Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C46H56N4O10 |
Molecular Weight | 824.9594 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 10 / 10 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC[C@@]1(C[C@@]2([H])C[C@](c3cc4c(cc3OC)N(C=O)[C@]5([H])[C@@]64CCN7CC=C[C@](CC)([C@@]67[H])[C@]([H])([C@@]5(C(=O)OC)O)OC(=O)C)(c8c(CCN(C2)C1)c9ccccc9[nH]8)C(=O)OC)O
InChI
InChIKey=OGWKCGZFUXNPDA-CFWMRBGOSA-N
InChI=1S/C46H56N4O10/c1-7-42(55)22-28-23-45(40(53)58-5,36-30(14-18-48(24-28)25-42)29-12-9-10-13-33(29)47-36)32-20-31-34(21-35(32)57-4)50(26-51)38-44(31)16-19-49-17-11-15-43(8-2,37(44)49)39(60-27(3)52)46(38,56)41(54)59-6/h9-13,15,20-21,26,28,37-39,47,55-56H,7-8,14,16-19,22-25H2,1-6H3/t28-,37-,38+,39+,42-,43+,44+,45-,46-/m0/s1
DescriptionSources: http://www.drugbank.ca/drugs/DB00541Curator's Comment:: Description was created based on several sources, including
https://www.drugs.com/pro/vincristine.html
Sources: http://www.drugbank.ca/drugs/DB00541
Curator's Comment:: Description was created based on several sources, including
https://www.drugs.com/pro/vincristine.html
Vincristine is a vinca alkaloid antineoplastic agent used as a treatment for various cancers including breast cancer, Hodgkin's disease, Kaposi's sarcoma, and testicular cancer. The vinca alkaloids are structurally similar compounds comprised of 2 multiringed units, vindoline and catharanthine. The vinca alkaloids have become clinically useful since the discovery of their antitumour properties in 1959. Initially, extracts of the periwinkle plant (Catharanthus roseus) were investigated because of putative hypoglycemic properties, but were noted to cause marrow suppression in rats and antileukemic effects in vitro. Vincristine binds to the microtubular proteins of the mitotic spindle, leading to crystallization of the microtubule and mitotic arrest or cell death. Vincristine has some immunosuppressant effect. The vinca alkaloids are considered to be cell cycle phase-specific. The antitumor activity of Vincristine is thought to be due primarily to inhibition of mitosis at metaphase through its interaction with tubulin. Like other vinca alkaloids, Vincristine may also interfere with: 1) amino acid, cyclic AMP, and glutathione metabolism, 2) calmodulin-dependent Ca2+-transport ATPase activity, 3) cellular respiration, and 4) nucleic acid and lipid biosynthesis.Vincristine was marketed under the brand name Oncovin, but was discontinued. In 2012 the FDA approved a Liposomal formulation of Vincristine, named MARQIBO KIT.
