vinorelbine 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
vinca alkaloids 2827 71486-22-1

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • vinorelbin ditartrate
  • noranhydrovinblastine tartrate
  • vinorelbine
  • navelbin
  • navelbine base
  • 5'-anhydrovinblastine
  • vinorelbine tartrate
  • vinorelbine ditartrate
  • navelbine
  • vinorelbine base
A vinca alkaloid related to VINBLASTINE that is used as a first-line treatment for NON-SMALL CELL LUNG CANCER, or for advanced or metastatic BREAST CANCER refractory to treatment with ANTHRACYCLINES.
  • Molecular weight: 778.95
  • Formula: C45H54N4O8
  • CLOGP: 5.94
  • LIPINSKI: 3
  • HAC: 12
  • HDO: 2
  • TPSA: 133.87
  • ALOGS: -4.81
  • ROTB: 10

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

None

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 1 Benet LZ, Broccatelli F, Oprea TI
S (Water solubility) 1.00 mg/mL Bocci G, Oprea TI, Benet LZ
EoM (Fraction excreted unchanged in urine) 11 % Benet LZ, Broccatelli F, Oprea TI
BA (Bioavailability) 27 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 23 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 20 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.87 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 26 hours Lombardo F, Berellini G, Obach RS

Approvals:

DateAgencyCompanyOrphan
Dec. 23, 1994 FDA PIERRE FABRE

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Malignant neoplasm progression 795.21 21.92 397 15844 81724 63391057
Disease progression 723.70 21.92 427 15814 122331 63350450
Metastases to liver 444.61 21.92 182 16059 23457 63449324
Metastases to bone 412.98 21.92 167 16074 20852 63451929
Neutropenia 407.08 21.92 345 15896 174660 63298121
Palmar-plantar erythrodysaesthesia syndrome 306.91 21.92 139 16102 22876 63449905
Metastases to lung 270.09 21.92 107 16134 12643 63460138
Metastases to lymph nodes 243.58 21.92 88 16153 8070 63464711
Neoplasm progression 235.70 21.92 135 16106 36293 63436488
Mucosal inflammation 213.94 21.92 139 16102 46789 63425992
Breast cancer metastatic 207.12 21.92 87 16154 11931 63460850
Metastases to central nervous system 190.13 21.92 84 16157 13021 63459760
Neuropathy peripheral 156.35 21.92 168 16073 113499 63359282
Metastases to peritoneum 121.26 21.92 42 16199 3400 63469381
Febrile neutropenia 119.06 21.92 149 16092 118300 63354481
PIK3CA-activated mutation 116.24 21.92 31 16210 1028 63471753
Breast cancer recurrent 104.52 21.92 40 16201 4301 63468480
Osteonecrosis of jaw 101.88 21.92 79 16162 35044 63437737
Pleural effusion 101.31 21.92 122 16119 93088 63379693
Ejection fraction decreased 98.88 21.92 65 16176 22267 63450514
Myelosuppression 97.74 21.92 66 16175 23637 63449144
Metastases to skin 93.89 21.92 29 16212 1634 63471147
Haematotoxicity 92.33 21.92 46 16195 9330 63463451
Thrombocytopenia 88.34 21.92 147 16094 151010 63321771
Ascites 85.57 21.92 76 16165 40652 63432129
Tonsillar disorder 81.89 21.92 24 16217 1129 63471652
Breast cancer 81.81 21.92 80 16161 48303 63424478
Blood uric acid decreased 71.84 21.92 20 16221 781 63472000
Neurotoxicity 69.30 21.92 47 16194 16943 63455838
Polyneuropathy 68.34 21.92 44 16197 14545 63458236
Eosinophil percentage increased 66.89 21.92 20 16221 1009 63471772
Fall 63.12 21.92 12 16229 392322 63080459
Nasal disorder 60.49 21.92 24 16217 2840 63469941
Off label use 59.30 21.92 333 15908 674129 62798652
Death 59.22 21.92 220 16021 374161 63098620
Cardiotoxicity 59.18 21.92 33 16208 8405 63464376
Bone marrow failure 58.24 21.92 53 16188 29237 63443544
Drug hypersensitivity 55.63 21.92 7 16234 310680 63162101
EGFR gene mutation 53.93 21.92 13 16228 284 63472497
Joint swelling 52.73 21.92 10 16231 327656 63145125
Hyperchlorhydria 51.70 21.92 19 16222 1825 63470956
Neutropenic sepsis 49.89 21.92 38 16203 16400 63456381
Therapy partial responder 47.11 21.92 31 16210 10627 63462154
Folate deficiency 46.27 21.92 19 16222 2456 63470325
Osteonecrosis 44.16 21.92 42 16199 24488 63448293
Skin toxicity 43.10 21.92 22 16219 4692 63468089
