The effects of a
staurosporine derivative,
N-ethoxycarbonyl-7-oxostaurosporine (NA-382), on the pharmacokinetics of
vinblastine were evaluated, compared with those of
verapamil, in multidrug-resistant P388/ADR-bearing mice. At first, the in-vitro experiments indicated that
NA-382 permeated into the cells better and were more effective in combined cytotoxicity with
vinblastine and on accumulation of
vinblastine than with
verapamil in P388/ADR cells. In combined
intraperitoneal injection with
vinblastine (200 micrograms kg-1) into P388/ADR-bearing mice,
NA-382 in a
suspension form (10 mg kg-1) prolonged the life-span of the mice near to that of P388/S-bearing mice treated with
vinblastine alone, but
verapamil even at the maximum tolerated dosage (30 mg kg-1) barely affected the in-vivo antitumour effect of
vinblastine. When simultaneously administered with
vinblastine to P388/ADR-bearing mice,
NA-382 maintained significantly higher
vinblastine levels in the tumour cells for 24 h and gave a larger area under the time-intracellular
vinblastine concentration curve (0 to 24 h) than those receiving
vinblastine alone, with long retention of the agent in ascitic fluid.
Verapamil increased the cellular
vinblastine content for only 6 h, accompanying a rapid elimination of the agent from the ascitic fluid. This study indicates that
NA-382 is more effective against multidrug-resistance than
verapamil, and its
suspension is also advantageous for
cancer chemotherapy of multidrug-resistant tumours.