expected to drive the growth of the vincristine sulfate market:

  • Rise in Cancer Incidence:

    • The increasing global incidence of cancer, particularly in developing countries, is driving the demand for effective chemotherapy treatments like vincristine sulfate[3].
  • Advancements in Drug Development:

    • Ongoing research and development are enhancing the efficacy and safety profiles of vinca alkaloid compounds, leading to higher adoption rates[3].
  • Healthcare Expenditure and Government Initiatives:

    • Increased healthcare expenditure and supportive government initiatives for cancer treatment are contributing to market growth[3].

Regional Outlook

  • North America:

    • This region is expected to maintain its dominance due to its advanced healthcare infrastructure and significant investment in oncology research[3].
  • Asia-Pacific:

    • Countries like China, India, and Japan are expected to drive rapid market expansion due to rising cancer prevalence and improving healthcare systems[3].

Challenges and Considerations

Toxicities and Side Effects

Clinical trials have highlighted significant toxicities associated with vincristine sulfate, including prolonged lymphopenia, peripheral neuropathy, and other adverse events. These findings underscore the need for careful dose management and monitoring[1].

Market Competition

The market for vinca alkaloid compounds is competitive, with multiple manufacturers and ongoing research aimed at developing safer and more effective treatments. This competition can drive innovation but also presents challenges for market share and pricing[2].

Key Takeaways

  • Clinical Trials: Recent trials have explored the combination of vincristine sulfate liposomal injection with other chemotherapeutic agents, highlighting both efficacy and toxicity concerns.
  • Market Growth: The global market for vincristine sulfate is projected to grow significantly, driven by increasing cancer incidence, advancements in drug development, and supportive healthcare policies.
  • Regional Trends: North America currently leads the market, but the Asia-Pacific region is expected to experience rapid growth.
  • Challenges: Managing toxicities and side effects remains a critical challenge, while market competition drives innovation and pricing strategies.

FAQs

What is the primary use of vincristine sulfate in cancer treatment?

Vincristine sulfate is primarily used to treat various types of cancer, including leukemia and lymphoma, by disrupting the microtubules in cancer cells.

What are the common adverse events associated with vincristine sulfate?

Common adverse events include lymphopenia, constipation, nausea, infusion reactions, neutropenia, and peripheral neuropathy.

Which regions are expected to drive the growth of the vincristine sulfate market?

North America is currently the dominant region, but the Asia-Pacific region is expected to experience rapid growth due to rising cancer incidence and improving healthcare systems.

What are the key factors driving the growth of the vincristine sulfate market?

The rise in cancer incidence, advancements in drug development, increased healthcare expenditure, and supportive government initiatives are key drivers.

Which companies are major players in the global vincristine sulfate market?

Fine Chemicals Corporation, Cipla, and MINAKEM High Potent are among the major players in the global vincristine sulfate market.

Sources

  1. Vincristine Sulfate Liposome Injection with Bendamustine and Rituximab for Indolent B-Cell Lymphoma. Academic.oup.com.
  2. Global Vincristine Sulfate Market Professional Survey 2019 by Manufacturers, Regions, Countries, Types and Applications, Forecast to 2024. Marketpublishers.com.
  3. Vinca Alkaloid Compounds Market Statistics, Forecast - 2033. Alliedmarketresearch.com.
  4. A Pilot Study of Vincristine Sulfate Liposome Injection (Marqibo®) in Combination with UK ALL R3 Induction Chemotherapy for Children, Adolescents, and Young Adults with Relapse of Acute Lymphoblastic Leukemia. Dana-farber.org.
  5. Global Vincristine sulfate Market Report 2024 Edition. Cognitivemarketresearch.com.

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