Improvements in methods of treating cancer with weakly basic anti-cancer
compounds are provided. In one aspect, the invention provides an
improvement in a method of treating cancer cells whose extracellular
environment contains 1 8 mM urea, by exposing the cells to a weakly basic
anti-cancer compound which is effective in inhibiting the growth of the
cells. The improvement includes (a) exposing the cells to a urease enzyme
composition and, (b) by step (a), reducing the amount of anti-cancer
compound required to produce a given extent of inhibition in the growth
of the cells when the cells are exposed to the anti-cancer agent. Methods
of potentiating the specific therapeutic activity of a weakly basic
anti-cancer compound in the treatment of a given mammalian cancer which
is responsive to the compound are provided as are pharmaceutical
compositions for use in intravenous administration to a subject are also
provided.