CNS Activity
Originator
Sources: https://www.lilly.com/About/Heritage/heritage.aspx
Curator's Comment:: # Dr. James. Armstrong of Eli Lilly and Company
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: GO:0006927 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19137911 |
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Target ID: P07437 Gene ID: 203068.0 Gene Symbol: TUBB Target Organism: Homo sapiens (Human) Sources: http://www.drugbank.ca/drugs/DB00541 |
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Target ID: GO:0046785 Sources: https://www.ncbi.nlm.nih.gov/pubmed/10920282 |
1.6 µM [IC50] | ||
Target ID: CHEMBL382 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22582991 |
0.17 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Marqibo Approved UseMarqibo® is indicated for the treatment of adult patients with Philadelphia chromosome-negative (Ph-) acute
lymphoblastic leukemia (ALL) in second or greater relapse or whose disease has progressed following two or
more anti-leukemia therapies. Launch Date1.34438401E12 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1220 ng/mL |
2.25 mg/m² steady-state, intravenous dose: 2.25 mg/m² route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
VINCRISTINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
14566 ng × h/mL |
2.25 mg/m² steady-state, intravenous dose: 2.25 mg/m² route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
VINCRISTINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
25% |
VINCRISTINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
2.25 mg/m2 1 times / week multiple, intravenous MTD Dose: 2.25 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 2.25 mg/m2, 1 times / week Co-administed with:: dexamethasone, i.v.(40 mg) Sources: Page: p.1,6 |
unhealthy, 19-62 n = 18 Health Status: unhealthy Condition: Acute lymphoblastic leukemia Age Group: 19-62 Sex: M+F Population Size: 18 Sources: Page: p.1,6 |
|
2.4 mg/m2 1 times / week multiple, intravenous Studied dose Dose: 2.4 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 2.4 mg/m2, 1 times / week Co-administed with:: dexamethasone, i.v.(40 mg) Sources: Page: p.1,6 |
unhealthy, 19-62 n = 7 Health Status: unhealthy Condition: Acute lymphoblastic leukemia Age Group: 19-62 Sex: M+F Population Size: 7 Sources: Page: p.1,6 |
DLT: Motor polyneuropathy, Seizure... Dose limiting toxicities: Motor polyneuropathy (grade 3, 14.3%) Sources: Page: p.1,6Seizure (grade 4, 14.3%) Hepatotoxicity (grade 4, 14.3%) |
2.8 mg/m2 3 times / week multiple, intravenous Highest studied dose Dose: 2.8 mg/m2, 3 times / week Route: intravenous Route: multiple Dose: 2.8 mg/m2, 3 times / week Sources: Page: p.701 |
unhealthy, 32-83 n = 3 Health Status: unhealthy Condition: Cancer Age Group: 32-83 Sex: M+F Population Size: 3 Sources: Page: p.701 |
DLT: Neutropenia, Thrombocytopenia... Dose limiting toxicities: Neutropenia (grade 4, 33.3%) Sources: Page: p.701Thrombocytopenia (grade 4, 33.3%) Obstipation Myalgia (grade 3, 33.3%) |
2.4 mg/m2 3 times / week multiple, intravenous MTD Dose: 2.4 mg/m2, 3 times / week Route: intravenous Route: multiple Dose: 2.4 mg/m2, 3 times / week Sources: Page: p.704 |
unhealthy, 32-83 n = 6 Health Status: unhealthy Condition: Cancer Age Group: 32-83 Sex: M+F Population Size: 6 Sources: Page: p.704 |
|
2.25 mg/m2 1 times / week multiple, intravenous Recommended Dose: 2.25 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 2.25 mg/m2, 1 times / week Sources: Page: p.8 |
unhealthy n = 83 Health Status: unhealthy Condition: Philadelphia chromosome-negative (Ph-) acute lymphoblastic leukemia (ALL) Population Size: 83 Sources: Page: p.8 |
Disc. AE: Peripheral neuropathy, Tumor lysis syndrome... AEs leading to discontinuation/dose reduction: Peripheral neuropathy (10%) Sources: Page: p.8Tumor lysis syndrome (2%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Motor polyneuropathy | grade 3, 14.3% DLT |
2.4 mg/m2 1 times / week multiple, intravenous Studied dose Dose: 2.4 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 2.4 mg/m2, 1 times / week Co-administed with:: dexamethasone, i.v.(40 mg) Sources: Page: p.1,6 |
unhealthy, 19-62 n = 7 Health Status: unhealthy Condition: Acute lymphoblastic leukemia Age Group: 19-62 Sex: M+F Population Size: 7 Sources: Page: p.1,6 |
Hepatotoxicity | grade 4, 14.3% DLT |
