Pharmacokinetic basis for the comparative antitumour activity and toxicity of chlorambucil, phenylacetic acid mustard and beta, beta-difluorochlorambucil (CB 7103) in mice

Cancer Chemother Pharmacol. 1986;17(1):21-9. doi: 10.1007/BF00299861.

Abstract

This report describes the relationship between the pharmacokinetics, antitumour activity and toxicity of chlorambucil (CHL), phenylacetic acid mustard (PAAM) and beta, beta-difluorochlorambucil (beta-F2CHL) in mice. Pharmacokinetics were studied by HPLC, antitumour activity by a regrowth delay assay using the KHT murine sarcoma and toxicity by acute LD50. For both antitumour activity and acute toxicity the order of potency was: PAAM greater than CHL greater than beta-F2CHL. CHL and PAAM exhibited identical therapeutic indices, whereas that for beta-F2CHL was somewhat improved. CHL is metabolized by mitochondrial beta-oxidation to the 3,4-dehydro derivative (DeHCHL) and PAAM, and the latter is further metabolized to its monodechloroethylated derivative DeC-PAAM, presumably by hepatic microsomal enzymes. Administered PAAM gave only one metabolite, DeC-PAAM. Unexpectedly, despite beta, beta-disubstitution, beta-F2CHL was also beta-oxidized to give DeHCHL and PAAM, but at reduced rates. Further, metabolic switching was demonstrated with the appearance in large amount of 2 new, unidentified metabolites, which may be dechlorethylation products. The pharmacokinetics of administered CHL, PAAM and beta-F2CHL differ in that the plasma clearance was fastest for CHL, slowest for PAAM and intermediate for beta-F2CHL. For the metabolites, CHL produced peak plasma concentrations of DeHCHL and PAAM, respectively, 7-fold and 2-fold greater than those produced by beta-F2CHL. However, despite these differences, exposures to total bifunctional nitrogen mustards were similar following administration of the 3 drugs and therefore cannot account for their differential activity. In contrast, there was a good correlation between potency and PAAM exposure, which is highest after treatment with PAAM, intermediate after CHL and lowest after beta-F2CHL. In plasma, 3.2% of PAAM is present as nonprotein-bound free drug, compared to 1.3% for DeHCHL, 0.9% for CHL and 0.45% for beta-F2CHL. We propose the amount of free bifunctional nitrogen mustard, itself partly dependent on the extent of metabolism, to be of major importance for the in vivo potency of CHL analogues.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Antineoplastic Agents / metabolism*
  • Blood Proteins / metabolism
  • Chlorambucil / analogs & derivatives*
  • Chlorambucil / metabolism*
  • Chlorambucil / pharmacology
  • Chlorambucil / toxicity
  • Chromatography, High Pressure Liquid
  • Hydrolysis
  • Kinetics
  • Lethal Dose 50
  • Male
  • Mice
  • Mice, Inbred C3H
  • Nitrogen Mustard Compounds / metabolism*
  • Nitrogen Mustard Compounds / pharmacology
  • Nitrogen Mustard Compounds / toxicity
  • Protein Binding
  • Sarcoma, Experimental / drug therapy

Substances

  • Antineoplastic Agents
  • Blood Proteins
  • Nitrogen Mustard Compounds
  • 3,3-difluorochlorambucil
  • phenacid
  • Chlorambucil