Mitoxantrone Hydrochloride

Advance Directives, Liver carcinoma, Leukemia + 10 more

Treatment

17 FDA approvals

20 Active Studies for Mitoxantrone Hydrochloride

What is Mitoxantrone Hydrochloride

Mitoxantrone

The Generic name of this drug

Treatment Summary

An antineoplastic agent derived from anthracenedione, a type of chemical compound.

Novantrone

is the brand name

image of different drug pills on a surface

Mitoxantrone Hydrochloride Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Novantrone

Mitoxantrone

1987

12

Approved as Treatment by the FDA

Mitoxantrone, otherwise known as Novantrone, is approved by the FDA for 17 uses which include Progressive Relapsing Multiple Sclerosis and Relapsed Lymphomas .

Progressive Relapsing Multiple Sclerosis

Helps manage Progressive Relapsing Multiple Sclerosis

Relapsed Lymphomas

Relapsed Leukemia

Secondary Progressive Multiple Sclerosis (SPMS)

Helps manage Secondary Progressive Multiple Sclerosis (SPMS)

Acute Myeloid Leukemia (AML)

Used to treat Acute Myeloid Leukemia (AML) in combination with null

Leukemia

Relapsing Remitting Multiple Sclerosis (RRMS)

Helps manage Relapsing Remitting Multiple Sclerosis (RRMS)

Multiple Sclerosis

Helps manage Secondary Progressive Multiple Sclerosis (SPMS)

relapsed Hepatocellular carcinoma

Metastatic Breast Cancer

Liver carcinoma

Metastatic Breast Cancer

Advance Directives

Multiple Sclerosis

Helps manage Progressive Relapsing Multiple Sclerosis

Lymphoma

Acute Myeloid Leukemia

Used to treat Acute Myeloid Leukemia (AML) in combination with null

Relapsing Remitting Multiple Sclerosis

Helps manage Relapsing Remitting Multiple Sclerosis (RRMS)

Effectiveness

How Mitoxantrone Hydrochloride Affects Patients

In laboratory tests, mitoxantrone has been found to stop the growth of B cells, T cells, and macrophages and reduce the activity of certain proteins involved in immunity. It also reduces the amount of interferon gamma, TNFa, and IL-2 that are released from these cells.

How Mitoxantrone Hydrochloride works in the body

Mitoxantrone works by binding to DNA and interfering with the repair process. It binds to DNA, preventing the enzyme responsible for fixing DNA from doing its job. This stops the cell from being able to fix itself, leading to cell death. It affects both growing and inactive cells, so it is not specific to any particular stage of the cell cycle.

When to interrupt dosage

The amount of Mitoxantrone Hydrochloride is contingent upon the diagnosed state, including Metastatic Breast Cancer, Acute Promyelocytic Leukemia and Advance Directives. The dosage fluctuates as per the route of administration (e.g. Liquid or Injection, solution, concentrate) specified in the table hereunder.

Condition

Dosage

Administration

Multiple Sclerosis

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Advance Directives

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Lymphoma

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Hodgkin's Lymphoma

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Relapsing Remitting Multiple Sclerosis

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Liver carcinoma

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Leukemia

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Non-Hodgkin's Lymphoma

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Acute Myeloid Leukemia

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Metastatic Breast Cancer

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Acute Lymphoblastic Leukemia

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Multiple Sclerosis

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Acute Promyelocytic Leukemia

, 2.0 mg/mL, 2.5 mg/mL, 3.0 mg/mL

, Intravenous, Injection, solution - Intravenous, Injection, solution, Solution - Intravenous, Solution, Liquid, Liquid - Intravenous, Injection, solution, concentrate, Injection, solution, concentrate - Intravenous

Warnings

There are 20 known major drug interactions with Mitoxantrone Hydrochloride.

Common Mitoxantrone Hydrochloride Drug Interactions

Drug Name

Risk Level

Description

2-Methoxyethanol

Major

The risk or severity of adverse effects can be increased when Mitoxantrone is combined with 2-Methoxyethanol.

9-(N-methyl-L-isoleucine)-cyclosporin A

Major

The risk or severity of adverse effects can be increased when Mitoxantrone is combined with 9-(N-methyl-L-isoleucine)-cyclosporin A.

Abatacept

Major

The risk or severity of adverse effects can be increased when Mitoxantrone is combined with Abatacept.

