Summary
Vinorelbine has reached the approved stage (maximum clinical phase 4) for at least one indication, so its use in Breast Cancer would be drug repurposing rather than first-in-human development. This does not mean it is approved for Breast Cancer. ClinicalTrials.gov lists 8 registered trials linking Vinorelbine to Breast Cancer: 1 is currently recruiting; 1 is active or not yet recruiting; 4 have completed; 2 are terminated, withdrawn, suspended or of unknown status. The most advanced is Phase 3 (NCT07556848). It plans or enrolled 356 participants. Registration activity spans 1999 to 2026. The literature layer holds 16 publications for this pair: 5 Cochrane reviews, 3 meta-analyses, 1 systematic review, 2 randomised controlled trial publications and 5 clinical trial publications. Publication years run from 2011 to 2026. Because at least one synthesis-level source exists (systematic review, meta-analysis or Cochrane review), this pair has been assessed beyond single studies, although the synthesis may concern a different indication.
The RepurpOS disease-intelligence file for Breast Cancer ranks 1462 candidate therapeutics from Open Targets, ChEMBL, DGIdb and PubMed; only a minority carry direct clinical evidence, and this page covers one of those. Spontaneous remission context recorded for the condition: Spontaneous regression documented but rare (<0.5%); 5-year survival stage I: ~99%; stage IV: ~28% overall, improving with modern therapy.
Evidence table
| Evidence tier | A · Strong |
|---|---|
| Evidence score | 73.0 (trials 23.0, literature 30.0, tier 15, approved bonus 5.0) |
| Registered trials | 8 total: 1 recruiting, 1 active / not yet recruiting, 4 completed, 2 other |
| Linked publications | 16 (5 Cochrane reviews, 5 clinical trial publications, 3 meta-analyses, 2 randomised controlled trial publications, 1 systematic review) |
| Agent type | Drug (Small molecule) |
| Development stage (any indication) | Approved |
| Mechanism / class | Not recorded |
| Data sources | DGIdb |
| Linked via biomarker / target | BRCA1 |
How the evidence score is calculated
- Each registered trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5). The trial component is capped at 30.
- Each literature item scores by design (Cochrane review 5, meta-analysis 4, systematic review 3, RCT 3, clinical trial publication 2, curated reference 1.5, other PubMed record 1). The literature component is capped at 30.
- The existing evidence tier adds 15 (A / Strong), 10 (B / Moderate), 5 (C / Preliminary) or 0 (D / Anecdotal).
- Agents approved for any indication (max clinical phase 4) add 5, because an approved agent has an established safety profile that lowers the barrier to repurposing trials.
- The score ranks what has been studied, not what works. It does not read effect sizes or directions of effect.
Registered clinical trials
| NCT ID | Title | Status | Phase | Enrolment |
|---|---|---|---|---|
| NCT07556848 | A Study of 9MW2821 Versus Chemotherapy in Participants With Previously Treated Locally Advanced or Metastatic Triple-Negative Breast Cancer 2026 | not yet recruiting | Phase 3 | 356 |
| NCT03321981 | MCLA-128 With Trastuzumab/Chemotherapy in HER2+ and With Endocrine Therapy in ER+ and Low HER2 Breast Cancer. 2018 | completed | Phase 2 | 105 |
| NCT04681911 | Inetetamab Combined With Pyrotinib and Chemotherapy in the Treatment of HER2 Positive Metastatic Breast Cancer 2020 | status unknown | Phase 2 | 71 |
| NCT02544243 | Vinorelbine/Gemcitabine Versus Vinorelbine/Cisplatin in Metastatic Breast Cancer 2015 | status unknown | Phase 2 | 200 |
| NCT00724386 | Concomitant Chemoradiotherapy With Weekly Paclitaxel and Vinorelbine and Granulocyte Colony Stimulating Factor (GCSF) Support in Patients With Advanced Breast Cancer 1999 | completed | Phase 1 | 26 |
| NCT00001944 | Vinorelbine and XR9576 to Treat Cancer 1999 | completed | Phase 1 | 30 |
| NCT00912275 | Lapatinib in Combination With Oral Vinorelbine for Metastatic Breast Cancer 2008 | completed | PHASE1, PHASE2 | 46 |
| NCT05856383 | Efficacy and Safety of Inetetamab Combined With Pyrotinib and Vinorelbine in ABC 2022 | recruiting | Not applicable | 100 |
Published literature
- Clinical trial publication Datopotamab deruxtecan versus chemotherapy in previously treated inoperable/metastatic hormone receptor-positive, HER2-negative breast cancer: final overall survival analysis of the phase III TROPION-Breast01 studyPistilli B, Jhaveri K, Im SA et al. · Annals of oncology : official journal of the European Society for Medical Oncology · 2026 · PMID 41448362
- Cochrane review Metronomic chemotherapy combined with immunotherapy in solid tumor: a systematic reviewLi S, Li Z, Liu X et al. · Translational cancer research · 2026 · PMID 42180940
- Cochrane review Chemotherapy-Induced Alopecia in Breast Cancer Patients: Treatment-Specific Incidence and Risk of Persistent Hair LossGaumond SI, Shrestha S, Kamholtz I et al. · Cancers · 2026 · PMID 41827794
- Clinical trial publication Fuzuloparib with or without apatinib in patients with HER2-negative metastatic breast cancer with germline BRCA1/2 mutations (FABULOUS): interim analysis of a multicentre, three-arm, open-label, randomised, phase 3 trialLi H, Liu J, Ouyang Q et al. · The Lancet. Oncology · 2025 · PMID 41308673
