B-Lapachone, an o-naphthoquinone, induces a novel caspase-and p53-independent apoptotic pathway dependent on NAD(P)H:quinone oxidoreductase1 (NQO1). NQO1reduces B-lapachone to an unstable hydroquinone that rapidly undergoes a two-step oxidation back to the parent compound, perpetuating a futile redox cycle. A deficiency or inhibition of NQO1rendered cells resistant to B-lapachone. Thus, B-lapachone has great potential for the treatment of specific cancers with elevated NQO1levels (e.g., breast, non^small cell lung, pancreatic, colon, and prostate cancers). We report the development of mono(arylimino) derivatives of B-lapachone as potential prodrugs. These derivatives are relatively nontoxic and not substrates for NQO1when initially diluted in water. In solution, however, they undergo hydrolytic conversion to B-lapachone at rates dependent on the electron-withdrawing strength of their substituent groups and pH of the diluent. NQO1enzyme assays, UV-visible spectrophotometry, high-performance liquid chromatographyelectrospray ionization-mass spectrometry, and nuclear magnetic resonance analyses confirmed and monitored conversionof each derivative to B-lapachone. Once converted, B-lapachone derivatives caused NQO1-dependent, A-calpain-mediated cell death in human cancer cells identical to that caused by B-lapachone. Interestingly, coadministration of N-acetyl-L-cysteine prevented derivative-induced cytotoxicity but did not affect B-lapachone lethality. Nuclear magnetic resonance analyses indicated that prevention of B-lapachone derivative cytotoxicity was the result of direct modification of these derivatives by N-acetyl-L-cysteine, preventing their conversion to B-lapachone. The use of B-lapachone mono(arylimino) prodrug derivatives, or more specifically a derivative converted in a tumor-specific manner (i.e., in the acidic local environment of the tumor tissue), should reduce normal tissue toxicity while eliciting tumor-selective cell killing by NQO1 bioactivation.