Preclinical activity of 17 beta-[N-[N'-(2-chloroethyl)-N'-nitrosocarbamoyl]-L-alanyl]-5 alpha-dihydrotestosterone (E91) against tumour colony forming units and haematopoietic progenitor cells

Eur J Cancer. 1999 Jun;35(6):1009-13. doi: 10.1016/s0959-8049(99)00034-9.

Abstract

E91 (17 beta-[N-[N'-(2-chloroethyl)-N'-nitrosocarbamoyl]-L-alanyl]-5 alpha-dihydrotestosterone) (CNC-ala-DHT) is a newly synthesised alkylating compound consisting of N-[N'-(2-chloroethyl)-N'-nitrosocarbamoyl]-L-alanine (CNC-ala) as the alkylating moiety and of 5 alpha-dihydrotestosterone (DHT) as a steroid carrier molecule. We studied the antitumour activity of E91 (final concentrations: 0.1, 1, 10 and 30 mumol/l) against freshly explanted human tumours, using an in vitro soft agar cloning system. A total of 54 tumour samples was evaluated using 1 h-exposure and 51 tumour specimens were studied using a continuous exposure for 21-28 days. In addition, the compound's activity was compared with other clinically used anticancer agents. After short-term exposure, 49 of 53 evaluable specimens (92%) had adequate colony formation, as compared with 49 of 50 (98%) after long-term exposure. After short-term exposure, E91 exhibited only marginal antitumour activity. However, in long-term exposure experiments, E91 had marked and concentration-dependent antitumour activity (P < 0.001). At concentrations of > 10 mumol/l, E91 was as active as the other clinically used antineoplastic agents and at 30 mumol/l, E91 was significantly more active than 5-fluorouracil (P = 0.041). E91 showed activity against a wide spectrum of tumour types. The highest activity was observed against colorectal carcinomas (3/4 tumour specimens inhibited at 30 mumol/l). Sensitivity was also high remarkable in breast cancer specimens with 3/6 specimens inhibited at 30 mumol/l. In vitro myelotoxicity was less than that of doxorubicin. At 30 mumol/l, E91 induced a reduction of colony forming units-granulocyte macrophage (CFU-GM) to only 53% of control and of CFU-GEMM to 20% of control. We conclude that because of broad activity and reduced myelotoxicity further clinical development of E91 appears warranted.

MeSH terms

  • Antineoplastic Agents / therapeutic use*
  • Cell Division / drug effects
  • Dihydrotestosterone / analogs & derivatives*
  • Dihydrotestosterone / therapeutic use
  • Hematopoietic Stem Cells / drug effects*
  • Humans
  • Neoplasms / drug therapy*
  • Neoplasms / pathology
  • Nitrogen Mustard Compounds / therapeutic use*
  • Nitrosourea Compounds / therapeutic use*
  • Testosterone / analogs & derivatives*
  • Testosterone / therapeutic use
  • Tumor Cells, Cultured
  • Tumor Stem Cell Assay

Substances

  • Antineoplastic Agents
  • N-(N'-(2-chloroethyl)--N'-nitrosocarbamoyl)methionine-dihydrotestosterone-17-ester
  • Nitrogen Mustard Compounds
  • Nitrosourea Compounds
  • Dihydrotestosterone
  • Testosterone
  • 2-chloroethylnitrosocarbamoylalanine 17-dihydrotestosterone ester