Abstract
Mitoxantrone is an anthracenedione with structural similarities to doxorubicin [1]. Preclinical studies showed activity against a variety of experimental mouse leukemias both in vitro and in vivo, including partial activity against a subline of P388 leukemia resistant to doxorubicin [2–4]. Clinical trials with mitoxantrone in patients with relapsed and/or refractory acute leukemia have shown activity close to that seen with the anthracycline antibodies with a lower incidence of side effects [5–11]. In previously untreated patients with acute lymphatic leukemia (ALL) and acute nonlymphatic leukemia (ANLL), mitoxantrone has shown promise as a frontline treatment [11–14] or in combination with other chemotherapy agents in refractory leukemia [15–17].
This study was supported in part by a grant from the National Cancer Association of South Africa
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References
Zee-Cheng RKY, Cheng CC (1978) Antineoplastic agents. Structure-activity relationship study of bis (substituted amino-alkylamino) anthraquinones. J Med Chem 21: 291–294
Cheng CC, Zbinden G, Zee-Cheng RKY (1979) Comparison of antineoplastic activity of aminoethylaminoanthraquinones and anthracycline antibiotics. J Pharm Sci 68: 393–396
Johnson RK, Zee-cheng RKY, Lee WW, Acton EM, Henry DW, Cheng CC (1979) Experimental antitumor activity of aminoanthraquinones. Cancer Treat Rep 63: 425–439
Wallace RE, Murdock KL, Angier RB, Duff FE (1979) Activity of a novel anthracenedione, 1,4-dihydroxy-5,8-bis-[((2((2-hydroxyethyl) amino)ethyl)amino)]-9,10-anthracenedione dihydrochloride, against experimental tumors in mice. Cancer Res 39: 1570–1574
Paciucci PA, Ohruma T, Cuttner J, Silver RT, Holland JF (1983) Mitoxantrone in patients with acute leukemia in relapse. Cancer Res 43: 3919–3922
Estey EH, Keating MH, McCreadie KB, Bodey GP, Freireich EJ (1983) Phase II trial of mitoxantrone in refractory acute leukemia. Cancer Treat Rep 67: 389–390
Prentice HG, Robbins G, Ma DDF, Ho AD (1984) Mitoxantrone in relapsed and refractory acute leukemia. Semin Oncol 11: 32–35
Paciucci PA, Cuttner J, Holland JF (1984) Mitoxantrone as a single agent and in combination chemotherapy in patients with refractory acute leukemia. Semin Oncol 11: 36–40
Moore JO, Olsen GA (1984) Mitoxantrone in the treatment of relapsed and refractory acute leukemia. Semin Oncol 11: 41–46
Meyer P, Ho AD, Ehninger G, Mjaaland I, Heidemann E, Seither E (1985) Mitoxantrone in the treatment of relapsed and refractory acute leukemia. Invest New Drugs 3: 203–206
Vorobiof DA, Falkson G, Coccia-Portugal MA, Terblanche APS (1987) Mitoxantrone in the treatment of acute leukemia. Invest New Drugs 5: 383–388
Van Echo DA, Schulman PN, Ferrari A, Budman D, Markus SD, Wiernik PH (1982) A phase II trial of mitoxantrone (DHAD.NSC 301739) in adult acute leukemia. Proc Am Assoc Cancer Res Am Soc Clin Oncol 1: 132 (abstr)
Prentice HG, Robbins G, Ma DDF, Ho AD (1983) Sequential studies on the role of mitoxantrone in the treatment of acute leukemia. Cancer Treat Rev 10: 57–63
Masaoka T, Shisata H, Oguma S, Nagai K, Kitani T, Horiuchi A, Yasunaga K, Yonezawa T, Kawagoe H (1985). A phase II study of mitoxantrone in acute leukemia. Invest New Drugs 3: 197–201
Hiddemann W, Kreutzmann H, Straif K, Ludwig WD, Donhuijsen-Ant R, Lengfelder E, Arlin Z, Büchner T (1986) High-dose cytosine- arabinoside and mitoxantrone in refractory acute myeloid leukemia: clinical phase I/II study. Onkologie 9: 144–146
Hiddemann W, Kreutzmann H, Straif K, Ludwig WD, Mertelsmann R, Donhuijsen-Ant R, Lengfelder E, Arlin Z, Büchner T (1987) High dose cytosine-arabinoside and mitoxantrone: a highly effective regimen in refractory acute myeloid leukemia. Blood 69: 744–749
Hiddemann W, Kreutzmann H, Staif K, Ludwig WD, Mertelsmann R, Planker M, Donhuijsen-Ant R, Lengfelder EV, Arlin Z, Büchner T (1987) High-dose cytosine-arabinoside in combination with mitoxantrone for the treatment of refractory acute myeloid and lymphoblastic leukemia. Semin Oncol 14: 73–77
Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP (1982) Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 5: 649–655
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© 1990 Springer-Verlag Berlin Heidelberg
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Coccia-Portugal, M.A., Falkson, G., Uys, A. (1990). Mitoxantrone in the Treatment of Acute Leukemia. In: Büchner, T., Schellong, G., Hiddemann, W., Ritter, J. (eds) Acute Leukemias II. Haematology and Blood Transfusion / Hämatologie und Bluttransfusion, vol 33. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74643-7_59
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DOI: https://doi.org/10.1007/978-3-642-74643-7_59
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