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Relative plasma levels of the cardioprotective drug dexrazoxane and its two active ring-opened metabolites in the rat.

A postcolumn derivatization reversed-phase high-pressure liquid chromatography method has been developed to detect and separate the one-ring open intermediates of dexrazoxane (ICRF-187) in blood plasma. Dexrazoxane is clinically used as a doxorubicin cardioprotective agent and may act by preventing iron-based oxygen-free radical damage through the iron-chelating ability of its one-ring open intermediates and its fully rings opened hydrolysis product ADR-925. Little is known of the in vivo metabolism of dexrazoxane to its one-ring open intermediates, which may be two of the active forms of dexrazoxane. The one-ring open intermediates were detected within 5 min of i.v. administration of dexrazoxane to rats, suggesting that dexrazoxane is rapidly metabolized in vivo. The plasma concentrations of the one-ring open intermediates varied from 4 to 9% and 6 to 24% of the dexrazoxane concentrations at 5 and 120 min, respectively. The relatively small changes in the levels of the one-ring open intermediates with time suggest that a dynamic steady state is occurring. The ratio of the concentrations of the two one-ring open intermediates was similar to that previously seen for the in vitro dihydropyrimidine amidohydrolase-catalyzed hydrolysis of dexrazoxane. These results are consistent with the hypothesis that dihydropyrimidine amidohydrolase in the liver and kidney is responsible for the metabolism of dexrazoxane in the rat.