Summary
VP 16-213, a derivative of podophyllotoxin, is currently entering phase-III studies. Its mode of action is incompletely understood, but differs markedly from that of its parent compound. The greatest lethal damage is experienced by cells in the late S and G2 phases. In the L1210 system the drug shows marked schedule dependency: prolonged administration may be more effective than single bolus administration.
As a single agent, VP 16-213 is the most active compound yet tested against small-cell bronchial carcinoma. It may also prove to be a useful agent in patients with other types of lung tumour, testicular teratomas, and some types of leukaemia. No long-term or cumulative toxicity has been reported. Most side effects are predictable and reproducible.
Similar content being viewed by others
References
Ahmann, D. L., Bisei, H. F., Eagan, R. T., Edmonson, J. H., Hahn, R. G., O'Connell, M. J., Frytak, S.: Phase II evaluation of V.P. 16-213 (NSC 141540) and cytembena (NSC 104801) in patients with advanced breast cancer. Cancer Treat. Rep. 60, 633 (1976)
Allen, L. M., Creavan, P. J.: Comparison of the human pharmacokinetics of V. M. 26 and V. P. 16-213, two antineoplastic epipodophyllotoxin glucopyranoside derivatives. Eur. J. Cancer 11, 697 (1975)
Allen, L. M., Shirley, M.: Mechanism of cellular transport of two epipodophyllotoxin glucopyranoside derivatives, V.M. 26 and V.P. 16. Proc. Am. Assoc. Cancer Res. 18, 22 (1977)
Allen, L. M., Marks, C., Creaven, J.: 4′-Demethyl-epipodophyllic acid-9-(4,6-0-ethylidene-β-d-glucopyranoside). The major urinary metabolite of V.P. 16-213 in man. Proc. Am. Assoc. Cancer Res. 17, 6 (1976)
Beveridge, T., Kalberer, F., Nuesch, E.: Bioavailability study with 3H-V.P. 16-213 (Internal report). Basle: Sandoz 1974
Beveridge, T., Kalberer, F., Nuesch, E.: Bioavailability study with 3H-V.P. 16-213 in man (Internal report). Basle: Sandoz 1976
Brunner, K. W., Sonntag, R. W., Ryssel, H. J., Cavalli, F.: Comparison of the biologic activity of V.P. 16-213 given IV and orally in capsules or drink ampoules. Cancer Treat. Rep. 60, 1377 (1976)
Cattan, A., Pourny, C., Carpentier, Y., Cattan, E., Barouh, M.: Antimetastasis effect of two derivatives of epiopodophyllotoxin in mice. Eur. J. Cancer 12, 797 (1976)
Cavalli, F., Sonntag, R., Brunner, K. W.: Epipodophyllotoxin V.P. 16-213 in acute non-lymphoblastic leukaemia. (Letter) Br. Med. J. 1975 1, 227
Cavalli, F., Sonntag, R. W., Jungi, F., Senn, H. J., Brunner, K. W.: V.P. 16-213 monotherapy for remission induction of small cell lung cancer: a randomized trial using three dosage schedules. Cancer Treat. Rep. 62, 473 (1978)
Cecil, J. W., Quagliana, J. M., Coltman, C. A., Al-Sarraf, M., Thigpen, T., Groppe, C. W.: Evaluation of V.P. 16-213 in malignant lymphoma and melanoma. Cancer Treat. Rep. 62, 801 (1978)
Chakravorty, R. C., Sarker, S. K., Sen, S., Mukerji, B.: Human anticancer effect of podophyllum derivatives (SPG and SPI). Br. J. Cancer 21, 33 (1967)
Cohen, M. H., Broder, L. E., Fossieck, B. E., Ihde, D. C., Minna, J. D.: Phase II clinical trial of weekly administration of V.P. 16-213 in small cell bronchogenic carcinoma. Cancer Treat. Rep. 61, 489 (1977)
Cornman, I., Cornman, M. E.: The action of podophyllin and its fractions on marine eggs. Ann. N.Y. Acad. Sci. 51, 1443 (1951)