Disease recurrence 43.04 21.92 44 16197 27986 63444795
Acquired gene mutation 42.53 21.92 14 16227 969 63471812
Tumour marker increased 42.24 21.92 22 16219 4893 63467888
Arthralgia 41.47 21.92 51 16190 569659 62903122
Hiccups 41.28 21.92 17 16224 2214 63470567
Hepatotoxicity 41.04 21.92 49 16192 36992 63435789
Decreased appetite 40.84 21.92 149 16092 250903 63221878
Abdominal discomfort 40.06 21.92 16 16225 320869 63151912
Second primary malignancy 39.77 21.92 25 16216 7928 63464853
Vessel puncture site bruise 39.28 21.92 11 16230 439 63472342
Peripheral sensory neuropathy 38.71 21.92 24 16217 7427 63465354
Leukopenia 38.35 21.92 70 16171 77220 63395561
Diffuse large B-cell lymphoma recurrent 37.31 21.92 16 16225 2304 63470477
Lymphangiosis carcinomatosa 37.26 21.92 14 16227 1431 63471350
Blood creatinine decreased 37.02 21.92 21 16220 5524 63467257
Maternal exposure during pregnancy 36.94 21.92 6 16235 220056 63252725
Metastases to pleura 36.00 21.92 14 16227 1571 63471210
Joint neoplasm 34.80 21.92 7 16234 63 63472718
Diarrhoea 34.79 21.92 306 15935 715060 62757721
Superior vena cava syndrome 34.50 21.92 11 16230 688 63472093
Sinusitis 34.21 21.92 8 16233 226645 63246136
Mediastinum neoplasm 34.13 21.92 7 16234 70 63472711
Soft tissue neoplasm 33.96 21.92 7 16234 72 63472709
Hypothalamo-pituitary disorder 33.69 21.92 11 16230 742 63472039
Odynophagia 33.64 21.92 22 16219 7464 63465317
Metastatic neoplasm 33.44 21.92 18 16223 4277 63468504
Blood lactate dehydrogenase increased 33.18 21.92 35 16206 23081 63449700
Gastrointestinal toxicity 32.97 21.92 22 16219 7719 63465062
Transaminases 32.89 21.92 7 16234 85 63472696
Nail infection 32.84 21.92 15 16226 2508 63470273
Injection site extravasation 32.62 21.92 23 16218 8818 63463963
Nausea 32.47 21.92 347 15894 854124 62618657
Metastases to meninges 32.40 21.92 15 16226 2587 63470194
Metastases to spine 32.16 21.92 16 16225 3233 63469548
Metastases to chest wall 32.04 21.92 10 16231 583 63472198
Constipation 32.03 21.92 128 16113 224815 63247966
Pancytopenia 31.78 21.92 74 16167 96859 63375922
Urticaria 31.52 21.92 3 16238 165799 63306982
Condition aggravated 31.39 21.92 34 16207 402183 63070598
Pituitary tumour 31.21 21.92 11 16230 937 63471844
Musculoskeletal stiffness 31.05 21.92 5 16236 184613 63288168
Osteolysis 30.98 21.92 15 16226 2859 63469922
Hepatic enzyme increased 30.81 21.92 7 16234 202321 63270460
Metastasis 30.24 21.92 18 16223 5179 63467602
Drug resistance 29.89 21.92 33 16208 22900 63449881
Anaemia 29.79 21.92 151 16090 293279 63179502
Pruritus 28.82 21.92 30 16211 361423 63111358
Hormone receptor positive breast cancer 28.67 21.92 9 16232 535 63472246
Gene mutation 28.49 21.92 12 16229 1653 63471128
Jaw operation 28.48 21.92 10 16231 842 63471939
Nail avulsion 27.59 21.92 7 16234 190 63472591
Asthenia 27.54 21.92 180 16061 383424 63089357
Non-small cell lung cancer recurrent 27.02 21.92 6 16235 90 63472691
Carbohydrate antigen 15-3 increased 26.68 21.92 11 16230 1437 63471344
Gingival bleeding 25.45 21.92 23 16218 12564 63460217
Weight increased 25.21 21.92 18 16223 260774 63212007
Lymphoedema 24.90 21.92 22 16219 11670 63461111
Stress cardiomyopathy 24.69 21.92 20 16221 9430 63463351
Cardiac cirrhosis 24.68 21.92 6 16235 136 63472645
Poor peripheral circulation 24.50 21.92 14 16227 3735 63469046
Exposure during pregnancy 24.46 21.92 5 16236 155542 63317239
Pneumonitis 24.30 21.92 37 16204 35185 63437596
Dermatitis exfoliative generalised 24.30 21.92 14 16227 3793 63468988
Scintillating scotoma 24.12 21.92 6 16235 150 63472631
Toothache 23.94 21.92 27 16214 19172 63453609
Stomatitis 23.94 21.92 84 16157 138641 63334140
Mediastinal disorder 23.20 21.92 7 16234 364 63472417
Discomfort 23.18 21.92 7 16234 167367 63305414
Postictal state 22.94 21.92 9 16232 1034 63471747
Nail disorder 22.88 21.92 22 16219 12993 63459788
Vascular device infection 22.40 21.92 17 16224 7295 63465486
Eosinophil count increased 22.16 21.92 20 16221 10908 63461873
Somnolence 22.13 21.92 9 16232 178676 63294105