Abetimus

Major

The risk or severity of adverse effects can be increased when Mitoxantrone is combined with Abetimus.

Acteoside

Major

The risk or severity of adverse effects can be increased when Mitoxantrone is combined with Acteoside.

Mitoxantrone Hydrochloride Toxicity & Overdose Risk

An overdose on this drug can cause a severe decrease in white blood cells, which can lead to an increased risk of infection.

image of a doctor in a lab doing drug, clinical research

Mitoxantrone Hydrochloride Novel Uses: Which Conditions Have a Clinical Trial Featuring Mitoxantrone Hydrochloride?

Presently, 785 active studies are being conducted to examine the efficacy of Mitoxantrone Hydrochloride in treating Hodgkin's Lymphoma, Metastatic Breast Cancer and Relapsed Lymphomas.

Condition

Clinical Trials

Trial Phases

Lymphoma

1 Actively Recruiting

Phase 2

Acute Myeloid Leukemia

267 Actively Recruiting

Phase 2, Phase 3, Phase 1, Phase 4, Not Applicable, Early Phase 1

Multiple Sclerosis

21 Actively Recruiting

Phase 1, Phase 2, Phase 3, Not Applicable

Liver carcinoma

0 Actively Recruiting

Relapsing Remitting Multiple Sclerosis

14 Actively Recruiting

Not Applicable, Phase 3, Phase 2, Phase 4, Early Phase 1

Leukemia

1 Actively Recruiting

Phase 1, Phase 2

Acute Promyelocytic Leukemia

0 Actively Recruiting

Metastatic Breast Cancer

1 Actively Recruiting

Phase 1, Phase 2

Advance Directives

0 Actively Recruiting

Multiple Sclerosis

0 Actively Recruiting

Non-Hodgkin's Lymphoma

115 Actively Recruiting

Phase 1, Phase 2, Not Applicable, Phase 3, Early Phase 1, Phase 4

Acute Lymphoblastic Leukemia

120 Actively Recruiting

Phase 1, Phase 2, Phase 3, Not Applicable, Early Phase 1, Phase 4

Hodgkin's Lymphoma

63 Actively Recruiting

Phase 2, Phase 1, Phase 3, Not Applicable, Early Phase 1

Mitoxantrone Hydrochloride Reviews: What are patients saying about Mitoxantrone Hydrochloride?

5

Patient Review

6/20/2009

Mitoxantrone Hydrochloride for Multiple Sclerosis Symptoms Return then Become Less Severe

After years of taking Rebif, my neurologist recommended this treatment to me. I was terrified of progressing to advanced RRMS andsecondary progressive MS, but after two years on the chemo with no side effects, my EDSS score went from 4.5 to 2.

3.7

Patient Review

5/18/2009

Mitoxantrone Hydrochloride for Pain with Advanced Prostate Cancer Resistant to Hormones

image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about mitoxantrone hydrochloride

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What kind of chemo is mitoxantrone?

"Mitoxantrone is an anti-cancer drug that is classified as an "antitumor antibiotic.""

Answered by AI

How does mitoxantrone work in the body?

"Mitoxantrone is an injection that falls into the category of medications known as anthracenediones. This particular medication works to treat MS by hindering certain cells of the immune system from being able to reach the brain and spinal cord where they can cause damage. As for cancer, mitoxantrone work by stopping the growth and spread of cancer cells."

Answered by AI

What is mitoxantrone used for?

"Mitoxantrone injection is a medication used to treat advanced prostate cancer and acute nonlymphocytic leukemia. It is typically used in conjunction with other medications and belongs to a group of medications known as antineoplastics or cancer medications. Mitoxantrone is also sometimes used to treat multiple sclerosis."

Answered by AI

How long does mitoxantrone take to work?

"The average response time to mitoxantrone chemotherapy was 21 days, with 7 out of 15 dogs experiencing complete responses that lasted an average of 84 days."

Answered by AI

Clinical Trials for Mitoxantrone Hydrochloride

Image of University of Michigan in Ann Arbor, United States.

