The antitumor effect of
cyclophosphamide (CPM) and
paclitaxel was investigated in BALB/c mice bearing EMT6
tumors, in combination with the bioreductive compound
NLCPQ-1 by using the in vivo/in vitro assay as the endpoint. An optimum administration schedule for a synergistic interaction between
NLCPQ-1 and CPM/
paclitaxel was determined and dose modification factors (DMF) were calculated for antitumor effect and bone marrow toxicity. All drugs were given by IP injection;
NLCPQ-1 at 15 mg/kg, which is much less than its maximally tolerated dose (MTD greater than 50 mg/kg),
paclitaxel up to 25 mg/kg, and CPM up to 200 mg/kg. Bone marrow toxicity studies were performed in parallel by using a modified CFU-GM assay. A schedule-dependent synergistic interaction was observed for both chemotherapeutic agents combined with
NLCPQ-1 but with entirely different patterns, as has been previously seen with the analog
NLCQ-1. The optimal degree of potentiation, P (percentage of
tumor cells that were killed due to clear potentiation), was 31 and 33 when
NLCPQ-1 was administered 2 h before CPM and 3-3.5 h after
paclitaxel, respectively. At the above time schedules,
NLCPQ-1 modified the dose of CPM and
paclitaxel, for 60%
tumor cell killing, by
a factor of 1.8 and 2.1, respectively. Bone marrow toxicity was not enhanced by combining either chemotherapeutic agent with
NLCPQ-1. Comparison with results from previous similar studies with
NLCQ-1 revealed that, on a molar basis,
NLCPQ-1 was a less potent chemosensitizer than
NLCQ-1. However, the results still suggest a potential clinical use of
NLCPQ-1 as an adjuvant to CPM or
paclitaxel therapy against solid
tumors.