Literature DB >> 16374818

Suppression of mitoxantrone cardiotoxicity in multiple sclerosis patients by dexrazoxane.

Evanthia Bernitsas1, Wei Wei, Daniel D Mikol.   

Abstract

OBJECTIVE: To explore the potential of dexrazoxane to suppress subclinical cardiotoxicity in MS patients receiving mitoxantrone.
METHODS: An open-label study was performed to evaluate possible subclinical cardiotoxicity in multiple sclerosis patients treated quarterly with mitoxantrone (48 mg/m(2) cumulative), with and without concomitant dexrazoxane, using blinded serial radionucleide ventriculography.
RESULTS: No patient experienced symptoms of heart failure. Patients receiving dexrazoxane, which is cardioprotective for anthracyclines, exhibited a significantly lesser decline in left ventricular ejection fraction (mean change, -3.80% vs -8.55%, p < 0.001).
INTERPRETATION: These results support a cardioprotective effect of dexrazoxane in mitoxantrone treated multiple sclerosis patients.

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Year:  2006        PMID: 16374818     DOI: 10.1002/ana.20747

Source DB:  PubMed          Journal:  Ann Neurol        ISSN: 0364-5134            Impact factor:   10.422


  8 in total

1.  [Mitoxantrone-related acute leukemia by multiple sclerosis. Case report and practical approach by unclear cytopenia].

Authors:  C Meyer; N Ansorge; I Siglienti; S Salmen; A Stroet; H Nückel; U Dührsen; P R Ritter; W E Schmidt; R Gold; A Chan
Journal:  Nervenarzt       Date:  2010-12       Impact factor: 1.214

Review 2.  Immunosuppression in clinical practice: approaches to individualized therapy.

Authors:  Andrew Chan; Olaf Stüve; Nicolas von Ahsen
Journal:  J Neurol       Date:  2008-12       Impact factor: 4.849

Review 3.  Immunosuppressive agents in multiple sclerosis.

Authors:  Oliver Neuhaus; Bernd C Kieseier; Hans-Peter Hartung
Journal:  Neurotherapeutics       Date:  2007-10       Impact factor: 7.620

Review 4.  Evidence Report: The efficacy and safety of mitoxantrone (Novantrone) in the treatment of multiple sclerosis: Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology.

Authors:  James J Marriott; Janis M Miyasaki; Gary Gronseth; Paul W O'Connor
Journal:  Neurology       Date:  2010-05-04       Impact factor: 9.910

Review 5.  Management of disease-modifying treatments in neurological autoimmune diseases of the central nervous system.

Authors:  A Salmen; R Gold; A Chan
Journal:  Clin Exp Immunol       Date:  2014-05       Impact factor: 4.330

6.  Mitoxantrone impairs proteasome activity and prompts early energetic and proteomic changes in HL-1 cardiomyocytes at clinically relevant concentrations.

Authors:  Vera Marisa Costa; João Paulo Capela; Joana R Sousa; Rute P Eleutério; Patrícia R S Rodrigues; José Luís Dores-Sousa; Rui A Carvalho; Maria Lourdes Bastos; José Alberto Duarte; Fernando Remião; M Gabriela Almeida; Kurt J Varner; Félix Carvalho
Journal:  Arch Toxicol       Date:  2020-09-07       Impact factor: 5.153

7.  Serial Assessment of Cardiac Function during and following Mitoxantrone Infusion in 30 Consecutive Patients with Multiple Sclerosis.

Authors:  Damian Franzen; Angelika Haus; Martin Hellmich
Journal:  Mult Scler Int       Date:  2010-12-01

8.  Cardiotoxicity of mitoxantrone treatment in a german cohort of 639 multiple sclerosis patients.

Authors:  Vinzenz Fleischer; Anke Salmen; Susanne Kollar; Veronika Weyer; Volker Siffrin; Andrew Chan; Frauke Zipp; Felix Luessi
Journal:  J Clin Neurol       Date:  2014-10-06       Impact factor: 3.077

  8 in total

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