Mc. Bissery et al., ANTITUMOR-ACTIVITY OF INTOPLICINE (RP-60475, NSC-645008), A NEW BENZOPYRIDO-INDOLE - EVALUATION AGAINST SOLID TUMORS AND LEUKEMIAS IN MICE, Investigational new drugs, 11(4), 1993, pp. 263-277
Intoplicine (RP 60475, NSC 645008) is a new 7H-benzo[e]pyrido [4,3-b]
indole derivative which interacts with DNA and inhibits both topoisome
rases I and II. In vitro it was found cytotoxic against various cell t
ypes with greater cytotoxicity towards solid tumor cells. We report he
re the anticancer activity of RP 60475 against a variety of transplant
able tumors of mice, and also its cross-resistance profile in leukemia
s. The end points used were % T/C (median tumor weight of the Treated
over the Control x 100) and logCK (log(10) cell kill total). RP 60475
administered i.v. was found schedule-independent with a peak plasma le
vel problem. It had a good therapeutic index and host recovery usually
occurred 7.5 days post last treatment. RP 60475 was found to be highl
y active against early stage colon 38 (T/C=0%, 2.9 logCK) and could in
duce 5/5 complete regressions of advanced stage tumor. It was found ac
tive against colon adenocarcinoma 51 (T/C=3.6%, 1.9 logCK) and colon c
arcinoma 26 (T/C=11.7%, 1.2 logCK). Most of the mammary adenocarcinoma
s were found very responsive, MA16/C (T/C=O%, 2.8 logCK), MA14/A (T/C=
O%, 1.4 logCK), MA13/C (T/C=0%, 3.1 log CK) and MA44 (T/C=34%). Excell
ent activity was also observed against early stage pancreatic ductal a
denocarcinoma 03 (T/C=0%) and RP 60475 could achieve 5/5 complete regr
essions of upstaged tumor. Activity was also obtained on Glasgow osteo
genic sarcoma (T/C=0%, 3.3 logCK), on B16 melanoma (T/C=14%, 1.3 logCK
) and to a lesser extent on Lewis lung carcinoma (T/C=33.2%). Evaluati
on of RP 60475 against leukemia sublines with acquired resistance, rev
ealed that L1210/cisplatin and L1210/BCNU were not cross-resistant to
RP 60475 whereas P388/vincristine was partially cross-resistant to RP
60475 and P388/doxorubicin was cross-resistant to RP 60475. Based on R
P 60475 broad activity against transplantable tumors of mice, its effe
ctiveness against some resistant sublines,its original mechanism of ac
tion and its acceptable toxicological profile, this compound was selec
ted for clinical trials.