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Neutropenia 128.23 26.58 121 3918 156657 34796235
Disease progression 121.49 26.58 100 3939 107977 34844915
Febrile neutropenia 84.78 26.58 91 3948 136758 34816134
Malignant neoplasm progression 69.87 26.58 67 3972 87979 34864913
Off label use 59.11 26.58 141 3898 419383 34533509
Neutropenic sepsis 56.88 26.58 29 4010 13738 34939154
Febrile bone marrow aplasia 54.56 26.58 24 4015 8185 34944707
Pneumonitis 50.16 26.58 37 4002 33841 34919051
Neoplasm progression 40.34 26.58 28 4011 23272 34929620
Thrombocytopenia 39.21 26.58 67 3972 156180 34796712
Leukopenia 39.12 26.58 42 3997 62814 34890078
Toxic erythema of chemotherapy 37.93 26.58 7 4032 92 34952800
Myelosuppression 37.76 26.58 25 4014 19240 34933652
Metastases to lung 33.81 26.58 18 4021 9302 34943590
Product leakage 30.61 26.58 8 4031 552 34952340
Interstitial lung disease 29.49 26.58 37 4002 65245 34887647
Bone marrow failure 28.46 26.58 25 4014 29228 34923664
Diffuse large B-cell lymphoma refractory 28.23 26.58 9 4030 1257 34951635
Pancytopenia 28.15 26.58 44 3995 95113 34857779
Product use in unapproved indication 27.62 26.58 49 3990 117450 34835442
Haematotoxicity 27.41 26.58 15 4024 8179 34944713

