The multiple sclerosis (MS) drug Mitoxantrone
may be associated with an increased risk of colorectal cancer. Mitoxantrone
suppresses the immune system. It was first developed as a chemotherapy
drug for certain cancers.
Mitoxantrone is used for aggressive types of relapsing-remitting or
progressive MS that do not respond to other MS drugs. But its use is
limited because previous studies have shown an increased risk of
leukemia and heart damage.The current study examined whether the drug increases the risk of other types of cancer. For the study, German researchers looked at all people with MS who were treated with mitoxantrone from 1994 to 2007 and followed them until 2010.
Out of the 676 people, 37 people, or 5.5 percent, were diagnosed with cancer after taking the drug, including nine people with breast cancer, seven with colorectal cancer and four with acute myeloid leukemia, which has been associated with mitoxantrone.
The rate of leukemia was 10 times higher in the people treated with mitoxantrone than in the general population in Germany. The rate of colorectal cancer, which is cancer of the colon and rectum, was three times higher than that of the general population. For breast cancer and all other types of cancer, people who had taken mitoxantrone were no more likely to develop the diseases than those in the general population.
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