“…The very poor solubility of acid 1 in water based media (< 1 mol/L) (Cichewicz & Kouzi, 2004;Symon et al, 2005), high hydrophobicity (log P) (Srivastava et al, 2002) and unsuitable pK parameters (absorption, distribution, metabolism and elimination), along with strong antitumor potential (Pisha et al, 1995) and low acute toxicity (Cichewicz & Kouzi, 2004) motivated a number of scientific institutions to synthesize derivatives, pro-drugs and formulations of betulinic acid (1) that could retain the activity and low toxicity, but improve the afore mentioned properties. The following semi-synthetic derivatives might be divided into three groups: simple derivatives of natural triterpenes (2.2.1), derivatives obtained by biotransformation procedures of betulinic acid (1) (2.2.2) and triterpenoids with modification of lupane skeleton (2.2.3).…”