Creavan, P. J., Allen, L. M.: E.P.E.G., a new antineoplastic epipodophyllotoxin. Clin. Pharmacol. Ther. 18, 227 (1975)
Creavan, P. J., Newman, S. J., Selawry, O. S., Cohen, M. H., Primack, A.: Phase I clinical trial of weekly administration of 4′-demethylepipodophyllotoxin 9-(4,6-0-ethylidene-β-d-glucopyranoside) NSC 141540: V.P. 16-213. Cancer Chemother. Rep. 58, 901 (1974)
Deysson, G.: Anti-mitotic substances. Int. Rev. Cytol. 24, 99 (1968)
Dombernowsky, P., Nissen, N. I.: Schedule dependency of the anti-leukaemic activity of the podophyllotoxin derivative V.P. 16-213 (NSC 141540) in L 1210 leukaemia. Acta. Path. Microbiol. Scand. [A] 81, 715 (1973)
Dombernowsky, P., Nissen, N. I.: Combination chemotherapy with 4′-demethylepipodophyllotoxin 9-(4,6-0-ethylidene-β-d-glucopyranoside) V.P. 16-213 (NSC 141540) in L 1210 leukaemia. Eur. J. Cancer 12, 181 (1976)
Douglas, H. O., MacIntyre, J. M., Evans, J. T., Kaufman, J., Carbone, P.P.: Methyl C.C.N.U. (MECCNU) plus B-2′-deoxythioguanosine (BTG) vs V.P. 16-213 or diglycoaldehyde (DGA) in advanced previously treated colorectal adenocarcinoma: A Phase II study of the E.C.O.G. Proc. Am. Assoc. Cancer Res. 18, 313 (1977)
Drewinko, B., Barlogie, B.: Survival and cycle progression delay of human lymphoma cells in vitro exposed to V.P. 16-213. Cancer Treat. Rep. 60, 1295 (1976)
Eagan, R. T., Ahmann, D. L., Hahn, R. G., O'Connell, M. J.: Pilot study to determine an intermittent dose schedule for V.P. 16-213. Proc. Am. Assoc. Cancer Res. 16, 55 (1975)
Eagan, R. T., Carr, D. T., Frytak, S., Rubin, J., Lee, R. E.: V.P. 16-213 versus polychemotherapy in patients with advanced small cell lung cancer. Cancer Treat. Rep. 60, 949 (1976)
Eagan, R. T., Ingle, J. N., Creagan, E. T., Frytak, S., Kvois, L. K., Rubin, J., McMahon, R. T.: V.P. 16-213 chemotherapy for advanced squamous cell carcinoma and adenocarcinoma of the lung. Cancer Treat. Rep. 62, 843 (1978)
Edmonson, J. H., Deiker, D. G., Malkasian, G. D., Webb, M. J., Jorgensen, E. O.: Phase II evaluation of V.P. 16-213 (NSC 141540) in patients with advanced ovarian carcinoma resistant to alkylating agents. Gynecol. Oncol. 6, 7 (1978)
EORTC Clinical Screening Group: Epipodophyllotoxin V.P. 16-213 in treatment of acute leukaemias, haematosarcomas, and solid tumours. Br. Med. J. 1973, III, 199
Falkson, G., Snyman, H. J.: Experience with chemotherapy of cancer at the University of Pretoria. Acta Union Int. Con. Cancrum 20, 439 (1964)
Falkson, G., Van Dyk, J. J., Van Eden, E. B., Van der Merwe, A. M., Van der Bergh, J. A., Falkson, H. C.: A clinical trial of the oral form of 4′-dmethylepipodophyllotoxin-β-d-ethydine glucoside (NSC 141540) V.P. 16-213. Cancer 35, 1141 (1975)
Freed, J. J., Lebowitz, M. M.: The association of a class of saltatory movements with microtubules in cultured cells. J. Cell Biol. 45, 334 (1970)
Gehan, E. A.: The determination of the number of patients required in a preliminary study and follow up trial of a new chemotherapeutic agent. J. Chronic Dis. 13, 346 (1961)
Grioder, A., Maurer, R., Stähelin, H.: Effect of an epipodophyllotoxin derivative (V.P. 16-213) on macromolecular synthesis and mitosis in mastocytoma cells in vitro. Cancer Res. 34, 1788 (1974)
