It disrupts dna synthesis and dna repair in both healthy cells and cancer cells. Dailymed mitoxantrone injection, solution, concentrate. Mitoxantrone hydrochloride injection revision date. Mitoxantrone dihydrochloride induces interstrand dna crosslinks and dnaprotein crosslinks in cellular. Sonicate for 2 minutes and shake for 2 minutes, repeating these actions until the specimen is completely dissolved. Jul 17, 2015 in march 2005, the labeling for mitoxantrone was changed to recommend that left ventricular ejection fraction lvef be evaluated before initiating treatment and prior to administering each dose. Mitoxantrone hydrochloride listed notice of intent to list mitoxantrone hydrochloride 2012 priority list for the development of proposition 65 nsrls for carcinogens and madls for chemicals causing reproductive toxicity. When administered to patients intravenously every three weeks, white blood cell wbc and. The injection solution may also contain acetic acid, sodium acetate, sodium chloride, sodium.
In human studies, 11% and 25% of the dose were recovered in urine and feces, respectively, as either parent drug or metabolite during the 5 day period following drug administration. Induces dna damage by intercalating into dna and inhibiting topo ii topoisomerase ii. Mitoxantrone hydrochloride is approved to be used with other drugs to treat. Mitoxantrone 2 mgml solution in combination regimens is indicated in the remissioninduction treatment of blast crisis in chronic myeloid leukaemia. Mitoxantrone targets human ubiquitinspecific peptidase 11. Mitoxantrone hydrochloride mitoxantrone hydrochloride pfizer. Mitoxantrone hydrochloride mitoxantrone hydrochloride. Mitoxantrone is also used to treat multiple sclerosis ms, most notably the subset of the disease known as secondaryprogressive ms. It is an anthracenedione not an anthracycline antineoplastic agent.
When mitoxantrone injection is used to treat ms, it is usually given once every 3 months for about 2 to 3 years for a total of 8 to 12 doses. Mitoxantrone hydrochloride safety data sheet section 2. Mitoxantrone hydrochloride is the common name for the dihydrochloride salt. Mitoxantrone is excreted in urine and feces as either unchanged drug or as inactive metabolites. In march 2005, the labeling for mitoxantrone was changed to recommend that left ventricular ejection fraction lvef be evaluated before initiating treatment and prior to administering each dose. Mitoxantrone injection, usp concentrate should be given slowly into a freely. Mitoxantrone hydrochloride marketed as novantrone and. Sigmaaldrich offers a number of mitoxantrone hydrochloride products. When mitoxantrone injection is used to treat prostate cancer, it is usually. It is supplied as a concentrate that must be diluted prior to injection. Mitoxantrone fda prescribing information, side effects.
Other companies are charging thousands of dollars to set up accounts and give you access to their msds online database. When administered to patients intravenously every three weeks, white blood cell wbc and platelet nadirs occurred between days 8. Test preparation transfer about 100 mg of mitoxantrone hydrochloride, accurately weighed, to a 5ml volumetric flask, add 2. Novantrone mitoxantrone for injection concentrate fda. Other companies are charging thousands of dollars to set up.
Mitoxantrone hydrochloride proposition 65 warnings website. If you have any questions, comments, or concerns about the content of this page, please click here. Product identifier product name mechlorethamine hcl product number fm15516. Cellular pharmacology of mitoxantrone in pglycoprotein. Mitoxantrone 2 mgml concentrate for solution for infusion. Pain intensity was measured using the symptom distress scale sds pain item 2 a 5. Jun 21, 2017 safety data sheet emergency telephone number. Mitoxantrone hydrochloride 2 mgml in h2o was purchased from. Chemical product and company information manufacturer name and address hospira, inc. Mitoxantrone dihydrochloride is an antiviral, antibacterial, antiprotozoal, immunomodulating, and antineoplastic cytostatic anthraquinone derivative. In addition, mitoxantrone hcl at doses over 50 nm significantly increased the activity of caspases 37 and the level of puma, inducing dpscs and hdfs apoptosis.
Mitoxantrone hcl pharmacology mitoxantrone has been shown in vitro to inhibit b cell, t cell, and macrophage proliferation and impair antigen presentation, as well as the secretion of interferon gamma, tnfa, and il2. Identification of the substancemixture and of the companyundertaking. Mitoxantrone fda orange book approved drug product. Mitoxantrone hydrochloride national cancer institute. Mitoxantrone 2 mgml solution is indicated in combination with corticosteroids for palliation e. The concentrate is a sterile, nonpyrogenic, dark blue aqueous.
Mitoxantrone must be given only by injection into a vein. Sep 29, 2014 register now and get a free online msds binder. Mitoxantrone inhibits division of tcells, bcells, and macrophages by preventing dna repair and synthesis, however, this also occurs in healthy cells. Mitoxantrone, a dnareactive agent that intercalates into deoxyribonucleic acid dna through hydrogen bonding, causes crosslinks and strand breaks. It is used as palliative treatment in patients with advanced disease that is hormonerefractory does not respond to hormone treatment. Posner le, dukart g, goldberg j, bernstein t, cartwright k. Mitoxantrone hydrochloride monograph for professionals. Mitoxantrone fda prescribing information, side effects and uses. Exposure of the product to direct sunlight for one month caused no change in its appearance or potency. Mitoxantrone is a type ii topoisomerase inhibitor with ic50 of 2.
