Preclinical evaluation of the cardiac toxicity of HMR-1826, a novel prodrug of doxorubicin.

Abstract

Cardiotoxicity represents the major side-effect limiting the clinical use of anthracyclines, especially doxorubicin, in cancer chemotherapy. The use of non-toxic prodrugs, or of liposome-encapsulated drugs, allows a better targeting of the tumours and may, therefore, improve the tolerance to the treatment. Using the model of isolated perfused rat heart, we have evaluated the cardiotoxicity of a novel prodrug of doxorubicin, HMR-1826, which consists of the association of doxorubicin to glucuronic acid. We have compared the cardiac effects (developed pressure, contractility and relaxation of the left ventricle) induced by HMR-1826 to those induced by doxorubicin and Doxil, a liposomal form of doxorubicin. HMR-1826 was administered intravenously every other day for 11 days at doses of 50-200 mg kg(-1) per injection while doxorubicin was administered according to the same protocol at doses of 1-3 mg kg(-1) per injection. Doxorubicin strongly decreased the cardiac functional parameters at the doses of 2.5 and 3 mg kg(-1) per injection. Doxil (3 mg kg(-1) and HMR-1826 (50-150 mg kg(-1)) were largely devoid of cardiotoxicity. HMR-1826 only induced significant alterations of the cardiac function at the highest dose used (200 mg kg(-1) per injection). These alterations were much lower than those of doxorubicin at 2.5 mg kg(-1) per injection, despite similar general toxicity symptoms (weight loss, nose bleeding and diarrhoea) at these respective doses. Thus, HMR-1826 appeared about 100-fold less cardiotoxic than doxorubicin.

• Authors: D Platel, S Bonoron-Adèle, R K Dix, J Robert
• Journal: British journal of cancer (Br J Cancer) Vol. 81 Issue 1 Pg. 24-7 (Sep 1999) ISSN: 0007-0920 [Print] England
• PMID: 10487608 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Antineoplastic Agents
• Glucuronates
• N-(4-glucuronyl-3-nitrobenzyloxycarbonyl)doxorubicin
• Prodrugs
• Doxorubicin

Topics

• Animals
• Antineoplastic Agents (pharmacokinetics, toxicity)
• Body Weight (drug effects)
• Dose-Response Relationship, Drug
• Doxorubicin (analogs & derivatives, pharmacokinetics, toxicity)
• Drug Evaluation, Preclinical (methods)
• Glucuronates (pharmacokinetics, toxicity)
• Heart Diseases (chemically induced, prevention & control)
• In Vitro Techniques
• Male
• Myocardial Contraction (drug effects)
• Myocardium (metabolism)
• Prodrugs (pharmacokinetics, toxicity)
• Rats
• Rats, Sprague-Dawley
• Ventricular Dysfunction, Left (chemically induced)