We determined whether the method used to encapsulate irinotecan into 1,2-distearoyl-
sn-glycero-phosphocholine/cholesterol (DSPC/Chol; 55:45 mol % ) liposomes influenced: (i) irinotecan release rate and (ii) therapeutic efficacy. DSPC/Chol (55:45 mol % ) liposomes were prepared with: (i) unbuffered CuSO
4; (ii) buffered (pH 7.5) CuSO
4; (iii) unbuffered MnSO
4 and the ionophore A23187 (exchanges internal metal
2+ with external 2H
+ to establish and maintain a transmembrane pH gradient); and (iv) unbuffered CuSO
4 and ionophore A23187. All formulations exhibited >98 % irinotecan encapsulation (0.2 drug-to-lipid molar ratio; 10 min incubation at 50 °C). Following a single intravenous injection (100 mg/kg irinotecan) into Balb/c mice, the unbuffered CuSO
4 plus A23187 formulation mediated a half-life of irinotecan release of 44.4 h; a
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4-fold increase compared to the other liposome formulations. This surprising observation demonstrated that the CuSO
4 plus A23187 formulation enhanced irinotecan retention compared to the MnSO
4 plus A23187 formulation, indicating the importance of the divalent metal. A single dose of the CuSO
4 plus A23187 formulation (50 mg/kg irinotecan) mediated an 18-fold increase in median
T −
C (the difference in days for treated and control subcutaneous human LS 180 adenocarcinoma xenografts to increase their initial volume by 400 % ) when compared to a comparable dose of Camptosar
®. Improved irinotecan retention was associated with increased therapeutic activity.