Foster B J, Wiegand R A, Pugh S, LoRusso P M, Rake J, Corbett T H
Department of Internal Medicine, Division of Hematology and Oncology, Wayne State University School of Medicine, Detroit, Michigan 48202-0188, USA.
Clin Cancer Res. 1997 Nov;3(11):2047-53.
Two new thioxanthenones, 183577 and 232759, have rekindled interest in the development of representatives from this class of structures as useful anticancer agents. Although the mechanism of action is unknown, both compounds demonstrated a similar spectrum of solid tumor selectivity. 232759 was selected for clinical development because it showed no hepatotoxicity in preliminary studies, whereas 183577 showed hepatotoxicity but only at the maximum tolerated dose (MTD). The limiting toxicity for the clinical candidate was myelosuppression in preliminary studies. Plasma and tissue drug levels, as well as protein binding, were studied in mice using optimal administration times at the MTD for each drug (for 183577, this was a 4-h infusion at 1350 mg/m2 and for 232759, it was a 5-min injection at 240 mg/m2), as well as at one-half the MTD for the clinical candidate. The drugs were 96-100% bound by plasma proteins. The peak drug concentrations, half-life, and area under the concentration-time curve in plasma for 183577 were 3483 ng/ml, 465 min, and 2018 microgram/ml. min, respectively. The peak drug concentration, half-life, and area under the concentration-time curve in plasma for 232759 were 5257 ng/ml, 44 min, and 276 microgram/ml. min, respectively, at the MTD and 2810 ng/ml, 40 min, and 110 microgram/ml. min at one-half the MTD. In all instances of simultaneous measurements, drug concentrations were equal or higher in tissues than they were in plasma. Unlike the plasma and kidney concentrations of 183577, the liver concentrations did not show a declining trend over the 8-h observation period. Declines in plasma, liver, kidney, and tumor levels of 232759 were detected over the 8-h observation period. The sustained high 183577 concentration in liver is believed to be responsible for its prolonged half-life and hepatotoxicity. Evidence for metabolism of the parent drugs was based on the finding of additional peaks on the high-pressure liquid chromatography tracings. Future studies will focus on identification and antitumor studies of these presumed metabolites in hopes of a better understanding of the solid tumor activity profiles and toxic effects of these compounds.
两种新的噻吨酮,183577和232759,重新燃起了人们对开发这类结构的代表物作为有用抗癌药物的兴趣。尽管作用机制尚不清楚,但这两种化合物都表现出相似的实体瘤选择性谱。232759被选用于临床开发,因为它在初步研究中未显示肝毒性,而183577显示有肝毒性,但仅在最大耐受剂量(MTD)时出现。临床候选药物的限制性毒性在初步研究中是骨髓抑制。在小鼠中,使用每种药物在MTD时的最佳给药时间(对于183577,是在1350mg/m²下进行4小时输注;对于232759,是在240mg/m²下进行5分钟注射)以及临床候选药物MTD的一半剂量,研究了血浆和组织药物水平以及蛋白结合情况。这些药物与血浆蛋白的结合率为96 - 100%。183577在血浆中的峰值药物浓度、半衰期和浓度 - 时间曲线下面积分别为3483ng/ml、465分钟和2018μg/ml·分钟。232759在MTD时,血浆中的峰值药物浓度、半衰期和浓度 - 时间曲线下面积分别为5257ng/ml、44分钟和276μg/ml·分钟;在MTD的一半剂量时,分别为2810ng/ml、40分钟和110μg/ml·分钟。在所有同时测量的情况下,组织中的药物浓度等于或高于血浆中的浓度。与183577的血浆和肾脏浓度不同,在8小时观察期内,肝脏浓度未显示出下降趋势。在8小时观察期内检测到232759的血浆、肝脏、肾脏和肿瘤水平下降。183577在肝脏中持续的高浓度被认为是其延长的半衰期和肝毒性的原因。母体药物代谢的证据基于高压液相色谱图谱上发现的额外峰。未来的研究将集中于对这些推测代谢物的鉴定和抗肿瘤研究,以期更好地了解这些化合物的实体瘤活性谱和毒性作用。