Virtual Reality for Depression in Multiple Sclerosis

18+
All Sexes
Ann Arbor, MI

This trial explores the use of immersive virtual reality (VR) nature-based experiences as a supplementary treatment for depression in individuals with progressive multiple sclerosis (MS). This study will evaluate the feasibility and efficacy of at-home VR deployment using the Apple Vision Pro, an advanced device that offers enhanced resolution, immersion, and usability compared to earlier VR systems. The study hypotheses include: * The integration of VR nature-based experiences with standard care will be feasible, acceptable, and will result in greater reductions in depressive symptoms compared to standard care or VR-only interventions. * The integration of VR nature-based experiences with standard care will result in greater reductions in stress and anxiety, better sleep, less insomnia, and improved fatigue compared to standard care alone or VR-only interventions.

Recruiting
Has No Placebo

University of Michigan

Hala Darwish, PhD

Apple Inc.

Image of Memoral Sloan Kettering at Basking Ridge (Limited Protocol Activities) in Basking Ridge, United States.

Ivosidenib + Azacitidine + Venetoclax for Acute Myeloid Leukemia

18+
All Sexes
Basking Ridge, NJ

The researchers are doing this study to find out whether a 3-drug combination of ivosidenib, azacitidine, and venetoclax followed by maintenance therapy with ivosidenib alone is an effective treatment approach for people with newly diagnosed acute myeloid leukemia (AML) that has an IDH mutation. Maintenance therapy is additional treatment given to help keep cancer from coming back after it has disappeared following the first course of treatment. The researchers will also look at the safety of the treatment approach and what kind of a time commitment it involves for participants.

Phase 2
Recruiting

Memoral Sloan Kettering at Basking Ridge (Limited Protocol Activities) (+6 Sites)

Kuo-Kai Chin, MD

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Image of Beth Israel Deaconess Medical Center in Boston, United States.

T-Cell Therapy + Vaccine + Drugs for Acute Myeloid Leukemia

Any Age
All Sexes
Boston, MA

The goal of this research study is to test if the combination of a new T cell therapy (dendritic cell (DC) / acute myeloid leukemia (AML) primed T cells), vaccine (DC/AML fusion vaccine) and standard of care decitabine and venetoclax is feasible and safe and effective for treatment of acute myeloid leukemia (AML). The names of the study drugs involved in this study are: * DC/AML fusion vaccine (immune cell vaccine) * Granulocyte-macrophage colony-stimulating factor (GM-CSF) (a type of growth factor or hormone) * DC/AML Primed T cells (immune cells) * Decitabine (a type of chemotherapy drug) * Venetoclax (a type of antineoplastic agent)

Phase 1
Waitlist Available

Beth Israel Deaconess Medical Center

David Avigan, MD

Image of University of Illinois at Chicago in Chicago, United States.

Functional Balance Intervention for Multiple Sclerosis

40 - 90
All Sexes
Chicago, IL

The study involves a two-arm, Phase 1, randomized controlled clinical trial designed to establish the feasibility and effects of a Functional Balance Intervention (FBI) on physical and cognitive function, as well as measures of daily living among persons with multiple sclerosis (PwMS). Combined Specific Aims: Aim 1: Examine the effect of the FBI (Intervention Group) on physical function in PwMS compared to a stretching program (Control Group). Hypothesis 1: After four months of training, the FBI group will show significantly greater improvements in physical function compared to the stretching group. Aim 2: Examine the effect of the multicomponent FBI on cognitive function in PwMS compared to the stretching program. Hypothesis 2: After four months of training, the FBI group will show significantly greater improvements in cognitive function compared to the stretching group. Aim 3: Examine the effects of the multicomponent FBI compared to the Control Group among PwMS on measures of daily living (dual-task performance, balance confidence, community mobility, and quality of life). Hypothesis 3: After four months of training, the FBI group will show significantly greater improvements in measures of daily living compared to the stretching group. All assessment sessions will be conducted virtually via Zoom. All measures collected during the initial screening, pre-training assessment, training progression, and mid- and post-training assessment sessions will be administered either via Zoom with a Helper Buddy present or through survey links sent to participants via the UIC REDCap system. The training sessions will be performed independently by the participants in the presence of a Helper Buddy. The investigators will recruit 75 people with multiple sclerosis (PwMS) for this study. Eligible participants will be randomized to either the FBI (Intervention) or stretching (Control) group, followed by an onboarding session with a designated Helper Buddy. Training will occur twice weekly for four months. Based on the anticipated attrition rate, the investigators aim for 40 PwMS to complete the post-training assessments and finish the study.

Recruiting
Has No Placebo

University of Illinois at Chicago

Image of National Institutes of Health Clinical Center in Bethesda, United States.

