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Mitoxantrone in malignant lymphoma.

R A Gams, S Bryan, G Dukart

    Investigational New Drugs
    |January 1, 1985
    PubMed
    Summary
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    Mitoxantrone shows activity in refractory malignant lymphoma. A dose of 14 mg/m2 every three weeks yielded a higher response rate with minimal side effects compared to weekly administration.

    Area of Science:

    • Oncology
    • Pharmacology

    Background:

    • Malignant lymphoma is a significant health concern.
    • Mitoxantrone is an anthracenedione chemotherapy agent.

    Purpose of the Study:

    • To evaluate the efficacy and safety of mitoxantrone in refractory malignant lymphoma.
    • To compare two different dosing regimens of mitoxantrone.

    Main Methods:

    • Two Phase II clinical trials were conducted.
    • Trial 1: Mitoxantrone 5 mg/m2 weekly for six weeks (SECSG).
    • Trial 2: Mitoxantrone 14 mg/m2 every three weeks (multicenter).

    Main Results:

    • Weekly regimen: 3 partial responses, no complete responses; significant myelosuppression.
    • Three-weekly regimen: 4 complete and 26 partial responses; minimal side effects.

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  • All responders had prior extensive therapy, including anthracyclines.
  • Conclusions:

    • Mitoxantrone demonstrates significant activity in refractory malignant lymphoma.
    • The 14 mg/m2 every three weeks dosing schedule appears more effective and tolerable.
    • Further Phase III trials should consider this optimized dose schedule.