Grieder, A., Maurer, R., Stähelin, H.: Comparative study of the early effects of epipodophyllotoxin derivatives and other cytostatic agents on mastocytoma cultures. Cancer Res. 37, 2998 (1977)
Hansen, M., Hirsch, F., Dombernowsky, P., Hansen, H. H.: Treatment of small cell anaplastic carcinoma of the lung with the oral solution of V.P. 16-213 (NSC 141540) 4′-demethylepipodophyllotoxin 9-(v,6-0-ethylidene-β-d-glucopyranoside). Cancer 40, 633 (1977)
Huang, C. C., Hou, Y., Wang, J. J.: Effects of a new antitumour agent, epipodophyllotoxin, on growth and chromosomes in human haemopoietic cell lines. Cancer Res. 33, 3123 (1973)
Jungi, W. F., Senn, H. J.: Clinical study of the new podophyllotoxin derivative 4′-demethylepipodophyllotoxin 9-(4,6-0-ethylidene-β-d-glucopyranoside) (NSC 141540: V.P. 16-213) in solid tumours in man. Cancer Chemother. Rep. 59, 737 (1975)
Kaplan, I. W.: Condyloma acuminata: New Orleans Med. Surg. J. 94, 388 (1942)
Kelleher, J. K.: Tubulin binding affinities of podophyllotoxin and colchicine analogues. Mol. Pharmacol. 13, 232 (1977)
Keller-Juslen, C., Kuhn, M., Von Wartburg, A., Stähelin, H.: Synthesis and antimitotic activity of glycosidic lignan derivatives related to podophyllotoxin. J. Med. Chem. 14, 936 (1971)
Kelly, M. G., Hartwell, J. L.: Biological effects and chemical composition of podophyllin. J. Natl. Cancer. Inst., 14, 967 (1954)
Krishan, A., Paika, K., Frei, E., III: Cytofluorometric studies on the action of podophyllotoxin and epipodophyllotoxins (V.M. 26, V.P. 16-213) on the cell cycle traverse of human lymphoblasts. J. Cell Biol. 66, 521 (1975)
Livingston, R. B.: Treatment of small cell carcinoma. Evolution and future directions. Semin. Oncol. 5, 299 (1978)
Loike, J. D., Horwitz, S. B.: Effects of podophyllotoxin and V.P. 16-213 on microtubule assembly in vitro and nucleoside transport in HeLa cells. Biochemistry 15, 5435 (1976)
Loike, J. D., Horwitz, S. B.: Effects of V.P. 16-213 on the intracellular degradation of DNA in the HeLa cells. Biochemistry 15, 5443 (1976)
Loike, J. D., Brewer, C. F., Sternlicht, H., Gensler, W. J., Horwit, S. B.: Structure — activity study of the inhibition of microtubule assembly in vitro by podophyllotoxin and its congeners. Cancer Res. 38, 2688 (1978)
Makrides, E. B., Banerjee, S., Handler, L., Margulis, L.: Podophyllotoxin, colcemid and cold temperature interfere with cilia regeneration. J. Protozool. 17, 548 (1970)
Mathé, G., Schwarzenberg, L., Pouillart, P., Oldham, R., Weiner, R., Jasmin, C., Rosenfield, C., Hayat, M., Misset, J. L., Musset, M., Schneider, M., Amiel, J. L., Vassal, F. de: Two epipodophyllotoxin derivatives V.M. 26 and V.P. 16-213 in the treatment of leukaemias, haematosarcomas, and lymphomas. Cancer 34, 985 (1974)
Misra, N. C., Roberts, D.: Inhibition by 4′-demethylepipodophyllotoxin 9-(4,6-0-2-thenylidene-β-d-glucopyranoside) of human lymphoblast culture in G2 phase of the cell cycle. Cancer Res. 35, 99 (1975)
Mizel, S. B., Wilson, L.: Nucleoside transport in mammalian cells. Inhibition by colchicine. Biochemistry 11, 2573 (1972)
Nissen, N. I., Larsen, V., Pedersen, H., Thomsen, K.: Phase I clinical trial of a new antitumour agent: 4′-Demethylepipodophyllotoxin 9-(4,6-0-ethylidene-β-d-glucopyranoside), NSC 141540: V.P. 16-213. Cancer Chemother. Rep. 56, 769 (1972)
