title: In vitro schedule-dependency of myelotoxicity and cytotoxicity of Ecteinascidin 743 (ET-743).
abstract: BACKGROUND
  Ecteinascidin (ET-743) is a marine derived compound with an interesting preclinical profile currently completing phase I clinical trials. The present study was undertaken to compare the toxicity of different schedules of ET-743 against human hemopoietic progenitors and tumour cell lines.
  
  
  METHODS
  Human hemopoietic progenitors and solid tumour cell lines were incubated with ET-743 for one hour, 24 hours and one hour daily for five consecutive days to define by comparison an 'in vitro therapeutic index'. Additional experiments were set up to assess whether incubation for 24 hours or five days could change either the sensitivity of cells or the activity of ET-743.
  
  
  RESULTS
  Prolonged or repeated exposures were more toxic than a single one hour exposure (P < 0.001), but due to the higher sensitivity to prolonged exposure of several tumor cell lines, prolonged treatment yielded a more favorable in vitro therapeutic index. After incubation for 24 hours, ET-743 showed a significantly (P < 0.01) lower inhibiting capacity. Incubation before treatment rendered progenitors more resistant, but incubation after treatment increased their sensitivity, so that overall the toxicity of ET-743 on hemopoietic cells appears to be close to AUC dependency.
  
  
  CONCLUSIONS
  Despite the possible effect of some experimental artefacts, prolonged exposure could represent the best schedule of administration of ET-743.
authors.affiliation: Division of Oncology, Ospedale S. Giovanni, Bellinzona, Switzerland. mghielmini@ticino.com
authors.forename: M
authors.initials: M
authors.lastname: Ghielmini
authors.forename: E
authors.initials: E
authors.lastname: Colli
authors.forename: E
authors.initials: E
authors.lastname: Erba
authors.forename: D
authors.initials: D
authors.lastname: Bergamaschi
authors.forename: S
authors.initials: S
authors.lastname: Pampallona
authors.forename: J
authors.initials: J
authors.lastname: Jimeno
authors.forename: G
authors.initials: G
authors.lastname: Faircloth
authors.forename: C
authors.initials: C
authors.lastname: Sessa
mesh_terms: D018906:Antineoplastic Agents, Alkylating / Q000633:toxicity*; D003470:Culture Media; D004149:Dioxoles / Q000633:toxicity*; D006412:Hematopoietic Stem Cells / Q000187:drug effects*; D006801:Humans; D007546:Isoquinolines / Q000633:toxicity*; D044005:Tetrahydroisoquinolines; D013997:Time Factors; D000077606:Trabectedin; D014407:Tumor Cells, Cultured
chemical_list: D018906:Antineoplastic Agents, Alkylating; D003470:Culture Media; D004149:Dioxoles; D007546:Isoquinolines; D044005:Tetrahydroisoquinolines; D000077606:Trabectedin