“…Since August 2014, 74 completed clinical trials and 57 trails with the status of “active” or “recruited” have been listed in clinicaltrials.gov, over 40,000 citations have been recorded in PubMed on NP-based drug delivery [ 21 , 32 , 33 , 34 , 35 ], and many more are on several stages of drug pipelines [ 17 , 36 , 37 , 38 ]. Preclinical studies showed NPs with loaded genes or drug-enhanced antitumor effects with an improved pharmacokinetic profile compared to free drugs [ 39 , 40 , 41 ] by virtue of the unique physicochemical properties of NPs, including loading capacity for both hydrophobic and hydrophilic drugs, ease of functionalization with targeting moieties and hydrophilic molecules, stability and extended half-lives in the systemic circulation, facilitated tumor accumulation due to their small particle size and EPR effect, enhanced cellular internalization via endocytosis, and quick and sustained release of the drugs in response to various intracellular (e.g., acidic pH) and extracellular (e.g., magnetic field, laser) stimuli [ 42 , 43 , 44 ]. Additionally, the size, conformation, and surface properties of NPs navigate the trajectory dynamics of the NP-loaded drug complex and are considered fundamental driving forces for improved delivery efficiency [ 45 , 46 , 47 ].…”