Nissen, N. I., Hansen, H. H., Pedersen, H., Stryer, I., Dombernowsky, P., Hessellund, M.: Clinical trial of the oral form of a new podophyllotoxin derivative, V.P. 16-213 (NSC 141540) in patients with advanced neoplastic disease. Cancer Chemother. Rep. 59, 1627 (1975)
Nissen, N. I., Dombernowsky, P., Hansen, H. H., Larsen, V.: Phase I clinical trial of an oral solution of V.P. 16-213. Cancer Treat. Rep. 60, 943 (1976)
Nuesch, E.: V.P. 16-213/Bioavailability von Lösung und Kapseln. Interne Mitteilung. Basle: Sandoz Ltd. 1974
Paulson, J. C., McClure, W. O.: Microtubules and axioplasmic transport. J. Cell Biol. 67, 461 (1977)
Rivera, G., Avery, T., Roberts, de W.: Response of L 1210 to combination of cytosine arabinoside and V.M. 26 or V.P. 16-213. Eur. J. Cancer 11, 639 (1975)
Rozencweig, M., Von Hoff, D. D., Henney, J. E., Muggia, F. M.: V. M. 26 and V.P. 16-213. A comparative analysis. Cancer 40, 334 (1977)
Schecter, J. P., Jones, S. E.: Myocardial infarction in a 27-year-old woman: possible complication of treatment with V.P. 16-213 (NSC 141540) mediastinal irradiation or both. (Letter.). Cancer Treat. Rep. 59, 887 (1975)
Smith, I. E., Clink, H. MacD. Gerken, M. E., McElwain, T. J.: V.P. 16-213 in acute myelogenous leukaemia. Postgrad. Med. J. 52, 66 (1976)
Stähelin, H.: 4′-Demethyl-epipodophyllotoxin thenylidene glucoside (V.M.26), a podophyllum compound with a new mechanism of action. Eur. J. Cancer 6, 303 (1970)
Stähelin, H.: Activity of a new glycosidic lignan derivative (V.P. 16-213) related to podophyllotoxin in experimental tumours. Eur. J. Cancer 9, 215 (1973)
Sullivan, B. J., Wechsler, H. I.: The cytological effects of podophyllin. Science 105, 433 (1947)
Tucker, R. D., Ferguson, A., Van Wyk, C., Sealy, R., Hewitson, R., Levin, W., Rad, R. F.: Chemotherapy of small cell carcinoma of the lung with V.P. 16-213. Cancer 41, 1710 (1978)
Vaitkevicius, V. K., Reed, M. L.: Clinical studies with podophyllum compound SPI-77 (NSC-72274) and SPD-827 (NSC 42076). Cancer Chemother. Rep. 50, 565 (1966)
Vietti, T. J., Valeriote, F. A., Kalish, R., Coulter, B.: Kinetics of cytotoxicity of V.M. 26 and V.P. 16-213 on leukaemia L 1210 and haematopoietic stem cells. Cancer Treat. Rep. 62, 1313 (1978)
Wang, J. J., Chervinsky, D. S.: Effect of a podophyllotoxin derivative (V.P. 16-213) on nucleic acid and protein biosynthesis in L 1210 leukaemic cells. Proc. Am. Assoc. Cancer Res. 14, 100 (1973)
Wilson, L., Bryan, J.: Biochemical and pharmacological properties of microtubules. Adv. Cell. Mol. Biol. 3, 21 (1974)
Wilson, L., Friedkin, M.: The biochemical events of mitosis. II. The in vivo and in vitro binding of colchicine in grasshopper embryos: its possible relation to inhibition of mitosis. Biochemistry 6, 3126 (1967)
Wilson, L., Bamburg, J. R., Mizel, S. B., Grisham, I. M., Crewell, K. M.: Interaction of drugs with microtubule proteins. Fed. Proc. 33, 158 (1974)
Young, C. W., Ihde, D. C., von Stubbe, W.: Preliminary clinical trial of 4′-demethylepipodophyllotoxin-β-d-ethylidene-glucoside, V.P. 16-213. Proc. Am. Assoc. Cancer Res. 14, 60 (1973)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Arnold, A.M. Podophyllotoxin derivative VP 16-213. Cancer Chemother. Pharmacol. 3, 71–80 (1979). https://doi.org/10.1007/BF00254976
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00254976