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Scharnhölz MT, Coburger P, Gravogl L, Klose D, Gamboa-Carballo JJ, Le Corre G, Bösken J, Schweinzer C, Thöny D, Meyer K, Li Z, Grützmacher H. Bis(imidazolium)‐1,3‐diphosphete‐diide: A Building Block for FeC2P2 Complexes and Clusters. Angew Chem Int Ed Engl 2022. [DOI: 10.1002/ange.202205371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- M. T. Scharnhölz
- ETH Zürich: Eidgenossische Technische Hochschule Zurich Chemistry and Applied Biosciences SWITZERLAND
| | - P. Coburger
- ETH Zürich: Eidgenossische Technische Hochschule Zurich Chemistry and Applied Biosciences SWITZERLAND
| | - L. Gravogl
- FAU: Friedrich-Alexander-Universitat Erlangen-Nurnberg Chemie GERMANY
| | - D. Klose
- ETH Zürich: Eidgenossische Technische Hochschule Zurich Chemistry and Applied Biosciences SWITZERLAND
| | - J. J. Gamboa-Carballo
- ETH Zürich: Eidgenossische Technische Hochschule Zurich Chemistry and Applied Biosciences SWITZERLAND
| | - G. Le Corre
- ETH Zürich: Eidgenossische Technische Hochschule Zurich Chemistry and Applied Biosciences SWITZERLAND
| | - J. Bösken
- ETH Zürich: Eidgenossische Technische Hochschule Zurich Chemistry and Applied Biosciences SWITZERLAND
| | - C. Schweinzer
- ETH Zürich: Eidgenossische Technische Hochschule Zurich Chemistry and Applied Biosciences SWITZERLAND
| | - D. Thöny
- ETH Zürich: Eidgenossische Technische Hochschule Zurich Chemistry and Applied Biosciences SWITZERLAND
| | - K. Meyer
- FAU: Friedrich-Alexander-Universitat Erlangen-Nurnberg Chemie GERMANY
| | - Z. Li
- Sun Yat-Sen University Chemistry CHINA
| | - Hansjörg Grützmacher
- ETH Hönggerberg Deptmartment of Chemistry Vladimir Prelog Weg 1 8093 Zürich SWITZERLAND
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Lefort M, Le Corre G, Le Page E, Rizzato C, Le Port D, Michel L, Kerbrat A, Leray E, Edan G. Ten-year follow-up after mitoxantrone induction for early highly active relapsing-remitting multiple sclerosis: An observational study of 100 consecutive patients. Rev Neurol (Paris) 2022; 178:569-579. [PMID: 35181157 DOI: 10.1016/j.neurol.2021.11.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 11/19/2021] [Accepted: 11/23/2021] [Indexed: 10/19/2022]
Abstract
BACKGROUND Six monthly courses of mitoxantrone were approved in France in 2003 for patients with highly active multiple sclerosis (MS). OBJECTIVE To report the 10-year clinical follow-up and safety of mitoxantrone as an induction drug followed by maintenance therapy in patients with early highly active relapsing-remitting MS (RRMS) and an Expanded Disability Status Scale (EDSS) score<4, 12months prior to mitoxantrone initiation. METHODS In total, 100 consecutive patients with highly active RRMS from the Rennes EDMUS database received monthly mitoxantrone 20mg combined with methylprednisolone 1g for 3 (n=75) or 6months (n=25) followed by first-line disease-modifying drug (DMD). The 10-year clinical impact was studied through clinical activity, DMD exposure, and adverse events. RESULTS Twenty-four percent were relapse-free over 10years and the mean annual number of relapses was 0.2 at 10years. The mean EDSS score remained significantly improved for up to 10years, changing from 3.5 at mitoxantrone initiation to 2.7 at 10years. The probability of disability worsening and improvement from mitoxantrone initiation to 10years were respectively 27% and 58%, and 13% converted to secondary progressive MS. Patients only remained untreated or treated with a first-line maintenance DMD for 6.5years in average. In our cohort, mitoxantrone was generally safe. No leukemia was observed and six patients developed neoplasms, including 4 solid cancers. CONCLUSION Monthly mitoxantrone for 3 or 6months, followed by maintenance first-line treatment, may be an attractive therapeutic option for patients with early highly active RRMS, particularly in low-income countries.
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Affiliation(s)
- M Lefort
- Univ Rennes, EHESP, CNRS, ARENES - UMR 6051, 15 avenue du Professeur Léon Bernard, 35000 Rennes, France; Rennes Clinical Investigation Center, Rennes University, Rennes University Hospital, INSERM, Rennes, France
| | - G Le Corre
- Neurology Department, Pontchaillou University Hospital, Rennes, France
| | - E Le Page
- Rennes Clinical Investigation Center, Rennes University, Rennes University Hospital, INSERM, Rennes, France; Neurology Department, Pontchaillou University Hospital, Rennes, France
| | - C Rizzato
- Neurology Department, Pontchaillou University Hospital, Rennes, France
| | - D Le Port
- Neurology Department, Pontchaillou University Hospital, Rennes, France
| | - L Michel
- Rennes Clinical Investigation Center, Rennes University, Rennes University Hospital, INSERM, Rennes, France; Neurology Department, Pontchaillou University Hospital, Rennes, France
| | - A Kerbrat
- Rennes Clinical Investigation Center, Rennes University, Rennes University Hospital, INSERM, Rennes, France; Neurology Department, Pontchaillou University Hospital, Rennes, France
| | - E Leray
- Univ Rennes, EHESP, CNRS, ARENES - UMR 6051, 15 avenue du Professeur Léon Bernard, 35000 Rennes, France; Rennes Clinical Investigation Center, Rennes University, Rennes University Hospital, INSERM, Rennes, France
| | - G Edan
- Rennes Clinical Investigation Center, Rennes University, Rennes University Hospital, INSERM, Rennes, France; Neurology Department, Pontchaillou University Hospital, Rennes, France.
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