Novantrone

Advance Directives, Liver carcinoma, Leukemia + 10 more

Treatment

17 FDA approvals

20 Active Studies for Novantrone

What is Novantrone

Mitoxantrone

The Generic name of this drug

Treatment Summary

A medication used to treat cancer, derived from the anthracenedione family.

Novantrone

is the brand name

image of different drug pills on a surface

Novantrone 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 Novantrone Affects Patients

In laboratory tests, mitoxantrone has been found to block the growth of B cells, T cells, and macrophages, as well as stop the release of certain proteins related to inflammation.

How Novantrone works in the body

Mitoxantrone works by attaching to DNA and RNA molecules and disrupting their normal functioning. It also stops the enzyme responsible for repairing damaged DNA, which can lead to cell death in both growing and resting cells.

When to interrupt dosage

The proposed dosage of Novantrone is contingent upon the diagnosed affliction, for example Metastatic Breast Cancer, Acute Promyelocytic Leukemia and Advance Directives. The measure of dosage fluctuates as per the method of delivery (e.g. Liquid or Injection, solution, concentrate) recorded in the table beneath.

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 Novantrone.

Common Novantrone 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.

Novantrone Toxicity & Overdose Risk

Overdosing on this drug can lead to a severe decrease in white blood cells and an increased risk of infection.

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

Novantrone Novel Uses: Which Conditions Have a Clinical Trial Featuring Novantrone?

At present, 785 active clinical trials are underway to ascertain the effectiveness of Novantrone in alleviating 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

Novantrone Reviews: What are patients saying about Novantrone?

5

Patient Review

10/11/2007

Novantrone for Multiple Sclerosis Symptoms Return then Become Less Severe

5

Patient Review

4/13/2009

Novantrone for Multiple Sclerosis Symptoms Return then Become Less Severe

I had this treatment every three months for two years. Each time, I got a MUG-A scan to check for heart damage a day or two beforehand. The therapy caused me to vomit and lose my hair, but it also stopped the progression of my MS, which is all that really matters to me.

5

Patient Review

6/25/2008

Novantrone for Multiple Sclerosis Symptoms Return then Become Less Severe

This medication has been an incredible help to me. I've gone from relying on a wheelchair to just using a walker, and I feel so much stronger now.

4

Patient Review

1/8/2008

Novantrone for Multiple Sclerosis Symptoms Return then Become Less Severe

4

Patient Review

1/16/2009

Novantrone for Multiple Sclerosis Symptoms Return then Become Less Severe

After taking three doses of the medication, I was doing well. However, when I opened a can of cat food and smelled it, I immediately vomited. My husband called my neuro who had never heard of that reaction before. He then called the company to tell them what happened.

4

Patient Review

9/25/2008

Novantrone for Multiple Sclerosis Symptoms Return then Become Less Severe

This treatment has been highly effective in halting the progression of my MS. I have, however, noticed that I tend to experience a flare-up about a month before my next round of treatment. Not sure if this is normal or not, but it's something to keep an eye on.

4

Patient Review

1/28/2009

Novantrone for Multiple Sclerosis Symptoms Return then Become Less Severe

Since my wife started this treatment, we've noticed a blue-green discoloration on the toilet seat. It's in the same spot on both of our toilets and doesn't seem to be going away no matter what I do. The medical staff don't seem to have any explanation for it. Has anyone else experienced anything like this?

3.7

Patient Review

5/10/2008

Novantrone for Multiple Sclerosis Symptoms Return then Become Less Severe

2.7

Patient Review

2/6/2010

Novantrone for Multiple Sclerosis Symptoms Return then Become Less Severe

This treatment was not effective for me and I unfortunately passed away.

2.3

Patient Review

12/3/2009

Novantrone for Multiple Sclerosis Symptoms Return then Become Less Severe

I have relapsing-remitting MS. I had 3 major attacks before starting treatment, including neurological vertigo. Had 8 treatments (2004-2006), and was in total remission from that point on and for about 4 years. Had a minor attack after gallbladder surgery 6 months ago but am still doing well overall!

1

Patient Review

5/28/2009

Novantrone for Breast Cancer that has Spread to Another Part of the Body

After being on Novantrone for a year, I've experienced some hair thinning. However, it's not as bad now and I feel more balanced overall. It's been a good experience for me.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about novantrone

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

Is Novantrone still used for MS?

"Although Novantrone has not been approved for treating primary-progressive MS, it is still worth considering as a possible treatment option."

Answered by AI

Why was Novantrone discontinued?

"The therapy is only available as a generic medication. It was originally sold under the brand name Novantrone, but Merck KGaA, known as EMD Serono in North America, stopped distributing it after acquiring the medication from Amgen in 2002. This decision was not related to the safety or effectiveness of Novantrone."

Answered by AI

What is Novantrone used for?

"Novantrone is a cancer medication that is used to treat prostate cancer and certain types of leukemia. It can also be used to help manage the symptoms of relapsing multiple sclerosis."

