The efficacies of a series of potential
prodrugs of
RSU-1069 and its alkyl-
aziridine analogues were assessed. These 1-(2-haloethylamino)-3-(2-nitro-1-imidazolyl)-2-propanol compounds were designed to cyclize in vivo to generate 2-nitro-imidazoles with
aziridine (RSU-1069) or alkyl-substituted
aziridine (RSU-1164, RB-7040, or RSU-1150) functions. Maximum tolerated single, intraperitoneal doses (MTD) were determined in C3H/He mice bearing subcutaneous KHT
sarcomas, and a drug dose-response relationship for radiosensitization was established for each compound administered at the optimum time (45-60 min) before local irradiation of
tumors with a 10-Gy dose of X-rays. The potentials of the compounds as bioreductive
cytotoxins were studied by administering them immediately after irradiation.
Tumor cell survival was measured 18-24 h
after treatment in an in vitro soft
agar clonogenic assay. Results of toxicity, radiosensitization, and bioreductive cytotoxicity assays for each of the
prodrugs (RB-6171, RB-6172, RB-6173, RB-6174, and RB-6175) of the alkyl-substituted
aziridines were entirely consistent with complete conversion to their respective target compounds. For example, RB-6171 (the
prodrug form of
RSU-1164) was only about four times less efficient than
RSU-1069 as a radiosensitizer and bioreductive
cytotoxin but had an MTD 7.5 times higher. In contrast,
prodrugs of
RSU-1069 (RB-6144 and RB-6145) were two- to threefold less toxic than their expected product. RB-6144 was a poor radiosensitizer and bioreductive agent compared with
RSU-1069 and was similar to RB-6170, a nonalkylating
nitroimidazole. This is consistent with the observation that there is limited conversion of RB-6144 to
RSU-1069 in vitro. However, radiosensitization and bioreductive cytotoxicity produced by
RB-6145 were only slightly less than the effects produced by
RSU-1069; thus a therapeutic gain was achieved with
RB-6145 in a murine
tumor model.