Even
in the era of personalized medicine and immunotherapy, temozolomide
(TMZ), a small molecule DNA alkylating agent, remains the standard-of-care
for glioblastoma (GBM). TMZ has an unusual mode-of-action, spontaneously
converting to its active component via hydrolysis in vivo. While TMZ has been FDA approved for two decades, it provides little
benefit to patients whose tumors express the resistance enzyme MGMT
and gives rise to systemic toxicity through myelosuppression. TMZ
was first synthesized in 1984, but certain key derivatives have been
inaccessible due to the chemical sensitivity of TMZ, precluding broad
exploration of the link between imidazotetrazine structure and biological
activity. Here, we sought to discern the relationship between the
hydrolytic stability and anticancer activity of imidazotetrazines,
with the objectives of identifying optimal timing for prodrug activation
and developing suitable compounds with enhanced efficacy via increased
blood-brain barrier penetrance. This work necessitated the development
of new synthetic methods to provide access to previously unexplored
functionality (such as aliphatic, ketone, halogen, and aryl groups)
at the C8 position of imidazotetrazines. Through synthesis and evaluation
of a suite of compounds with a range of aqueous stabilities (from
0.5 to 40 h), we derive a predictive model for imidazotetrazine hydrolytic
stability based on the Hammett constant of the C8 substituent. Promising
compounds were identified that possess activity against a panel of
GBM cell lines, appropriate hydrolytic and metabolic stability, and
brain-to-serum ratios dramatically elevated relative to TMZ, leading
to lower hematological toxicity profiles and superior activity to
TMZ in a mouse model of GBM. This work points a clear path forward
for the development of novel and effective anticancer imidazotetrazines.