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Vinflunine

Phase 2

Bladder Cancer | Small molecule | Oncology |Bristol-Myers Squibb Company|Last Updated: Dec 16, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment34

FDA Designations

No designations recorded

Clinical trial landscape

Vinflunine · 5 trials · 12 indications

Phase 2 5
NCT00284154Vinflunine in the Treatment of Patients With Relapsed Extensive Small Cell Lung CancerCarcinoma, Small Cell
COMPLETED51 Analytics
NCT00545766Vinflunine in Hormone Refractory Prostate Cancer (HRPC)Prostate Cancer
COMPLETED41 Analytics
NCT00389155First-Line Treatment of Advanced Bladder Cancer Randomized vs. Gemcitabine ± Vinflunine in Patients Ineligible to Receive Cisplatin-Based TherapyBladder Cancer
COMPLETED34 Analytics
NCT00284180Vinflunine Plus Trastuzumab in Human Epidermal Growth Factor Receptor 2 (HER2neu) Over-Expressing Metastatic Breast CancerBreast Neoplasms
COMPLETED32 Analytics
NCT00101608Vinflunine in Patients With Locally Advanced or Metastatic Transitional Cell Carcinoma of the UrotheliumTransitional Cell Carcinoma
COMPLETED150 Analytics
PHASE2COMPLETED
Vinflunine in the Treatment of Patients With Relapsed Extensive Small Cell Lung Cancer
Carcinoma, Small CellUnlock trial analytics
PHASE2COMPLETED
Vinflunine in Hormone Refractory Prostate Cancer (HRPC)
Prostate CancerUnlock trial analytics
PHASE2COMPLETED
First-Line Treatment of Advanced Bladder Cancer Randomized vs. Gemcitabine ± Vinflunine in Patients Ineligible to Receive Cisplatin-Based Therapy
Bladder CancerUnlock trial analytics
PHASE2COMPLETED
Vinflunine Plus Trastuzumab in Human Epidermal Growth Factor Receptor 2 (HER2neu) Over-Expressing Metastatic Breast Cancer
Breast NeoplasmsUnlock trial analytics
PHASE2COMPLETED
Vinflunine in Patients With Locally Advanced or Metastatic Transitional Cell Carcinoma of the Urothelium
Transitional Cell CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Response Rate (ORR), the Percentage of Patients Who Experience an Objective Benefit From Treatment
18 months

Overall response rate is the percentage of patients with complete response or partial response per RECIST v.1 Criteria. Complete response (CR) = Disappearance of all target lesions, disappearance of all nontarget lesions for at least 4 weeks. Partial Response (PR) = At least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameters. The final response criteria assigned represented the best response obtained during treatment.

Protein-specific Antigen (PSA) Response Rate
18 months

Defined as the percentage of patients with an objective decrease in PSA and/or experience an objective benefit from treatment.

Median Progression-free Survival (PFS) as Defined by Response Evaluation Criteria in Solid Tumors (RECIST) Criteria in Participants With Advanced Transitional Cell Carcinoma (TCC) of the Urothelium
Until tumor progression, unacceptable toxicity, withdrawal of patient consent, or discontinuation by investigator decision

PFS survival is defined as the time between randomization and the date of progression or death, whichever occurs first, before or after treatment discontinuation. For those still on study and those who remain alive and have not progressed after treatment discontinuation, PFS will be censored on the date of the last tumor assessment.

To estimate the objective response rate in patients with TCC of the urothelium receiving vinflunine, who had evidence of documented progression at any time within 12 months after the last dose of platinum therapy and are not candidates of cystectomy.
10-Apr-2007

Secondary Endpoints

Duration of Response, the Length of Time, in Months, That Protocol Treatment Produced an Objective Improvement in Patients' Disease
18 months
Overall Survival (OS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Death
18 months
Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease
18 months
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
InterventionEXPERIMENTALPatients received vinflunine 320 mg/m2 every 21 days as a 15- to 20-minute infusion.
InterventionalEXPERIMENTAL -
vinflunine and gemcitabineEXPERIMENTALsolution for injection, IV, vinflunine: 280/320 mg/m2 + gemcitabine: 1000 mg/m2, every 3 wks, variable duration
placebo and gemcitabinePLACEBO_COMPARATORsolution for injection, IV, placebo + gemcitabine, 1000 mg/m2, every 3 wks, variable duration
HER2 Negative InterventionEXPERIMENTALVinflunine 320 mg/m2 intravenously day 1 over 20 minutes, repeated every 21 days
HER2 Positive InterventionEXPERIMENTALVinflunine 280 mg/m2 every 21 days with trastuzumab administered with a loading dose of 8 mg/kg, followed by 6 mg/kg IV on day 1 of each subsequent cycle, repeated every 21 days. If no grade 3/4 adverse events were encountered after the first cycle of vinflunine/trastuzumab, the dose of vinflunine could be escalated to 320 mg/m2.
1EXPERIMENTAL -

Interventions

NameTypeDescription
VinflunineDRUG320mg/m2 every 21 days as a 15-20 minute infusion
GemcitabineDRUGsolution for injection, IV, placebo + gemcitabine, 1000 mg/m2, every 3 wks, variable duration
PlaceboOTHER -
TrastuzumabDRUGAnti-HER2 monoclonal antibody
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * Small cell lung cancer with progression after one previous chemotherapy or chemotherapy/radiation therapy regimen * Measurable or evaluable disease * Able to perform activities of daily living with minimal assistance * Adequate hematological, liver, and kidney function * Must ...

Countries:United StatesAustraliaBelgiumCanadaDenmarkFranceGreeceIndonesiaItalyPhilippinesPolandRussiaSouth KoreaSpainThailandUnited KingdomAustriaSingaporeSwedenSwitzerland
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Frequently asked questions about Vinflunine

What is Vinflunine used for?

Vinflunine is an investigational small molecule being studied for the treatment of several cancers, including breast cancer, bladder cancer, prostate cancer, small cell carcinoma, and transitional cell carcinoma. It is in Phase 2 clinical development and has not been approved by the FDA.

Who makes Vinflunine?

Vinflunine is being developed by Bristol-Myers Squibb Company, which trades under the ticker BMY. The company is conducting clinical trials to evaluate the drug's safety and efficacy in various oncology indications.

What phase is Vinflunine in?

Vinflunine is in Phase 2 clinical development. It is an investigational drug and has not received FDA approval. All completed trials for Vinflunine are Phase 2 studies, and there are no active trials currently ongoing.

What clinical trials is Vinflunine in?

Vinflunine has been studied in several Phase 2 clinical trials, including NCT00101608 for transitional cell carcinoma of the urothelium, NCT00284154 for relapsed extensive small cell lung cancer, NCT00284180 for HER2-overexpressing metastatic breast cancer, and NCT00389155 for advanced bladder cancer.

How does Vinflunine work?

Vinflunine is a small molecule that works by targeting microtubules, which are essential for cell division. By interfering with microtubule dynamics, it disrupts cancer cell proliferation. This mechanism is typical of vinca alkaloid class drugs used in oncology.