The treatment of malignancies with carcinostatic drugs per se or in co
mbination with other modalities, proved its value over many decades of
clinical administration. However, despite much progress in drug resea
rch in recent years, complete cures by chemotherapy are still restrict
ed to a small select number of cancers, whereas, in general, remission
s remain incomplete or short lived, notably whenever metastatic lesion
s have developed or resistance phenomena emerged. In an effort to incr
ease the effectiveness of chemotherapy, several new alleys of developm
ent are being pursued world-wide, and one of these, involving the bind
ing of monomeric anticancer drug systems to water-soluble, biocompatib
le and biodegradable polymeric carriers, is the subject of this paper.
Previously developed polymer-bound cis-diaminedichloroplatinum(II) co
mplexes are briefly discussed. The complex moiety is attached to the p
olymeric carrier in these conjugates through metal chelation by polyme
r-connected ethylene-diamine segments. Promising anti-neoplast ic acti
vity is observed in tests against cultured HeLa carcinoma cells, with
highest activity (IC50 15 mu g Pt/ml) shown by a polyarpartamide conju
gate composing the platinum complex as a side group. Monoamine-coordin
ated platinum(ll) complexes carrier-bound through primary amine termin
als on short side chains are synthetically accessible by aqueous-phase
platination of amine-functionalized carrier polymers. A representativ
e conjugate of this class shows antiproliferative activity (against He
La cells) well in the general activity range of the cis-diamineplatinu
m-type polymers, suggesting that, in the polymer-attached state, plati
num complex structures deviating from the familiar cis-diamineplatinum
chelate pattern may well successfully compete with cisplatin-type dru
g systems as cytotoxic agents. Organoiron compounds of the ferrocene t
ype represent another drug system discussed in this paper. Ferrocene d
erivatives have shown highly promising activity both in vitro and in v
ivo, and carrier-binding of ferrocenes is seen as an efficacious means
of increasing their therapeutic effectiveness. A series of water-solu
ble ferrocene conjugates are presented in which 4-ferrocenylbutanoic a
cid is reversibly polymer-bound by coupling with pendant amino groups.
Activities against HeLa cells are in the same range as those of simil
ar platinum conjugates. In view of low expected toxicities of the orga
noiron polymers, as compared with the platinum compounds, this finding
has significant implications for broad-based development of polymeric
ferrocene conjugates. (C) 1998 John Wiley & Sons, Ltd.