The presence of cis-configured exchangeable ligands has long been considered a prerequisite for antitumor activity of platinum complexes, but over the past few years, several examples violating this structure-activity relationship have been recognized. We report here on studies with the geometric isomers of [PtCl 2 (acetoxime) . We found that 2 (trans) is 16 times more cytotoxic than 1 (cis) and as cytotoxic as cisplatin in cisplatin-sensitive ovarian carcinoma cells (CH1). Moreover, 2 (trans) is 15 times more cytotoxic than either cisplatin or 1 (cis) in intrinsically cisplatin-resistant colon carcinoma cells (SW480). Thus, compound 2 (trans) represents a novel type of active platinum(II) complexes of the trans geometry, whereas the hydroxylamine-containing complexes conform to the classic structure-activity relationships. The reactivity of the compounds toward dGMP and DNA and their capacity to alter the structure of double-stranded DNA and form interstrand crosslinks were studied by capillary electrophoresis and gel electrophoresis. The slow binding of 2 (trans) to dGMP ( 1/2 ϭ 50 h versus 8.9 h in the case of cisplatin), the low reactivity toward DNA, the comparatively small impact on DNA secondary structure, and the lack of detectable interstrand cross-linking suggest a mode of action fundamentally different from that of cisplatin. Implications of our findings for the minimal structural requirements (e.g., planarity around the nitrogen donor atom and/or ramified aliphatic moiety attached to the latter) of active trans-configured platinum complexes are discussed.The resounding success of cisplatin in tumor therapy, in particular that for testicular cancer, has set off tremendous efforts to produce other platinum drugs with comparable therapeutic value but devoid of its shortcomings (Wong and Giandomenico, 1999;Jakupec et al., 2003). Despite the achievements of carboplatin and oxaliplatin, the chances of effecting considerable advances with complexes following the classic structure-activity relationships seem to become gradually exhausted, forcing investigators to focus their efforts on nonclassic structures that might open up new avenues.The classic structure-activity relationships, as inferred from cisplatin/transplatin and related complexes, implied that the presence of two monodentate or one bidentate exchangeable ligand(s) coordinated in the cis geometry is an