Vinorelbine

Vinorelbine is a type of drug called a vinca alkaloid. Vinca alkaloids are made from the periwinkle plant. Vinorelbine inhibits (obstructs) the microtubule structures within the cell. Microtubules are part of the cell’s framework for dividing and replicating itself. Inhibition of these structures results in cell death.

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Indications

  • Relapsed/refractory non-Hodgkin lymphoma (NHL)
  • Relapsed/refractory Hodgkin lymphoma (HL)

Administration

The doctor will determine the dose and schedule.

The amount of vinorelbine given depends on many factors including:

  • Height and weight
  • General health or other health problems
  • Type of lymphoma being treated

 

Vinorelbine is given through a vein by intravenous infusion (IV) given via gravity rather than pushed through the IV pump.

Vinorelbine is a vesicant. A vesicant is a chemical that causes extensive tissue damage and blistering if it escapes from the vein. If there is pain, redness or swelling at the IV site whilst receiving vinorelbine, the health care team should be alerted immediately. A nurse will be next to the patient during the infusion to stop the infusion immediately if there are any issues.

Possible side-effects

  • Low white blood cells. This can put you at increased risk of infection
  • Anaemia (low red blood cells)
  • Thrombocytopenia (low platelets). This can put you at increased risk for bleeding.
  • Nausea or vomiting
  • Loss of appetite
  • Fatigue
  • Muscle weakness
  • Diarrhoea or constipation
  • Pain along the site where the medication was given
  • Peripheral neuropathy (numbness in your fingers and toes) may occur with repeated doses. This should be reported to your
  • Healthcare provider.
  • Hair loss
  • Sore mouth and throat
  • High temperature (fever)
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For people living in Australia, we can offer a phone translation service. Have your nurse or English speaking relative call us to arrange this.

Useful Definitions

  • Refractory: This means the lymphoma does not get better with treatment. The treatment didn’t work as hoped.
  • Relapsed: This means the lymphoma came back after being gone for a while after treatment.
  • 2nd line treatment: This is the second treatment you get if the first one didn’t work (refractory) or if the lymphoma comes back (relapse).
  • 3rd line treatment: This is the third treatment you get if the second one didn’t work or the lymphoma comes back again.
  • Approved: Available in Australia and listed by the Therapeutics Goods Administration (TGA).
  • Funded: Costs are covered for Australian citizens. This means if you have a Medicare card, you shouldn’t have to pay for the treatment.[WO7]

You need healthy T-cells to make CAR T-cells. For this reason, CAR T-cell therapy cannot be used if you have a T-cell lymphoma – yet.

For more information on CAR T-cells and T-cell lymphoma click here. 

Special Note: Although your T-cells are removed from your blood for CAR T-cell therapy, most of our T-cells live outside of our blood – in our lymph nodes, thymus, spleen and other organs.