CD22 CAR T-cells for Acute Lymphoblastic Leukemia

3 - 65
All Sexes
Bethesda, MD

Background: Acute lymphoblastic leukemia (ALL) is a type of blood cancer. Chimeric antigen receptor (CAR) therapy involves taking immune cells (T cells) from a person and modifying them to better target cancer cells. CAR T-cell therapy that targets a marker called CD19 has been show to can cure ALL in many children and adults. But in about 50% of patients, the ALL comes back within a year. Researchers want to find out if a second treatment with CAR T-cell therapy that targets a different marker, CD22, can keep the cancer away longer. Objective: To see if CD22 CAR T-cell therapy can keep ALL away longer. Eligibility: People aged 3 to 65 years who have no signs of cancer after CD19 CAR T-cell treatment for ALL. Design: Participants will be screened. They will have imaging scans and tests of their heart function. A sample of tissue (biopsy) will be collected from their bone marrow. They will have a fluid sample collected from the area around their spinal cord. Participants will undergo collection of their white blood cells (T cells) during a procedure called leukapheresis. Blood will be taken from their body through a vein. The blood will pass through a machine that separates out the T cells. The remaining blood will be returned to the body through a different vein. The cells will be altered in a lab to create CD22 CAR T-cell therapy. Participants will take drugs over 4 consecutive days to prepare their body for the CAR T-cell therapy; then they will receive their modified T cells through a tube inserted into a vein. Some people may need to stay in the hospital during treatment. Participants will have follow-up visits for 2 years.

Phase 2
Waitlist Available

National Institutes of Health Clinical Center

Sara K Silbert, M.D.

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Image of University of Nebraska Medical Center in Omaha, United States.

Exercise for Blood Cancer Survivors

18+
All Sexes
Omaha, NE

Older survivors of blood cancer are at a high risk of accelerated biological aging, which increases their risk of developing multiple aging-related conditions. Whereas physical exercise can improve overall health, older cancer survivors do not meet the recommended physical activity, highlighting the need to develop behavioral interventions to increase adherence. Several other knowledge gaps exist to implement exercise interventions in older survivors of blood cancer; the dose and duration of exercise necessary to slow biological aging in older blood cancer survivors remain unknown. To bridge these gaps in knowledge, we have designed a Phase 2 randomized control trial to test the effects of behavioral and exercise interventions on various outcomes.

Phase 2
Waitlist Available

University of Nebraska Medical Center

Image of Mayo Clinic in Florida in Jacksonville, United States.

In-Home Treatment for Cancer

18+
All Sexes
Jacksonville, FL

This phase II trial studies whether providing cancer treatment in the home is preferred over the traditional clinic setting and if it improves treatment satisfaction in cancer patients living in the Florida Panhandle and surrounding areas. Typically, drug-related cancer care is provided at a medical center which causes patients to have to spend considerable time away from their family, friends, and familiar surroundings. This may add to the physical, emotional, social, and financial burden for patients and their families during this difficult time in their lives. The Cancer Connected Access and Remote Expertise (CARE) Beyond Walls (CCBW) program uses a specialized care team trained to provide cancer treatment in the patient's home setting. It is designed to support remote connection between the home health team and providers and Mayo clinic. This may be preferred over the traditional clinic setting which may improve treatment satisfaction in cancer patients living in the Florida Panhandle and surrounding areas.

Phase 2
Recruiting

Mayo Clinic in Florida

Roxana S. Dronca, MD

Image of University of Virginia in Charlottesville, United States.

CD33 FPBMC for Acute Myelogenous Leukemia

18+
All Sexes
Charlottesville, VA

The purpose of this study is to understand the safety and estimate the efficacy of combining anti-CD3 x anti-CD33 bispecific antibody (CD33Bi) armed fresh peripheral blood mononuclear cells (CD33Bi FPBMC) for patients with acute myeloid leukemia (AML) or myelodysplastic syndrome (MDS) where they still have detectable disease ("MRD+") after some treatment. Participants receive 4 weekly doses of CD33 FPBMC by intravenous infusion followed by 4-6 weeks of standard treatment with a hypomethylating agent (type of treatment such as decitabine or azacitidine) and possibly a drug called venetoclax. This is considered 1 cycle of study treatment and may be repeated up to 4 times during the study.

Phase 1
Recruiting

University of Virginia

Daniel Reed, MD

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