
[Cancer Research 41, 1748-1750, May 1, 1981]
© 1981 American Association for Cancer Research
Pharmacokinetics of [14C]Methylglyoxal-bis(guanylhydrazone) in Patients with Leukemia1
Michael G. Rosenblum2,
Michael J. Keating,
Boh Seng Yap and
Ti Li Loo
Department of Developmental Therapeutics, The University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute, Houston, Texas 77030
Methylglyoxal-bis(guanylhydrazone) (MGBG; NSC 32946), a competitive inhibitor of S-adenosyl-L-methionine decarboxylase (EC 4.1.1.50), is currently being reevaluated for its clinical antileukemic activity. MGBG labeled with 14C in the guanylhydrazone moiety was administered i.v. (150 µCi; specific activity, 1.9 µCi/µmol; 20 mg total) to six patients with leukemia. All patients in the study had normal renal and hepatic function. [14C]MGBG underwent no in vivo metabolism; it disappeared from the plasma with an average terminal t
of 4.1 hr. The 72-hr cumulative urinary excretion was only 14.5 ± 2.2% (S.E. M.) of the total radioactive dose. The apparent volume of distribution was 661 ml/kg and the total clearance rate was 21.2 ml/kg/min. The low urinary excretion rate and the relatively rapid plasma clearance suggest that MGBG may be sequestered in the body. Therefore, if MGBG is adminstered by a frequent treatment schedule, the prolonged biological half-life in humans may significantly contribute to its clinical toxicity.
1 This work was supported by USPHS National Cancer Institute Contract CM-87185 and Grant CA-09189.
2 To whom requests for reprints should be addressed.
Received 4/28/80.
Accepted 2/ 2/81.
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Copyright © 1981 by the American Association for Cancer Research.