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Vincristine sulfate liposome injection (Marqibo) is a sphingomyelin/cholesterol liposome-encapsulated formulation of the vinca alkaloid vincristine sulfate. This nanoparticle delivery system is designed to overcome the dosing and pharmacokinetic limitations of standard vincristine by prolonging the drug's circulation time and enhancing its accumulation within tumor tissues via the enhanced permeability and retention (EPR) effect. Once at the tumor site, the liposomes release vincristine, which binds to tubulin and inhibits microtubule polymerization, leading to mitotic arrest in the metaphase and subsequent apoptosis. It was originally developed by Talon Therapeutics and later acquired by Spectrum Pharmaceuticals (now part of Assertio). The drug is primarily indicated for the treatment of adult patients with Philadelphia chromosome-negative (Ph-) acute lymphoblastic leukemia (ALL) in second or greater relapse.
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