“…Therefore, as early as the 1970s and 1980s, a great number of clinical studies attempted to apply maytansine to clinical treatments. Unfortunately, positive results for maytansine in the treatment of colorectal cancer 19 and melanoma 20 , lymphoma 21 , breast cancer 22 , small cell lung cancer 23 , soft tissue sarcoma 24 , cervical cancer 25 , and pancreatic cancer 26 were not obtained in phase II clinical studies primarily because maytansine has poor water solubility and high toxicity and is nonselective 18 , 27 , which led to extremely low dose-limiting toxicities (2 mg/m 2 ) in the human body. Therefore, the manifestation of antitumor activity was not possible using a tolerable dose in humans 28 .…”