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Marqibo (vinCRIStine sulfate LIPOSOME injection)

Company: Talon Therapeutics
Approval Status: Approved August 2012
Treatment for: Ph- acute lymphoblastic leukemia
Areas: Hematology; Cancer & Oncology

| General Information | Clinical Results | Side Effects | Mechanism of Action | Literature References | Additional Information |

General Information

Marqibo (vinCRIStine sulfate LIPOSOME injection) is vincristine encapsulated in sphingomyelin/cholesterol liposomes. The encapsulation formulation was designed to enhance efficacy, with the potential for reduced toxicity. Vincristine is a vinca alkaloid; it is thought to work by interfering with cancer cell growth during mitosis.

Marqibo is specifically indicated for the treatment of adults with Philadelphia chromosome-negative (Ph-) acute lymphoblastic leukemia in second or greater relapse or whose disease has progressed following two or more anti-leukemia therapies.

Marqibo is supplied as a solution for intravenous injection. The recommended initial dose is 2.25 mg/m2 intravenously over one hour once every seven days.

Clinical Results

FDA Approval
The FDA approval of Marqibo was based on an international, open-label, multi-center, single-arm trial. The trial enrolled 65 adults with Philadelphia chromosome negative ALL in second or greater relapse or whose disease progressed after two or greater treatment lines of anti-leukemia therapy. Subjects had to have achieved a complete remission to at least one prior anti-leukemia chemotherapy. The subjects received intravenous Marqibo monotherapy at 2.25 mg/m2 over 60 minutes every seven days. Concomitant corticosteroids were not permitted beyond Day 5. Three subjects (4.6%) achieved complete remission (CR); Seven subjects (10.8%) achieved CR with incomplete blood count recovery (CRi) and ten subjects (15.4%) achieved CR + Cri. The median duration of CR or CRi, based on the first date of CR or CRi to the date of the last available histologic assessment of the same response (n=8) was 28 days. The median duration of CR or CRi, based on the first date of CR or CRi to date of documented relapse, death, or subsequent chemotherapies including hematopoietic stem cell transplant (n=10), was 56 days.

Side Effects

Adverse events associated with the use of Marqibo may include, but are not limited to, the following:

  • constipation
  • nausea
  • pyrexia
  • fatigue
  • peripheral neuropathy
  • febrile neutropenia
  • diarrhea
  • anemia
  • decreased appetite
  • insomnia

Mechanism of Action

Marqibo (vinCRIStine sulfate LIPOSOME injection) is vincristine encapsulated in sphingomyelin/cholesterol liposomes. Non-liposomal vincristine sulfate binds to tubulin, altering the tubulin polymerization equilibrium, resulting in altered microtubule structure and function. Non-liposomal vincristine sulfate stabilizes the spindle apparatus, preventing chromosome segregation, triggering metaphase arrest and inhibition of mitosis.

Literature References

Thomas DA, Sarris AH, Cortes J, Faderl S, O'Brien S, Giles FJ, Garcia-Manero G, Rodriguez MA, Cabanillas F, Kantarjian H Phase II study of sphingosomal vincristine in patients with recurrent or refractory adult acute lymphocytic leukemia. Cancer 2006 Jan 1;106(1):120-7

Additional Information

For additional information regarding Marqibo or Philadelphia chromosome-negative (Ph-) acute lymphoblastic leukemia, please visit the Marqibo web page.

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Marqibo Drug Information

The Marqibo drug information shown above is licensed from Thomson CenterWatch. The information provided here is for general educational purposes only and does not constitute medical or pharmaceutical advice which should be sought from qualified medical and pharmaceutical advisers.

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