2.4 mg/m2 1 times / week multiple, intravenous Studied dose Dose: 2.4 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 2.4 mg/m2, 1 times / week Co-administed with:: dexamethasone, i.v.(40 mg) Sources: Page: p.1,6 |
unhealthy, 19-62 n = 7 Health Status: unhealthy Condition: Acute lymphoblastic leukemia Age Group: 19-62 Sex: M+F Population Size: 7 Sources: Page: p.1,6 |
Seizure | grade 4, 14.3% DLT |
2.4 mg/m2 1 times / week multiple, intravenous Studied dose Dose: 2.4 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 2.4 mg/m2, 1 times / week Co-administed with:: dexamethasone, i.v.(40 mg) Sources: Page: p.1,6 |
unhealthy, 19-62 n = 7 Health Status: unhealthy Condition: Acute lymphoblastic leukemia Age Group: 19-62 Sex: M+F Population Size: 7 Sources: Page: p.1,6 |
Obstipation | DLT | 2.8 mg/m2 3 times / week multiple, intravenous Highest studied dose Dose: 2.8 mg/m2, 3 times / week Route: intravenous Route: multiple Dose: 2.8 mg/m2, 3 times / week Sources: Page: p.701 |
unhealthy, 32-83 n = 3 Health Status: unhealthy Condition: Cancer Age Group: 32-83 Sex: M+F Population Size: 3 Sources: Page: p.701 |
Myalgia | grade 3, 33.3% DLT |
2.8 mg/m2 3 times / week multiple, intravenous Highest studied dose Dose: 2.8 mg/m2, 3 times / week Route: intravenous Route: multiple Dose: 2.8 mg/m2, 3 times / week Sources: Page: p.701 |
unhealthy, 32-83 n = 3 Health Status: unhealthy Condition: Cancer Age Group: 32-83 Sex: M+F Population Size: 3 Sources: Page: p.701 |
Neutropenia | grade 4, 33.3% DLT |
2.8 mg/m2 3 times / week multiple, intravenous Highest studied dose Dose: 2.8 mg/m2, 3 times / week Route: intravenous Route: multiple Dose: 2.8 mg/m2, 3 times / week Sources: Page: p.701 |
unhealthy, 32-83 n = 3 Health Status: unhealthy Condition: Cancer Age Group: 32-83 Sex: M+F Population Size: 3 Sources: Page: p.701 |
Thrombocytopenia | grade 4, 33.3% DLT |
2.8 mg/m2 3 times / week multiple, intravenous Highest studied dose Dose: 2.8 mg/m2, 3 times / week Route: intravenous Route: multiple Dose: 2.8 mg/m2, 3 times / week Sources: Page: p.701 |
unhealthy, 32-83 n = 3 Health Status: unhealthy Condition: Cancer Age Group: 32-83 Sex: M+F Population Size: 3 Sources: Page: p.701 |
Peripheral neuropathy | 10% Disc. AE |
2.25 mg/m2 1 times / week multiple, intravenous Recommended Dose: 2.25 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 2.25 mg/m2, 1 times / week Sources: Page: p.8 |
unhealthy n = 83 Health Status: unhealthy Condition: Philadelphia chromosome-negative (Ph-) acute lymphoblastic leukemia (ALL) Population Size: 83 Sources: Page: p.8 |
Tumor lysis syndrome | 2% Disc. AE |
2.25 mg/m2 1 times / week multiple, intravenous Recommended Dose: 2.25 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 2.25 mg/m2, 1 times / week Sources: Page: p.8 |
unhealthy n = 83 Health Status: unhealthy Condition: Philadelphia chromosome-negative (Ph-) acute lymphoblastic leukemia (ALL) Population Size: 83 Sources: Page: p.8 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2012/202497Orig1s000ClinPharmR.pdf#page=31 Page: 31.0 |
likely | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2012/202497Orig1s000ClinPharmR.pdf#page=31 Page: 31.0 |
likely | |||
yes | ||||
yes | yes (co-administration study) Comment: the total area under the plasma concentration-time curve was 43% smaller in patients who were receiving carbamazepine or phenytoin than in the control group; the concomitant use of strong CYP3A inhibitors should be avoided (e.g., ketoconazole, itraconazole, voriconazole, posaconazole, clarithromycin, atazanavir, indinavir, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin). Similarly, the concomitant use of strong CYP3A inducers should be avoided (e.g., dexamethasone, phenytoin, carbamazepine, rifampin, rifabutin, rifapentine, phenobarbital, St. John’s Wort) Page: 31.0 |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/15812674/ Page: 4.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Vincristine-induced myocardial infarction. | 1975 Dec |
|
Vincristine-induced autonomic neuropathy. | 1975 Jul 26 |
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[Superiority of intrafascicular neurography over conventional nerve conduction studies in evaluating axonal degeneration]. | 1999 Apr |
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Altered expression of the MYCN oncogene modulates MRP gene expression and response to cytotoxic drugs in neuroblastoma cells. | 1999 Apr 29 |
