“…Originally, conjugation to IgG antibodies gave enhanced specificity, but resulted in lowered drug efficacy and antibody binding [5,7,10,11,15,19,20,24,29]. More recently, several groups have made improved methotrexate conjugates having an efficacy greater than the equimolar drug and little loss of antibody binding capacity [17,18,23,30,31,32,36].…”