“…For example, the MTD of pegylated liposomal DOX (DOXIL) was lower but the potency was improved (Colbern et al, 1999;Gabizon, 2001;Gabizon et al, 2003). When the drug is inactive by polymer conjugation or given in a prodrug form, a large increase in the MTD has been reported, as in the case of N-(2-hydroxypropyl)methyacrylamide (HPMA) copolymer-DOX (4.5-fold) (Duncan et al, 1998), PEO-bpoly(L-aspartate) conjugated of DOX (NK911) (20-fold) (Yokoyama et al, 1990(Yokoyama et al, , 1991, N-L-leucyl-DOX (threefold) (Bennis et al, 1993;Breistol et al, 1998Breistol et al, , 1999, and glucuronide prodrug DOX (25-fold) (Houba et al, 2001). In addition, the changes in PK profile of the drug associated with a carrier can increase the MTD as shown by PEO-b-poly(β-benzyl-L-aspartate) (PBLA) micelle (2.3-fold) (Kwon et al, 1997;Kataoka et al, 2000) and SP1049 (1.4-fold) (Danson et al, 2004).…”