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Pain related behaviour during vincristine-induced neuropathy in rats. | 1999 Apr 6 |
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Vincristine revisited. | 1999 Feb |
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Toxic epidermal necrolysis and graft vs. host disease: a clinical spectrum but a diagnostic dilemma. | 1999 Jul |
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Charcot-Marie-Tooth disease type I diagnosed in a 5-year-old boy after vincristine neurotoxicity, resulting in maternal diagnosis. | 1999 Mar |
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[Acute vincristine neurotoxicity in a non-Hodgkin's lymphoma patient with Charcot-Marie-Tooth disease]. | 1999 May |
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Low-dose vincristine-associated bilateral vocal cord paralysis. | 1999 Oct |
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Antifungal activities of antineoplastic agents: Saccharomyces cerevisiae as a model system to study drug action. | 1999 Oct |
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Nerve growth factor prevention of aged-rat sympathetic neuron injury by cisplatin, vincristine and taxol--in vitro explant study. | 1999 Oct 22 |
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Clinical and electrophysiological studies in vincristine induced neuropathy. | 1999 Sep |
|
Stimulatory effects of silibinin and silicristin from the milk thistle Silybum marianum on kidney cells. | 1999 Sep |
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Mild axonal neuropathy of children during treatment for acute lymphoblastic leukaemia. | 2000 |
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The influence of coordinate overexpression of glutathione phase II detoxification gene products on drug resistance. | 2000 Aug |
|
Phase II trial of bryostatin 1 in patients with relapsed low-grade non-Hodgkin's lymphoma and chronic lymphocytic leukemia. | 2000 Mar |
|
[Severe hemolysis and SIADH-like symptoms induced by vincristine in an ALL patient with liver cirrhosis]. | 2000 Nov |
|
Venoocclusive liver disease (VOD) as a complication of Wilms' tumour management in the series of consecutive 206 patients. | 2000 Oct |
|
Damage to the cytoskeleton of large diameter sensory neurons and myelinated axons in vincristine-induced painful peripheral neuropathy in the rat. | 2000 Sep 4 |
|
Cyclophosphamide, doxorubicin, vincristine, prednisone, and etoposide (CHOPE) for advanced-stage Hodgkin's disease: CALGB 8856. | 2001 |
|
Long-term follow-up in patients treated with Mini-BEAM as salvage therapy for relapsed or refractory Hodgkin's disease. | 2001 Apr |
|
Discovery of a novel compound: insight into mechanisms for acrylamide-induced axonopathy and colchicine-induced apoptotic neuronal cell death. | 2001 Aug 3 |
|
Down-regulation of catalase gene expression in the doxorubicin-resistant AML subline AML-2/DX100. | 2001 Feb 16 |
|
Evaluating treatment strategies in chronic lymphocytic leukemia: use of quality-adjusted survival analysis. | 2001 Jul |
|
Itraconazole-enhanced vincristine neurotoxicity in a child with acute lymphoblastic leukemia. | 2001 Mar |
|
Motor nervous pathway function is impaired after treatment of childhood acute lymphoblastic leukemia: a study with motor evoked potentials. | 2001 Mar |
|
Mutation of a single conserved tryptophan in multidrug resistance protein 1 (MRP1/ABCC1) results in loss of drug resistance and selective loss of organic anion transport. | 2001 May 11 |
|
ChlVPP alternating with PABlOE is superior to PABlOE alone in the initial treatment of advanced Hodgkin's disease: results of a British National Lymphoma Investigation/Central Lymphoma Group randomized controlled trial. | 2001 May 18 |
|
Delayed functional recovery by vincristine after sciatic nerve crush injury: a mouse model of vincristine neurotoxicity. | 2001 May 18 |
|
Ischemic heart disease associated with vincristine and doxorubicin chemotherapy. | 2001 Nov |
|
Fatal myeloencephalopathy due to accidental intrathecal vincristin administration: a report of two cases. | 2001 Oct 15 |
|
Inhibition of drug-induced Fas ligand transcription and apoptosis by Bcl-XL. | 2001 Sep |
|