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Malignant neoplasm progression 546.32 20.81 341 15876 135649 79592522
Disease progression 472.36 20.81 350 15867 184012 79544159
Neutropenia 366.50 20.81 366 15851 287344 79440827
Metastases to bone 254.83 20.81 116 16101 24311 79703860
Metastases to liver 229.49 20.81 113 16104 28201 79699970
Metastases to lung 227.25 20.81 98 16119 18065 79710106
Neoplasm progression 223.20 20.81 136 16081 51546 79676625
Palmar-plantar erythrodysaesthesia syndrome 171.36 20.81 98 16119 33036 79695135
Breast cancer metastatic 168.25 20.81 64 16153 8538 79719633
Mucosal inflammation 167.64 20.81 132 16085 75448 79652723
Metastases to lymph nodes 166.79 20.81 67 16150 10330 79717841
Febrile neutropenia 137.44 20.81 200 16017 230799 79497372
Neuropathy peripheral 137.14 20.81 156 16061 141149 79587022
Myelosuppression 126.92 20.81 87 16130 40209 79687962
Metastases to central nervous system 119.81 20.81 61 16156 16314 79711857
Neutropenic sepsis 111.11 20.81 69 16148 26995 79701176
Breast cancer recurrent 99.58 20.81 33 16184 2944 79725227
Metastases to peritoneum 90.82 20.81 34 16183 4338 79723833
Osteonecrosis of jaw 88.33 20.81 72 16145 43154 79685017
Haematotoxicity 85.87 20.81 48 16169 15471 79712700
Tonsillar disorder 85.11 20.81 24 16193 1242 79726929
Thrombocytopenia 82.99 20.81 173 16044 265086 79463085
Bone marrow failure 77.87 20.81 72 16145 51035 79677136
PIK3CA-activated mutation 76.95 20.81 19 16198 584 79727587
Metastases to skin 73.39 20.81 23 16194 1716 79726455
Ejection fraction decreased 71.49 20.81 58 16159 34519 79693652
EGFR gene mutation 66.23 20.81 16 16201 448 79727723
Blood uric acid decreased 62.67 20.81 19 16198 1269 79726902
Pneumonitis 62.04 20.81 69 16148 60791 79667380
Febrile bone marrow aplasia 60.64 20.81 36 16181 12984 79715187
Eosinophil percentage increased 59.60 20.81 19 16198 1499 79726672
Off label use 59.46 20.81 350 15867 906865 78821306
Nasal disorder 59.44 20.81 24 16193 3745 79724426
Therapy partial responder 55.79 20.81 38 16179 17359 79710812
Pancytopenia 50.47 20.81 107 16110 165638 79562533
Hyperchlorhydria 49.96 20.81 18 16199 2061 79726110
Fall 48.97 20.81 19 16198 487610 79240561
Neurotoxicity 46.04 20.81 44 16173 32474 79695697
Pleural effusion 45.64 20.81 95 16122 145167 79583004
Folate deficiency 41.57 20.81 18 16199 3342 79724829
Peripheral sensory neuropathy 40.68 20.81 28 16189 13005 79715166
Polyneuropathy 40.65 20.81 36 16181 24115 79704056
Vessel puncture site bruise 40.37 20.81 11 16206 501 79727670
Disease recurrence 39.86 20.81 47 16170 44062 79684109
Acquired gene mutation 37.92 20.81 15 16202 2218 79725953
Leukopenia 37.53 20.81 77 16140 116436 79611735
Metastases to spine 37.23 20.81 18 16199 4306 79723865
Arthralgia 37.11 20.81 37 16180 571766 79156405
Nail infection 36.88 20.81 15 16202 2384 79725787
Drug hypersensitivity 36.65 20.81 8 16209 298908 79429263
Joint neoplasm 36.40 20.81 7 16210 63 79728108
Ascites 35.80 20.81 59 16158 75503 79652668
Nausea 35.74 20.81 323 15894 956873 78771298
Hepatotoxicity 35.70 20.81 48 16169 51304 79676867
