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Heart, Leukemia Warning for MS Drug Novantrone

Heart Risks May Be Higher for Multiple Sclerosis Patients With Heart

Problems

By Miranda Hitti

WebMD Medical News Reviewed By Brunilda Nazario, MD

on Wednesday, May 25, 2005

May 25, 2005 -- The FDA is warning doctors and multiple sclerosis (MS)

patients about the risk of heart failure and leukemia from the MS drug

Novantrone.

Patients may be more vulnerable if they have a history of heart disease or

heart problems. Screening for heart failure should be done prior to starting

treatment with Novantrone and prior to all doses administered, says the drug's

maker, Serono.

Patients with heart failure should not receive Novantrone, the company

says.

A Serono letter to doctors about Novantrone is posted on the FDA's web

site. The letter includes a revised warning label, which has what the FDA calls

" additional " and " supplemental " information about heart and leukemia risks.

About Novantrone

Novantrone is used to reduce neurological disability and/or the frequency

of clinical relapses in patients with several types of MS, says Serono. Those

conditions are secondary (chronic) progressive MS, progressive-relapsing MS, or

worsening relapsing-remitting MS.

Novantrone is not indicated for patients with primary progressive MS, says

Serono.

Heart Risks

" Diminished cardiac function may occur early on in treatment with

Novantrone, " says Serono's letter, citing postmarketing reports.

" Congestive heart failure, potentially fatal, may occur either during

therapy with Novantrone or months to years after termination of therapy, " says

the revised label. It also says all patients should be carefully assessed for

cardiac signs and symptoms -- such as shortness of breath, extreme fatigue with

exertion, and leg swelling -- prior to the start of Novantrone therapy.

The label says heart risks may be higher in patients taking Novantrone who

have current or past heart disease, those who have had (or are getting)

radiation therapy to the chest, those who have previously taken cancer-fighting

drugs that can affect the heart -- such as anthracyclines or anthracenediones --

and those who are also taking other drugs that could cause heart damage.

Page: 1 | 2 Next: Risk of Treatment-Related Leukemia

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