BGC 945 is a cyclopenta[g]
quinazoline-based,
thymidylate synthase inhibitor specifically transported into alpha-
folate receptor (alpha-FR)-overexpressing
tumors. Affinity of
BGC 945 for the alpha-FR is 70% of the high-affinity
ligand folic acid. In contrast to conventional
antifolates,
BGC 945 has low affinity for the widely expressed
reduced-folate carrier (RFC). The K(i) for isolated
thymidylate synthase is 1.2 nmol/L and the IC(50) for inhibition of the growth of alpha-FR-negative mouse L1210 or human A431 cells is approximately 7 micromol/L. In contrast,
BGC 945 is highly potent in a range of alpha-FR-overexpressing human tumor cell lines (IC(50) approximately 1-300 nmol/L). Pharmacokinetic variables measured following i.v. injection of 100 mg/kg
BGC 945 to KB
tumor-bearing mice showed rapid plasma clearance (0.021 L/h) and tissue distribution. The terminal half-lives in plasma, liver, kidney, spleen, and
tumor were 2, 0.6, 5, 21, and 28 hours, respectively.
Tumor BGC 945 concentration at 24 hours was approximately 1 nmol/g tissue, at least 10-fold higher than that in plasma or normal tissues. Inhibition of
thymidylate synthase in tissues leads to increased incorporation of 5-[(125)I]-iodo-2'-
deoxyuridine ([(125)I]dUrd) into
DNA. Forty-eight hours after injection of 100 mg/kg 6RS-BGC 945 ([(125)I]dUrd injected at 24 hours),
tumor was the only tissue with incorporation above control level (6-fold). The RFC-mediated
thymidylate synthase inhibitor plevitrexed also increased uptake of [(125)I]dUrd in
tumor (10-fold) but, in contrast, also caused increased incorporation in other normal tissues such as spleen and small bowel (4.5- and 4.6-fold, respectively). These data suggest that
BGC 945 selectively inhibits
thymidylate synthase in alpha-FR-overexpressing
tumors and should cause minimal toxicity to humans at therapeutic doses.