Breast cancer 35.62 20.81 39 16178 33742 79694429
Cardiotoxicity 35.18 20.81 25 16192 12214 79715957
Soft tissue neoplasm 34.49 20.81 7 16210 85 79728086
Hormone receptor positive breast cancer 34.21 20.81 9 16208 358 79727813
Gastrointestinal toxicity 34.09 20.81 21 16196 8088 79720083
Blood creatinine decreased 32.23 20.81 20 16197 7805 79720366
Non-small cell lung cancer recurrent 32.19 20.81 7 16210 121 79728050
Nail avulsion 31.72 20.81 7 16210 130 79728041
Lymphangiosis carcinomatosa 31.52 20.81 13 16204 2141 79726030
Hypothalamo-pituitary disorder 31.19 20.81 11 16206 1183 79726988
Agranulocytosis 31.16 20.81 42 16175 44988 79683183
Pituitary tumour 30.94 20.81 11 16206 1211 79726960
Blood lactate dehydrogenase increased 30.94 20.81 39 16178 39131 79689040
Injection site extravasation 30.71 20.81 21 16196 9648 79718523
Odynophagia 29.96 20.81 22 16195 11305 79716866
Acute myeloid leukaemia 29.73 20.81 34 16183 30851 79697320
Metastases to the mediastinum 29.69 20.81 9 16208 601 79727570
Joint swelling 29.35 20.81 11 16206 288635 79439536
Transaminases 29.26 20.81 6 16211 77 79728094
Metastatic neoplasm 28.99 20.81 16 16201 5026 79723145
Gene mutation 28.76 20.81 13 16204 2673 79725498
Drug resistance 28.64 20.81 39 16178 42174 79685997
Mediastinum neoplasm 28.33 20.81 6 16211 91 79728080
Constipation 28.09 20.81 123 16094 282927 79445244
Primary mediastinal large B-cell lymphoma 27.93 20.81 5 16212 29 79728142
Poor peripheral circulation 27.75 20.81 14 16203 3669 79724502
Toxic erythema of chemotherapy 27.39 20.81 7 16210 248 79727923
Anaemia 27.24 20.81 169 16048 444846 79283325
Jaw operation 26.97 20.81 9 16208 820 79727351
Diarrhoea 26.87 20.81 285 15932 880204 78847967
Gingival bleeding 26.87 20.81 24 16193 16252 79711919
Decreased appetite 26.86 20.81 139 16078 342279 79385892
Osteonecrosis 26.23 20.81 32 16185 31063 79697108
Stress cardiomyopathy 25.79 20.81 20 16197 11146 79717025
Tumour marker increased 25.79 20.81 14 16203 4258 79723913
Product use in unapproved indication 25.76 20.81 110 16107 250249 79477922
Asthenia 25.71 20.81 185 16032 511504 79216667
Urticaria 24.73 20.81 4 16213 185197 79542974
Skin toxicity 23.94 20.81 17 16200 8297 79719874
Scintillating scotoma 23.52 20.81 6 16211 211 79727960
Cough 23.51 20.81 141 16076 366648 79361523
Cardiac cirrhosis 23.25 20.81 6 16211 221 79727950
Abdominal discomfort 23.17 20.81 11 16206 250716 79477455
Therapeutic product effect decreased 23.13 20.81 3 16214 163860 79564311
Hypotension 22.72 20.81 34 16183 440283 79287888
Toothache 22.71 20.81 24 16193 19946 79708225
Nail disorder 22.65 20.81 19 16198 11833 79716338
Toxicity to various agents 22.28 20.81 32 16185 421508 79306663
Stomatitis 22.20 20.81 73 16144 146684 79581487
Pneumothorax 22.05 20.81 28 16189 28295 79699876
Condition aggravated 21.91 20.81 43 16174 501081 79227090
Invasive ductal breast carcinoma 21.62 20.81 14 16203 5878 79722293
Tumour pain 21.10 20.81 10 16207 2289 79725882
Hiccups 21.09 20.81 17 16200 10014 79718157
Vaginal discharge 20.89 20.81 15 16202 7448 79720723

