The antitumor effects of FK317, a novel substituted dihydrobenzoxazine, were evaluated using human tumor xenografts (small cell lung cancer, non-small cell lung cancer, stomach cancer, colon cancer, pancreatic cancer, breast cancer, cervical cancer and ovarian cancer). Tumor growthinhibitory effects and the effective dose-range of FK317 were much stronger and broader, respectively, than those of reference drugs such as mitomycin C, adriamycin, cisplatin, taxol and irinotecan. Furthermore, the body weight decrease and myelosuppression in FK317-treated mice were less than in the animals given any of the reference drugs. To explain this tumor selectivity, the distribution of FK317 was investigated after dosing tumor-bearing mice with the 14 C-labelled compound. The concentration of FK317 in tumor tissues was relatively low, and long tumor retention was not observed. However, thin-layer chromatographic separation revealed that the radioactivity in the tumor resided mainly in strongly cytotoxic metabolites, while that in other tissues resided mainly in non-cytotoxic metabolites. These results suggest that FK317 shows strong antitumor activity without side effects, and one reason for this is its specific metabolite pattern. FK317 is now undergoing phase I clinical trials.
Key words:FK317 -Antitumor effect -Human tumor xenograft -Selective toxicityMitomycin C A potent antineoplastic agent, FK973, 11-acetyl-8-carbamoyloxymethyl-4-formyl-14-oxa-1,11-diazatetracyclo-[7.4.1.0 2,7 .0 10,12 ]tetradeca-2,4,6-trien-6,9-diyl diacetate, was obtained by chemical modification of the novel antibiotic FR900482, which was isolated from the fermentation products of Streptomyces sandaensis No. 6897.1-3) This compound has a unique chemical structure including a hydroxylamine function, whose hydroxyl group forms an intramolecular hemiketal moiety. The antitumor activity of FK973 is equivalent to, or more potent than, those of mitomycin C (MMC), adriamycin (ADR) and cisplatin (CDDP) against murine tumors and human xenografts in mice, and its hematotoxic and myelosuppressive effects are weaker than those of MMC in mice.4) FK973 showed good efficacy in clinical studies, but its development was terminated because of a vascular leak syndrome (VLS) side effect which was characterized by pericardial and pleural effusion, ascites and subcutaneous edema. 5,6) Various FK973 derivatives were synthesized in an attempt to isolate the antitumor activity of FK973 from the VLS side effect, and FK317, 11-acetyl-8-carbamoyloxymethyl-4-formyl-6-methoxy-14-oxa-1, 11-diazatetracyclo-[7.4.1.0 2, 7 .0 10, 12 ]tetradeca-2,4,6-trien-9-yl acetate, was selected for further examination. FK317 showed similar antitumor activity to FK973, but did not induce pleural effusion in rats.7) FK317 contains an aziridine ring and a carbamoyl moiety, which are also present in MMC. MMC is a "bioreductive alkylating agent," which causes damage to DNA after reductive activation of the prodrug to form a DNA-reactive species.8, 9) FK317 also forms DNA-DNA interstrand and DNA-protein...