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Multiple Sclerosis Centers of Excellence

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Mitoxantrone (Novantrone)

Mitoxantrone (Novantrone) is a medication administered by IV infusion, approximately 5 to 15 minutes infusion every 3 months, for the treatment of secondary progressive MS, relapsing forms of MS, and worsening relapsing remitting MS. Mitoxantrone is a topoisomerase II inhibitor and has been shown to inhibit B cell, T cell, and macrophage proliferation in vitro. It also produces an impairment of antigen presentation and secretion of interferon gamma, TNFa, and IL-2.

Mitoxantrone is rarely used in MS due to its significant risk profile.

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