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC L01CA04 ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS
ANTINEOPLASTIC AGENTS
PLANT ALKALOIDS AND OTHER NATURAL PRODUCTS
Vinca alkaloids and analogues
FDA CS M0022674 Vinca Alkaloids
MeSH PA D050256 Antimitotic Agents
MeSH PA D000970 Antineoplastic Agents
MeSH PA D000972 Antineoplastic Agents, Phytogenic
MeSH PA D050257 Tubulin Modulators
FDA EPC N0000175612 Vinca Alkaloid
CHEBI has role CHEBI:35610 antineoplastic agents
CHEBI has role CHEBI:47868 photosensitising agent

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Non-small cell lung cancer indication 254637007 DOID:3908
Kaposi's sarcoma off-label use 109385007
Neoplasm of endometrium off-label use 123844007 DOID:1380
Small cell carcinoma of lung off-label use 254632001 DOID:5409
Metastatic Breast Carcinoma off-label use
Disorder of lung contraindication 19829001 DOID:850
Infectious disease contraindication 40733004
Gastrointestinal perforation contraindication 51875005
Hepatic failure contraindication 59927004
Interstitial pneumonia contraindication 64667001
Intestinal obstruction contraindication 81060008 DOID:8437
Leukopenia contraindication 84828003 DOID:615
Gastrointestinal obstruction contraindication 126765001
Pregnancy, function contraindication 289908002
Bone marrow depression contraindication 307762000
Breastfeeding (mother) contraindication 413712001
Hepatic Metastases contraindication
Intestinal Ischemic Necrosis contraindication
Severe Granulocytopenia contraindication




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 11.32 acidic
pKa2 13.35 acidic
pKa3 8.55 Basic
pKa4 7.39 Basic
pKa5 6.11 Basic

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Tubulin beta Tumour-associated antigen INHIBITOR SCIENTIFIC LITERATURE SCIENTIFIC LITERATURE
Cytochrome P450 3A4 Enzyme IC50 6 DRUG MATRIX
Substance-K receptor GPCR Ki 6.27 DRUG MATRIX

External reference:

IDSource
4023981 VUID
N0000021986 NUI
D01935 KEGG_DRUG
125317-39-7 SECONDARY_CAS_RN
4020895 VANDF
4023981 VANDF
C0078257 UMLSCUI
CHEBI:480999 CHEBI
GDF PDB_CHEM_ID
CHEMBL553025 ChEMBL_ID
CHEMBL538943 ChEMBL_ID
CHEMBL3039595 ChEMBL_ID
D000077235 MESH_DESCRIPTOR_UI
DB00361 DRUGBANK_ID
7105 IUPHAR_LIGAND_ID
6054 INN_ID
Q6C979R91Y UNII
5311497 PUBCHEM_CID
114527 RXNORM
2135 MMSL
46388 MMSL
5676 MMSL
d03810 MMSL
004380 NDDF
004381 NDDF
108792008 SNOMEDCT_US
108794009 SNOMEDCT_US
372541004 SNOMEDCT_US

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Vinorelbine HUMAN PRESCRIPTION DRUG LABEL 1 25021-204 INJECTION, SOLUTION 10 mg INTRAVENOUS ANDA 27 sections
Vinorelbine HUMAN PRESCRIPTION DRUG LABEL 1 45963-607 INJECTION, SOLUTION 10 mg INTRAVENOUS ANDA 19 sections
Vinorelbine HUMAN PRESCRIPTION DRUG LABEL 1 45963-607 INJECTION, SOLUTION 10 mg INTRAVENOUS ANDA 19 sections
Vinorelbine HUMAN PRESCRIPTION DRUG LABEL 1 45963-607 INJECTION, SOLUTION 10 mg INTRAVENOUS ANDA 19 sections