Answered by AI

Is Novantrone a chemo?

"Novantrone is an anti-cancer drug that works by killing cancer cells. It is classified as an "antitumor antibiotic.""

Answered by AI

Clinical Trials for Novantrone

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.

Image of University of California Davis Comprehensive Cancer Center in Sacramento, United States.

Olutasidenib + Azacitidine for Acute Myeloid Leukemia

18+
All Sexes
Sacramento, CA

This phase II trial studies how well giving olutasidenib with azacitidine, followed by olutasidenib maintenance, works in treating patients with IDH1-mutated acute myeloid leukemia (AML) who have received prior treatment with venetoclax plus a hypomethylating agent (HMA-Ven). Olutasidenib and azacitidine may inhibit the growth of cancer cells by blocking certain enzymes required for cell growth. Maintenance therapy can help prevent or delay cancer from coming back. Olutasidenib with azacitidine followed by olutasidenib maintenance may be effective in treating patients with IDH1-mutated AML who have received prior HMA-Ven.

Phase 2
Recruiting

University of California Davis Comprehensive Cancer Center

Brian Jonas, MD

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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

Image of Ohio State Martha Morehouse Outpatient Care in Columbus, United States.

Senolytics for Multiple Sclerosis

50 - 85
All Sexes
Columbus, OH

This is a clinical trial to see whether senolytic therapy is safe and feasible for patients with secondary progressive MS and whether treatment improves physical and thinking abilities. The study seeks to enroll adults with secondary progressive MS (SPMS), aged 50-85, who are not currently taking a MS disease-modifying therapy and have noticed their MS symptoms getting worse. People who join the study will take the medicines dasatinib and quercetin by mouth every two weeks for three months. These medicines work together to remove old, damaged cells that may cause inflammation and slow the repair of nerves. Participants will also be followed for one year from enrollment to monitor for treatment effects.

Phase 1
Waitlist Available

Ohio State Martha Morehouse Outpatient Care

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Image of St. Jude Children's Research Hospital in Memphis, United States.

Tirzepatide + Resistance Exercise for Obesity in ALL Survivors

18+
All Sexes
Memphis, TN

This is a 28-week, single-arm, open-label phase II clinical trial evaluating the combination of Tirzepatide and remote, supervised, tailored resistance exercise training to achieve weight loss in adult survivors of childhood acute lymphoblastic leukemia (ALL) living with obesity or overweight with comorbidity. Primary Objective(s): • To evaluate the effectiveness for weight loss of the combined intervention using once weekly Tirzepatide plus remote, supervised, tailored resistance exercise (three sessions per week) in adult survivors of childhood ALL with obesity or overweight (BMI ≥27 kg/m2) with ≥1 weight-related comorbidity (hypertension, dyslipidemia, obstructive sleep apnea, or cardiovascular disease). The effectiveness will be estimated as the proportion of evaluable participants who achieve at least 5% weight loss from baseline to week 28. The study will target a proportion of participants achieving 5% weight loss of 70% and consider fewer than 40% achieving 5% weight loss as unacceptable. Secondary Objective(s): * Estimate the proportion of participants who adhere to the 28-week combined intervention. Adherence to Tirzepatide will be defined as receiving at least 70% of prescribed doses. Adherence to resistance exercise will be defined as attending at least 50% of prescribed exercise sessions. Adherence to the combined intervention will be considered if participants complete the study and meet both the Tirzepatide and exercise adherence endpoint. The adherence to each component of the intervention will also be reported. * Estimate the average percentage weight loss from week 0 to 28 for participants completing the combined 28-week intervention. The study will target a mean weight reduction of 10% and consider \<5% unacceptable.

Phase 2
Waitlist Available

St. Jude Children's Research Hospital

Stephanie B Dixon, MD, MPH

Image of OHSU Knight Cancer Institute in Portland, United States.

Fludarabine + Cytarabine + Idarubicin + Venetoclax for Acute Myeloid Leukemia

18 - 65
All Sexes
Portland, OR

This phase II trial compares induction and consolidation therapy with fludarabine, cytarabine, idarubicin, and venetoclax to cytarabine and daunorubicin induction and cytarabine consolidation for the treatment of acute myeloid leukemia (AML). Patients with AML often receive induction and consolidation therapy. Induction therapy is given first to get the patient's AML under control (remission). Consolidation therapy is given after the cancer has disappeared following the initial therapy. Consolidation therapy is used to kill any cancer cells that may be left in the body. Chemotherapy drugs, such as fludarabine, cytarabine, idarubicin, and daunorubicin, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Venetoclax is in a class of medications called B-cell lymphoma-2 (BCL-2) inhibitors. It may stop the growth of cancer cells by blocking Bcl-2, a protein needed for cancer cell survival. Giving fludarabine, cytarabine, idarubicin, and venetoclax for induction and consolidation therapy may be more effective in treating AML.

Phase 2
Waitlist Available

OHSU Knight Cancer Institute

Curtis A Lachowiez

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