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Activity of VNP40101M (Cloretazine) in the treatment of CNS tumor xenografts in athymic mice.

Abstract
VNP40101M, or 1,2-bis(methylsulfonyl)-1-(2-choloroethyl)-2-(methylamino)carbonylhydrazine (Cloretazine), is a bifunctional prodrug that belongs to a class of DNA-modifying agents-the sulfonylhydrazines-that has been synthesized and been shown to have activity against a wide spectrum of xenografts. The current study was designed to assess the activity of VNP40101M administered at a dose of 18 mg/kg daily for five days against a panel of human adult and pediatric CNS tumors growing subcutaneously or intracranially in athymic nude mice. The results demonstrated statistically significant (p < 0.05) growth delays of 15.0, 8.3, 51.0, 60+, 60+, and 60+ days in subcutaneous xenografts derived from childhood glioblastoma multiforme (D-456 MG), childhood ependymoma (D-528 EP and D-612 EP), childhood medulloblastoma (D-425 MED), and adult malignant glioma (D-245 MG and D-54 MG), respectively, with corresponding tumor regressions in 10 of 10, 4 of 10, 8 of 10, 9 of 10, 9 of 10, and 10 of 10 treated mice, respectively. Delayed toxicity was seen more than 60 days after treatment, with 23 deaths in 100 treated animals, despite a median weight loss of only 0.06%. In mice bearing intracranial D-245 MG xenografts, treatment with VNP40101M at a dose of 18 mg/kg daily for five days produced a 50% increase in median survival compared with controls. Additional experiments conducted against subcutaneous D-245 MG xenografts by using reduced doses of 13.5 or 9.0 mg/kg daily for five days demonstrated tumor growth delays of 82.2 and 53.5 days, with corresponding tumor regressions in 8 of 9 and 9 of 10 treated mice, respectively (all values, p < 0.001), with one toxic death. These findings suggest that VNP40101M is active in the treatment of a wide range of human central nervous system tumors and warrants translation to the clinic.
AuthorsMichael A Badruddoja, Stephen T Keir, Ivan King, Joseph Zeidner, James J Vredenburgh, Lawrence H Muhlbaier, Darell D Bigner, Henry S Friedman
JournalNeuro-oncology (Neuro Oncol) Vol. 9 Issue 3 Pg. 240-4 (Jul 2007) ISSN: 1522-8517 [Print] England
PMID17522334 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Chemical References
  • Hydrazines
  • Prodrugs
  • Sulfonamides
  • laromustine
Topics
  • Animals
  • Brain Neoplasms (drug therapy)
  • Female
  • Humans
  • Hydrazines (therapeutic use)
  • Male
  • Mice
  • Mice, Nude
  • Neoplasm Transplantation
  • Neoplasms, Experimental (drug therapy)
  • Prodrugs (therapeutic use)
  • Sulfonamides (therapeutic use)
  • Xenograft Model Antitumor Assays

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