Vinflunine and bladder cancer: present and future indications

Submitted: 18 November 2016
Accepted: 4 January 2017
Published: 20 February 2017
Abstract Views: 1101
PDF: 511
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Urothelial cancer (UC) frequently affects male sex over the sixth decade of life, and in about 30% of the cases, it is diagnosed as muscle-invasive disease. For patients with metastatic disease, the prognosis is grim and the typical treatment is polychemotherapy involving cisplatin. Secondline chemotherapy is often employed, but a standard scheme does not exist. Vinflunine (VFL) is a new generation vinca alkaloid able to reversibly link the subunits of tubulin, causing the arrest of mitotic spindle polymerization. In critical trials, VFL has shown good activity and manageable toxicity; in a phase III randomized trial, it significantly improved survival compared with the best supportive care (BSC). VFL has received European Medicines Agency (EMA) approval for use as second-line treatment in UC patients who progressed after a first-line cisplatin-containing chemotherapy. Due to its low toxicity and promising efficacy, VFL is under clinical experimentations aimed to assess its role in other disease settings.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Silvia Zappavigna, Department of Biochemistry, Biophysics and General Pathology, Second University of Naples, Naples

Assistant Professor, Department of Biochemistry, Biophysics and General Pathology

Second University of Naples

How to Cite

Della Vittoria Scarpati, G., Perri, F., Ferro, M., Cavaliere, C., Facchini, G., Caraglia, M., Zappavigna, S., & Addeo, R. (2017). Vinflunine and bladder cancer: present and future indications. Translational Medicine Reports, 5(1). https://doi.org/10.4081/tmr.6397