The effects of vasoactive intestinal peptide camptothecin (VIP-CPT) conjugates were investigated on breast cancer cells and cells transfected with VIP receptors (R). (Ala 2,8,9,19,24.25.27 , Nle 17 , Lys 28 )VIP, (A-NL-K)VIP, was synthesized and Lys 28 was coupled to a linker, N-methyl-aminoethyl-glycine, L2, which formed a carbamate bond with CPT. The resulting (A-NL-K)VIP-L2-CPT was cytotoxic for MCF7 breast cancer cells, which have VPAC 1 -R, with IC 50 values of 380 and 90 nM using the MTT and clonogenic assays, respectively.