Mitoxantrone pharmacokinetics in patients with renal impairment are unknown. Pain intensity was measured using the symptom distress scale sds pain. Hepatic impairment mitoxantrone clearance is reduced by hepatic impairment. The purified usp11 enzyme was detected using sds page. The catalog displays all strengths and sizes along with the description, imprint code, ndc and photo for each product. Synonyms mitoxantrone hcl product use pharmaceutical product classification antineoplastic agent supplier wyeth p. Do not give by injection into a muscle, under the skin, or into the spinal cord.
Mitoxantrone hcl antineoplastic agents, analgesics, atc. It improves the survival rate of children suffering from acute lymphoblastic leukemia relapse the combination of mitoxantrone and prednisone is approved as a secondline treatment for metastatic hormonerefractory prostate. Mitoxantrone is further used for the manufacture of dosage form which is used in treatment of patients, especially those who have been diagnosed with cancer. Commission regulation eu no 2015830 of 28 may 2015. Dec 01, 2019 mitoxantrone, a dnareactive agent that intercalates into deoxyribonucleic acid dna through hydrogen bonding, causes crosslinks and strand breaks. Mitoxantrone hydrochloride safety data sheet supersedes revision. Your new online msds binder is a place for you to store the material safety data sheets you need to deploy. Synonyms mitoxantrone hcl unii u6usw86rd0 cas number 70476823 weight average. Stable if stored in accordance with information listed on the product insert. Mitoxantrone hydrochloride mitoxantrone hydrochloride this product information is intended only for residents of the united states. Patients with severe hepatic dysfunction bilirubin 3. Mitoxantrone also interferes with ribonucleic acid rna and is a potent inhibitor of topoisomerase ii, an enzyme responsible for uncoiling and repairing damaged dna. Np regulatory information sara title iii information. Antineoplastic, immune modifier pregnancy risk category d fda box warning administer slowly into freeflowing i.
If this medication accidentally leaks into the skin. Studies on the binding affinity of anticancer drug mitoxantrone to. The chemotherapeutic agent mitoxantrone was approved for use in multiple sclerosis ms in 2000. Mitoxantrone hydrochloride definition of mitoxantrone. Toxicology and hazard communication pfizer global environment, health, and safety pfizer inc believes that the information contained in this material safety data sheet is accurate, and while it is provided in good faith, it. Mitoxantrone injection is a potent drug and should be administered under the supervision of a qualified health care professional, who is experienced in the use of cancer chemotherapeutic drugs and in the management of carcinoma of the breast, relapsed adult leukemia, lymphoma. Novantrone is a cytotoxic agent that produces dosedependent myelosuppression. Identification of the substancemixture and of the companyundertaking 1. Mitoxantrone injection comes as a liquid to be given intravenously into a vein by a doctor or nurse in a hospital or clinic. Mitoxantrone novantrone, is an anthracenedione which in preclinical studies demonstrated a spectrum of antitumor activity similar to the anthracyclines, but with less cardiotoxicity. List of approved drug products containing mitoxantrone in the fda orange book on. Medication guide mitoxantrone mitoxantrone injection, usp. Novantrone is a cytotoxic agent that produces dose.
Mitoxantrone is used to treat certain types of cancer, mostly metastatic breast cancer, acute myeloid leukemia, and nonhodgkins lymphoma. Mitoxantrone is a cytostatic anthracenedione that intercalates in dna and increases the incidence of doublestrand breaks by stabilizing the cleavable complex of topoisomerase ii and dna. Novantrone mitoxantrone hydrochloride is a synthetic antineoplastic anthracenedione for intravenous use. Mitoxantrone hydrochloride the production of the active pharmaceutical substance mitoxantrone hydrochloride at synthesia has more than 20 years of tradition. Mitoxantrone injection msds mitoxantrone injection msds mitoxantrone cost of treatment site and would like to find out where you got this from or exactly what the theme is called make for mitoxantrone generic mitoxantrone rxlist mitoxantrone ms all goes well for u, fair play and best of luck x i know therer39. In the absence of a cure, mitoxantrone is effective in slowing the progression of secondaryprogressive ms and extending the time between relapses in both relapsingremitting ms and progressiverelapsing ms. Previous reports suggest that resistance to mitoxantrone in dif ferent tumor cell. Mitoxantrone dihydrochloride cas 70476823 scbt santa. Issued 102000 1 novantrone package insert 016609 novantrone mitoxantrone for injection concentrate warning novantrone mitoxantrone for injection concentrate should be administered under the supervision of a physician experienced in the use of cytotoxic chemotherapy agents. This sds was prepared in accordance with 29 cfr 1910. Mitoxantrone also displays broad immunosuppressive activity inhibiting proliferation of all classes of lymphocytes and inducing apoptosis of antigen. Safety data sheet mechlorethamine hcl according to regulation ec no 19072006, annex ii, as amended. Articles of mitoxantrone dihydrochloride are included as well. The product catalog provides you with a full listing of tevas brand and generic product lines.
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