In patients with advanced cancer 1 4C-Dibromodulcitol (DBD) was rapidly absorbed from the gastrointestinal tract, entered the systemic circulation within 15 minutes after administration, and reached a maximum blood level within one hour. Plasma half-life of carbon-14 compounds was 8 hours. The drug was readily hydrolyzed in the plasma to monobromodulcitol and various epoxides so that within 2 hours after administration, less than 5 per cent of the unchanged drug remained. 1 4C-DBD compounds entered spinal, pleural, and ascitic fluids and reached a maximum concentration in 5 hours. Biopsy specimens indicated that DBD was present in both normal and malignant tissues. In autopsy specimens, radioactivity equivalent to 1 to 4 p.g of drug per gram of tissue was detectable for as long as 6 days after administration. Renal excretion was the only apparent route of elimination of 1 4C-DBD, since neither expired and metabolites was rapid; 68 to 79 per cent of the administered radioactivity appeared in the urine within 48 hours. Chromatography of urine indicated the presence of unchanged DBD as well as 7 metabolic products.The metabolites tentatively identified are: monobromodulcitol; a diepoxy derivative, 1,2-5,6-dianhydrodulcitol; an epoxide, anhydrodulcitol; dulcitol; and bromide ion. Two products remain unidentified.