- Clinical trial publication Tremelimumab plus durvalumab combined to metronomic oral vinorelbine: Results from the breast cancer cohort of the phase II MOVIE studyDe La Motte Rouge T, Frenel JS, Cropet C et al. · Breast (Edinburgh, Scotland) · 2025 · PMID 40795480
- Clinical trial publication A direct comparison of classical oral Navelbine vs metronomic Navelbine in metastatic breast cancer: results from the Danish Breast Cancer Group's (DBCG) NAME-trialBrems-Eskildsen AS, Kenholm J, Brixen AT et al. · Breast cancer research and treatment · 2025 · PMID 40643775
- Clinical trial publication Efficacy and safety of inetetamab plus pertuzumab and nab-paclitaxel as neoadjuvant therapy for HER2+ breast cancer: A single-arm multicenter phase II clinical trialZuo WJ, Ma LX, Wang ZH et al. · Cancer letters · 2025 · PMID 40354993
- Randomized controlled trial Datopotamab Deruxtecan Versus Chemotherapy in Previously Treated Inoperable/Metastatic Hormone Receptor-Positive Human Epidermal Growth Factor Receptor 2-Negative Breast Cancer: Primary Results From TROPION-Breast01Bardia A, Jhaveri K, Im SA et al. · Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025 · PMID 39265124
- Randomized controlled trial Intensive treatment of triple negative breast cancer with residual positive axillary lymph node after neoadjuvant chemotherapyWang X, He Y, Li J et al. · BMC women's health · 2024 · PMID 39604957
- Cochrane review Network meta-analysis of eribulin versus other chemotherapies used as second- or later-line treatment in locally advanced or metastatic breast cancerZhao Q, Hughes R, Neupane B et al. · BMC cancer · 2021 · PMID 34193107
- Cochrane review Efficacy of bevacizumab combined with chemotherapy in the treatment of HER2-negative metastatic breast cancer: a network meta-analysisSun Z, Lan X, Xu S et al. · BMC cancer · 2020 · PMID 32131770
- Meta-analysis A Systematic Review and Meta-analysis of the Combination of Vinorelbine and Lapatinib in Patients With Her2-positive Metastatic Breast CancerStravodimou A, Voutsadakis IA · Anticancer research · 2019 · PMID 31262849
- Cochrane review Lapatinib plus capecitabine in patients with HER2-positive metastatic breast cancer: A systematic reviewMadden R, Kosari S, Peterson GM et al. · International journal of clinical pharmacology and therapeutics · 2018 · PMID 29231164
- Meta-analysis Vinorelbine With Capecitabine, an Evergreen Doublet for Advanced Breast Cancer: A Systematic Literature Review and Pooled-Analysis of Phase II-III StudiesPetrelli F, Di Cosimo S, Lonati V et al. · Clinical breast cancer · 2016 · PMID 27282844
- Meta-analysis A systematic review of vinorelbine for the treatment of breast cancerXu YC, Wang HX, Tang L et al. · The breast journal · 2013 · PMID 23320984
- Systematic review Efficacy and safety of palliative chemotherapy for patients with advanced breast cancer pretreated with anthracyclines and taxanes: a systematic reviewOostendorp LJ, Stalmeier PF, Donders AR et al. · The Lancet. Oncology · 2011 · PMID 21621462
Mechanism and notes
No mechanism of action is recorded for this pair in the source databases.
OSMF's existing evidence tier for this pair is A (Strong), derived from the strength of the disease association recorded in DGIdb, in this case via the biomarker or target BRCA1. The tier describes how well the drug-disease link is documented, not how well the drug works.
Frequently asked questions
Is Vinorelbine approved for Breast Cancer?
Vinorelbine has reached the approved stage (maximum clinical phase 4) for at least one indication, so its use in Breast Cancer would be drug repurposing rather than first-in-human development. This does not mean it is approved for Breast Cancer. Approval status for the specific indication should always be confirmed with the relevant regulator and prescribing information.
Is Vinorelbine in clinical trials for Breast Cancer?
ClinicalTrials.gov lists 8 registered trials linking Vinorelbine to Breast Cancer: 1 is currently recruiting; 1 is active or not yet recruiting; 4 have completed; 2 are terminated, withdrawn, suspended or of unknown status. The most advanced is Phase 3 (NCT07556848). It plans or enrolled 356 participants. Registration activity spans 1999 to 2026.
What does the evidence show for Vinorelbine in Breast Cancer?
Vinorelbine has both completed registered trials and synthesis-level publications linked to Breast Cancer. That is the strongest profile in this database, but the summaries here do not extract effect sizes, so read the linked reviews for direction and magnitude of benefit. OSMF's existing evidence tier for this pair is A (Strong), derived from the strength of the disease association recorded in DGIdb, in this case via the biomarker or target BRCA1. The tier describes how well the drug-disease link is documented, not how well the drug works.
Cite this page
Data: ClinicalTrials.gov, PubMed, Open Targets, ChEMBL, DGIdb and the OSMF therapeutic agent database. Last updated 2026-07-05. Page built 2026-10-07.