NCIt definition : A copolymer conjugate of the antineoplastic anthracycline doxorubicin and the water-soluble
polymer N-(2-hydroxypropyl) methacrylamide (HPMA). Doxorubicin, an intercalator and
a topoisomerase II inhibitor, prevents DNA replication and ultimately inhibits protein
synthesis. This agent also generates oxygen free radicals, resulting in cytotoxic
lipid peroxidation of cell membrane lipid. HPMA conjugation enhances the permeability
and retention of this agent within the tumor vasculature. Poorly cleared by the lymphatic
system, this formulation undergoes increased cleavage by tumor cell lysosomal proteinases,
resulting in increased, sustained intracellular concentrations of free doxorubicin.
Compared to other doxorubicin-containing formulations, this formulation may exhibit
an improved toxicity profile due to the lower concentrations of free doxorubicin to
which non-malignant tissues are exposed.;