Penclomedine, a lipophilic cy-picoline derivative, is undergoing clini
cal development presently because of its pronounced antitumor activity
against intracerebral (i.c.) tumor xenografts. Penclomedine may be me
tabolized in vivo to a more potent compound. Although it may be useful
in the treatment of brain tumors, the drug has caused significant neu
rotoxicity in early clinical trials. The possibility that antitumor ac
tivity and neurotoxicity may be mediated by different mechanisms promp
ted a study assessing the differential distribution of penclomedine an
d penclomedine metabolites to brain and i.c.-implanted tumors in rats.
In the present study, quantitative autoradiographic analysis demonstr
ated a homogenous distribution of C-14-penclomedine in all organs with
in 1 h of administration. Levels of C-14-penclomedine in both i.c. and
s.c. tumors were three times higher than in normal brain tissue. High
-performance liquid chromatography combined with gas chromatography an
d mass spectrophotometry demonstrated that two metabolites, O-demethyl
penclomedine and penclomic acid, were responsible for most of the pla
sma radioactivity. Penclomic acid was also the most common urinary met
abolite of penclomedine. In liver samples, although a large number of
metabolite peaks were detected, no parent compound could be identified
. However, in tumors and all other tissues, penclomedine was the main
compound detected. The finding of penclomedine in normal brain tissue
indicates not only that this drug may be useful in tumors with normal
blood-brain barrier function, but also that it may be directly neuroto
xic.