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QuickView for Mitoxantrone (compound)


PubChem
Name: Mitoxantrone
PubChem Compound ID: 4212
Description: An anthracenedione-derived antineoplastic agent.
Molecular formula: C22H28N4O6
Molecular weight: 444.481 g/mol
Synonyms:
KBio2_007271; AN-584/42007670; Lopac-M-6545; 5,8-Bis((2-((2-hydroxyethyl)amino)ethyl)amino)-1,4-dihydroxyanthraquinone; 9,10-Anthracenedione, 1,4-dihydroxy-5,8-bis((2-((2-hydroxyethyl)amino)ethyl)amino)- (9CI); KBio1_000516; Mitozantrone; 9,10-Anthracenedione, 1,4-dihydroxy-5,8-bis[[2-[(2-hydroxyethyl)amino]ethyl]amino]-; 70711-41-0; 137635-96-2.
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DrugBank
Identification
Name: Mitoxantrone
Name (isomeric): DB01204
Drug Type: small molecule
Description: An anthracenedione-derived antineoplastic agent.
Synonyms:
Mitoxantrone dihydrochloride; Mitozantrone hydrochloride; Mitoxantrone 2HCl; Mitoxanthrone; DHAQ HCl; DHAQ; Mitoxantron; Mitozantrone; Mitoxantrone HCl; Dihydroxyanthraquinone.
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Brand: Mitox, Novantron, Novantrone
Category: Antineoplastic Agents, Analgesics
CAS number: 65271-80-9
Pharmacology
Indication: For the treatment of secondary (chronic) progressive, progressive relapsing, or worsening relapsing-remitting multiple sclerosis
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 IL-2.
Mechanism of Action:
Mitoxantrone, a DNA-reactive agent that intercalates into deoxyribonucleic acid (DNA) through hydrogen bonding, causes crosslinks and strand breaks. Mitoxantrone also interferes with ribonucleic acid (RNA) and is a potent inhibitor of topoisomerase II, an enzyme responsible for uncoiling and repairing damaged DNA. It has a cytocidal effect on both ...
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Absorption: Poorly absorbed following oral administration
Protein binding: 78%
Biotransformation: Hepatic
Half Life: 75 hours
Clearance: 21.3 L/hr/m2 [Elderly patients with breast cancer receiving IV administration of 15-90 mg/m2] 28.3 L/hr/m2 [Non-elderly patients with nasopharyngeal carcinoma receiving IV administration of 15-90 mg/m2] 16.2 L/hr/m2 [Non-elderly patients with malignant lymphoma receiving IV administration of 15-90 mg/m2]
Toxicity: Severe leukopenia with infection.
Affected organisms: Humans and other mammals
Interactions
Drug interaction:
TrastuzumabTrastuzumab may increase the risk of neutropenia and anemia. Monitor closely for signs and symptoms of adverse events.

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