The epothilones are naturally occurring, cytotoxic macrolides that function through a paclitaxel (Taxol)-like mechanism. Although structurally dissimilar, both classes of molecules lead to the arrest of cell division and eventual cell death by stabilizing cellular microtubule assemblies. The epothilones differ in their ability to retain activity against multidrug-resistant ( Paclitaxel (Taxol**), Fig. 1, is currently used as the front-line therapeutic agent in a variety of solid forms of cancer including ovarian, breast, colon, lung, and liver neoplasms (1). Acquired resistance to paclitaxel and other commonly used cancer chemotherapy agents may be mediated by a number of mechanisms, including overexpression of the energy-dependent drug-transport protein P-glycoprotein (ref. 2, and references therein). Broad-spectrum resistance to structurally and mechanistically diverse anticancer agents constitutes the multidrugresistance (MDR) phenotype. A search for paclitaxel analogues with improved performance in vitro and in vivo has met with limited success (3, 4), although certain MDR reversal agents appear promising when coadministered with the anticancer agent (5).Although the 16-membered ring structure of the epothilones bears little structural resemblance to paclitaxel, the two agents share a common cellular mechanism of action (6-8). Both the epothilones and paclitaxel exert their biological effects by stabilizing microtubule assemblies, thus leading to the arrest of cell division and eventual cell death. By far the most intriguing property of the epothilones at the in vitro level is their lack of cross resistance to MDR cell lines when compared with major antitumor agents, including paclitaxel, vinblastine, adriamycin, camptothecin, and etoposide, all of which are currently used in clinical settings (6-9). The epothilones are also more watersoluble (6, 10-12) and more readily available through chemical synthesis (6,(13)(14)(15)(16)(17)(18)(19)(20) than is paclitaxel. The solubility advantage could allow for less cumbersome administration and increased bioavailability of the chemotherapy agent than paclitaxel. The synthetic advantage would be useful in generating epothilone congeners more advantageous than the natural product.We recently reported that Z-12,13-desoxyepothilone (dEpoB; Fig. 1), a synthetic intermediate en route to epothilone B, † † demonstrated promising activity both in vitro and in murine models harboring tumor xenografts (6, 21). In the previous report, we also showed that dEpoB was Ͼ35,000-fold more potent than paclitaxel in inhibiting cell growth of DC-3F͞ADX in vitro. During the earlier in vivo pharmacologic evaluations of the epothilones, both dEpoB and paclitaxel were administered with dimethyl sulfoxide (DMSO) as a solvent by using i.p. injection (6,22). However, i.v. administration is more appropriate for paclitaxel than for dEpoB, resulting in higher efficacy and lower toxicity. Because the primary focus of this research was to compare dEpoB and paclitaxel, we adjusted the administ...