“…Numerous clinical trials were conducted encouraged by studies demonstrating frequent expression of Pgp in various tumors, and supported by reports documenting the adverse prognostic impact of Pgp expression. Agents evaluated since the early 1980s when these studies began include: verapamil, the phenothiazines, quinidine, quinacrine, quinine, amiodarone, several neuroleptics, tamoxifen, progesterone, cyclosporin A, dexverapamil, dexniguldipine, GF120918, PSC-833 (valspodar), VX-710 (biricodar), XR9576 (tariquidar) and others (Ford and Hait, 1990;Trump et al, 1992;Fisher et al, 1996). Trials attempting to modulate drug resistance have undergone a gradual evolution from early trials using agents already approved by the FDA for other indications, to subsequent studies with more potent agents developed as Pgp inhibitors, to ongoing trials using highly potent and specific inhibitors.…”