Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C46H56N4O10.H2O4S |
Molecular Weight | 923.036 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 9 / 9 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
OS(O)(=O)=O.[H][C@@]12N3CC[C@@]14C5=CC(=C(OC)C=C5N(C=O)[C@@]4([H])[C@](O)([C@H](OC(C)=O)[C@]2(CC)C=CC3)C(=O)OC)[C@]6(C[C@H]7CN(C[C@](O)(CC)C7)CCC8=C6NC9=CC=CC=C89)C(=O)OC
InChI
InChIKey=AQTQHPDCURKLKT-PNYVAJAMSA-N
InChI=1S/C46H56N4O10.H2O4S/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;1-5(2,3)4/h9-13,15,20-21,26,28,37-39,47,55-56H,7-8,14,16-19,22-25H2,1-6H3;(H2,1,2,3,4)/t28-,37-,38+,39+,42-,43+,44+,45-,46-;/m0./s1
Molecular Formula | H2O4S |
Molecular Weight | 98.078 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | C46H56N4O10 |
Molecular Weight | 824.9576 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 9 / 9 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
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 autonomic neuropathy. | 1975 Jul 26 |
|
Fatal myeloencephalopathy due to intrathecal vincristine administration. | 1992 |
|
Combined intra-arterial and systemic chemotherapy for recurrent malignant brain tumors. | 1992 Feb |
|
Vincristine neurotoxicity. | 1992 Mar |
|
[Establishment of MRP-overexpression subline of bladder carcinoma and its MDR phenotype]. | 2000 Jul |
|
Venoocclusive liver disease (VOD) as a complication of Wilms' tumour management in the series of consecutive 206 patients. | 2000 Oct |
|
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 |
|
Adult medulloblastoma: multiagent chemotherapy. | 2001 Jan |
|
Treatment of classical type Kaposi's sarcoma with paclitaxel. | 2001 Jan-Feb |
|
Experience with vincristine--associated neurotoxicity. | 2001 Jul |
|
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 |
|
Hyponatremia and syndrome of inappropriate anti-diuretic hormone reported with the use of Vincristine: an over-representation of Asians? | 2002 Apr-May |
|
Epidemiology of Burkitt's lymphoma in Enugu, Nigeria. | 2002 Dec |
|
Identification and characterization of the canine multidrug resistance-associated protein. | 2002 Dec |
|
Posttransplantation lymphoproliferative disorder presenting as a unilateral leg mass 10 years after kidney transplantation. | 2002 Dec 15 |
|
Vincristine-induced vocal cord paralysis in an infant. | 2002 Feb |
|
A prospective study of P-IMVP-16/CBDCA: a novel salvage chemotherapy for patients with aggressive non-Hodgkin's lymphoma who had previously received CHOP therapy as first-line chemotherapy. | 2002 Jun |
|
Functional analysis of MRP1 cloned from bovine. | 2002 Jun 19 |
|
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 |
|
Pure red cell aplasia due to parvovirus following treatment with CHOP and rituximab for B-cell lymphoma. | 2002 Oct |
|
A novel case of a CAT to AAT transversion in codon 179 of the p53 gene in a supratentorial primitive neuroectodermal tumor harbored by a young girl. Case report and review of the literature. | 2003 |
|
Sexual dimorphism for protein kinase c epsilon signaling in a rat model of vincristine-induced painful peripheral neuropathy. | 2003 |
|
Altered temporal pattern of evoked afferent activity in a rat model of vincristine-induced painful peripheral neuropathy. | 2003 |
|
[Clinical analysis of 75 patients with nasopharyngeal non-Hodgkin's lymphoma]. | 2003 Apr |
|
Vincristine-induced neuropathy as the initial presentation of charcot-marie-tooth disease in acute lymphoblastic leukemia: a Pediatric Oncology Group study. | 2003 Apr |
|
[Anaphylaxia induced by etoposide--a case report]. | 2003 Aug |
|
Henoch-Schönlein IgA glomerulonephritis complicating myeloma kidneys: case report. | 2003 Aug |
|
The effects of chemotherapeutic agents on the regulation of thrombin on cell surfaces. | 2003 Jan |
|
Vincristine neurotoxicity in the presence of hereditary neuropathy. | 2003 Jan |
|
NOVP chemotherapy for Hodgkin's disease transiently induces sperm aneuploidies associated with the major clinical aneuploidy syndromes involving chromosomes X, Y, 18, and 21. | 2003 Jan 1 |
|
Toxic neuropathy in patients with pre-existing neuropathy. | 2003 Jan 28 |
|
Spinal sensitization mechanism in vincristine-induced hyperalgesia in mice. | 2003 Jun 5 |
|
Cloning and functional characterization of the multidrug resistance-associated protein (MRP1/ABCC1) from the cynomolgus monkey. | 2003 Mar |
|
Changes in sensory processing in the spinal dorsal horn accompany vincristine-induced hyperalgesia and allodynia. | 2003 May |
|
Leiomyosarcoma of urinary bladder following cyclophosphamide therapy: report of two cases. | 2003 May |
|
Functional and structural consequences of cysteine substitutions in the NH2 proximal region of the human multidrug resistance protein 1 (MRP1/ABCC1). | 2003 May 13 |
|
The egr-1 gene is induced by DNA-damaging agents and non-genotoxic drugs in both normal and neoplastic human cells. | 2003 May 16 |
|
Charcot-Marie-Tooth disease and vincristine. | 2003 May-Jun |
|
Polymorphic variation in GSTP1 modulates outcome following therapy for multiple myeloma. | 2003 Oct 1 |
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.
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 16 15:53:29 UTC 2022
by
admin
on
Fri Dec 16 15:53:29 UTC 2022
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Record UNII |
T5IRO3534A
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Record Status |
Validated (UNII)
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Record Version |
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-
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Classification Tree | Code System | Code | ||
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FDA ORPHAN DRUG |
259108
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EU-Orphan Drug |
EU/3/08/555
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NCI_THESAURUS |
C932
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NCI_THESAURUS |
C67422
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M11453
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PRIMARY | Merck Index | ||
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DTXSID8044331
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28445
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5388992
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PRIMARY | |||
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VINCRISTINE SULFATE
Created by
admin on Fri Dec 16 15:53:29 UTC 2022 , Edited by admin on Fri Dec 16 15:53:29 UTC 2022
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PRIMARY | Description: A white to slightly yellow, amorphous or crystalline powder; odourless. Solubility: Freely soluble in water; slightly soluble in ethanol (~750 g/l) TS; practically insoluble in ether R. Category: Cytotoxic drug. Storage: Vincristine sulfate should be kept in a tightly closed container, protected from light, and stored at a temperature between 2 and 8?C. Additional information: Vincristine sulfate is hygroscopic and very toxic. CAUTION: Vincristine sulfate must be handled with care, avoiding contact with the skin and inhalation of airborne particles. Definition: Vincristine sulfate contains not less than 95.0% and not more than 105.0% of C46H56N4O10,H2SO4, calculated with reference to the dried substance. | ||
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DBSALT000314
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C1739
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T5IRO3534A
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1714007
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SUB05101MIG
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79401
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2068-78-2
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T5IRO3534A
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2068-78-2
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CHEMBL90555
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67574
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11203
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218-190-0
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IMPURITY -> PARENT |
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
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IMPURITY -> PARENT |
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EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
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IMPURITY -> PARENT |
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IMPURITY -> PARENT |
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ACTIVE MOIETY |