Massive cell death of cerebellar granule neurons accompanied with caspase-3-like protease activation and subsequent motor discoordination after intracerebroventricular injection of vincristine in mice. | 2002 |
|
Effect of thiopental, propofol, and etomidate on vincristine toxicity in PC12 cells. | 2002 |
|
Stereoselective transport of hydrophilic quaternary drugs by human MDR1 and rat Mdr1b P-glycoproteins. | 2002 Apr |
|
High-dose chemotherapy in poor-prognosis adult small round-cell tumors: clinical and molecular results from a prospective study. | 2002 Apr 15 |
|
Identification and characterization of the canine multidrug resistance-associated protein. | 2002 Dec |
|
Treatment results of aggressive B non-Hodgkin's lymphoma in advanced age considering comorbidity. | 2002 Dec |
|
Posttransplantation lymphoproliferative disorder presenting as a unilateral leg mass 10 years after kidney transplantation. | 2002 Dec 15 |
|
A phase II trial of combination chemotherapy and surgical resection for the treatment of metastatic adrenocortical carcinoma: continuous infusion doxorubicin, vincristine, and etoposide with daily mitotane as a P-glycoprotein antagonist. | 2002 May 1 |
|
Evaluation of a 6-month chemotherapy protocol with no maintenance therapy for dogs with lymphoma. | 2002 Nov-Dec |
|
Vincristine-itraconazole interaction: cause for increasing concern. | 2002 Oct |
|
Evidence for an antihyperalgesic effect of venlafaxine in vincristine-induced neuropathy in rat. | 2003 Aug 1 |
|
Synergistic augmentation of antimicrotubule agent-induced cytotoxicity by a phosphoinositide 3-kinase inhibitor in human malignant glioma cells. | 2003 Jul 15 |
|
Bilateral hearing loss during vincristine therapy: a case report. | 2003 Jun |
|
The egr-1 gene is induced by DNA-damaging agents and non-genotoxic drugs in both normal and neoplastic human cells. | 2003 May 16 |
|
Functional expression of the multidrug resistance protein 1 in microglia. | 2003 Oct |
Patents
Sample Use Guides
Marqibo is liposome-encapsulated vincristine.
2.25 mg/m2 intravenously over 1 hour once every 7 days.
Route of Administration:
Intravenous
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/2846149
Treatment of macrophage monolayers for 24 h with vincristine (10(-5)-10(-7) M) inhibited the antibody dependent cellular cytotoxicity (ADCC) by PMA stimulated rat macrophages.
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Classification Tree | Code System | Code | ||
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WHO-VATC |
QL01CA02
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LIVERTOX |
1030
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NCI_THESAURUS |
C932
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WHO-ATC |
L01CA02
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WHO-ESSENTIAL MEDICINES LIST |
8.2
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NDF-RT |
N0000007780
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NDF-RT |
N0000007780
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NCI_THESAURUS |
C67422
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NDF-RT |
N0000175612
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Code System | Code | Type | Description | ||
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DB00541
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CHEMBL90555
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SUB00059MIG
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M11453
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57-22-7
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1440
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2825
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200-318-1
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C933
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11202
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5388993
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5J49Q6B70F
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57-22-7
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VINCRISTINE
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D014750
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6785
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3199
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Vincristine
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PRIMARY |
ACTIVE MOIETY
SALT/SOLVATE (PARENT)