“…It has been found in the past that chemotherapy and TRAIL, used simultaneously, can afford restoration of apoptosis in a large number of TRAIL‐ or chemoresistant tumour cells in vitro and in vivo (Gliniak and Le, ; Keane et al ., ; Walczak et al ., ; Cuello et al ., ; Lacour et al ., ; Ohtsuka et al ., ; Jin et al ., ; Shankar and Srivastava, ; Fiveash et al ., ), but these synergies were shown to critically rely on mitochondrial activation (von Haefen et al ., ; Nguyen et al ., ). Unfortunately, a large proportion of tumours, and not only haematological malignancies, spontaneously overexpress Bcl‐2 anti‐apoptotic family members or, to a lesser extent, display loss‐of‐function mutations of Bax (Meijerink et al ., ; Garcia et al ., ; Pepper et al ., ; Likui et al ., ) and in vitro studies demonstrate that simultaneous treatments are unable to overcome TRAIL resistance induced by a deficiency of Bax or the overexpression of Bcl‐2 (Fulda et al ., ; LeBlanc et al ., ; von Haefen et al ., ). Because recombinant TRAIL or moAb targeting TRAIL‐R1 or TRAIL‐R2 have been administered simultaneously starting from day 1 of each cycle with the chemotherapeutic compounds of interest, in most if not all clinical studies, the lack of efficacy of these combinations may be attributed to their inability to overcome the mitochondrial block (Ganten et al ., ; von Haefen et al ., ; Ndozangue‐Touriguine et al ., ; El Fajoui et al ., ; Morizot et al ., ; Jacquemin et al ., ).…”