Allosteric modifier of hemoglobin (Hb). Binds in the central water cavity of the Hb molecule causing a conformational change such that bound oxygen is released more readily. Prepd not claimed: D. J. Abraham et al., US 5049695 (1991 to Center Innovative Technol.); eidem, J. Med. Chem. 34, 752 (1991). LC/MS/MS determn in urine: M. Thevis et al., J. Mass Spectrom. 41, 332 (2006). Oxygen binding affinities and mechanism of action: D. J. Abraham et al., Biochemistry 31, 9141 (1992). Effect on myocardial oxygen concentration: P. S. Pagel et al., J. Pharmacol. Exp. Ther. 285, 1 (1998). Antimetastatic effects: B. A. Teicher et al., Cancer Chemother. Pharmacol. 42, 24 (1998). Clinical pharmacokinetics and pharmacodynamics: L. Kleinberg et al., J. Clin. Oncol. 17, 2593 (1999). Clinical trial in brain metastases from breast cancer: J. H. Suh et al., ibid. 24, 106 (2006).
Antineoplastic adjunct (radiosensitizer).
Antineoplastic Adjunct; Radiosensitizer