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Preclinical activity of hepsulfam and busulfan in solid human tumor xenografts and human bone marrow

D P Berger1, B R Winterhalter, W A Dengler

  • 1Department of Internal Medicine, University of Freiburg, Germany.

Anti-Cancer Drugs
|October 1, 1992
PubMed

Insights

Hepsulfam shows promising preclinical anticancer activity against various tumors, outperforming busulfan in vitro and in vivo. However, hepsulfam also exhibits greater bone marrow toxicity, a critical factor for clinical use.

Area of Science:

  • Oncology
  • Pharmacology
  • Cancer Research

Background:

  • Hepsulfam (1,7-heptanediol disulfamate) is a novel alkanesulfonate antineoplastic agent.
  • Preclinical studies indicate hepsulfam possesses broader activity than busulfan.
  • Hepsulfam is currently undergoing clinical trials.

Purpose of the Study:

  • To compare the in vitro and in vivo activity of hepsulfam and busulfan.
  • To assess their efficacy in preclinical models of slowly growing malignancies.
  • To evaluate their toxicity profiles, particularly bone marrow effects.

Main Methods:

  • In vitro clonogenic assay using human tumor xenografts.
  • In vivo studies in tumor-bearing nude mice.
  • Determination of median IC50 values and equitoxic concentrations.
  • Assessment of myelosuppressive effects on human bone marrow cells (CFU-GM).

Main Results:

  • Both agents showed broad-spectrum in vitro activity against 37 human tumors.
  • Hepsulfam had a lower median IC50 (0.93 µg/ml) than busulfan (3.31 µg/ml).
  • Hepsulfam demonstrated superior in vitro activity (22% vs 3%) and in vivo efficacy in lung and gastric cancer models.
  • Hepsulfam exhibited significant in vitro bone marrow toxicity, unlike busulfan.

Conclusions:

  • Hepsulfam displays significant preclinical anticancer activity, suggesting potential for treating solid human malignancies.
  • Its superior efficacy in preclinical models warrants further investigation.
  • Increased bone marrow toxicity compared to busulfan is a critical consideration for clinical application.

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