Pharmacology and Toxicity of a Potent “Nonclassical” 2, 4-Diamino Quinazoline Folate Antagonist, Trimetrexate, in Normal Dogs

Eleanor C. Weir, Arlene R. Cashmore, Robert N. Dreyer, Michael L. Graham, Nina Hsiao, Barbara A. Moroson, Wendy Sawicki, Joseph R. Bertino

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

The pharmacology of trimetrexate (JB-11, NSC 249008, 2,4-diamino-5-methyl-6-[(3,4,5-trimethoxyanilino)methyl]quin-azoline), an antitumor agent effective against several mouse tumors, was studied in normal dogs. A high-performance liquid chromatographic technique with electrochemical detection, di-hydrofolate reductase inhibition assay, and 14C-labeled drug were used to measure plasma disappearance, tissue distribution, excretion, and metabolism of the drug at doses from 0.5 to 6 mg/kg. Doses of 2 mg/kg were well tolerated without toxicity. Higher doses (3 to 6 mg/kg) produced mainly intestinal toxicity without significant hematological or liver abnormalities. The 6-mg/kg dose caused severe bloody diarrhea. After administration of 3 mg/kg, plasma concentrations of trimetrexate were 1 μm and were equal to or greater than 0.1 μm at 1 and 24 hr, respectively. The predominant pharmacokinetics of trimetrexate plasma disappearance was an elimination phase with a t1/2 of 3.5 hr. Concentrations in the cerebrospinal fluid were 2 to 5% of that in plasma and were maximum within 1 to 2 hr after i.v. administration. Highest tissue concentrations of drug were measured in liver and kidney; lowest were found in brain and lung. A dose equivalent to 3 mg/kg in humans (on a sq m basis) should produce adequate plasma concentrations (greater than 0.1 μm) for therapeutic effects.

Original languageAmerican English
Pages (from-to)1696-1702
Number of pages7
JournalCancer Research
Volume42
Issue number5
StatePublished - May 1 1982
Externally publishedYes

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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