ABSTRACT

Acknowledgment................................................................................................................ 455

References .......................................................................................................................... 455

Historically, drugs developed for cancer treatment have largely been cytotoxic agents with

significant toxicities related to effects on rapidly dividing cells. These drugs have mechanisms

of action that involve major disruptions in DNA and RNA synthesis or function (1,2). Early

stages of development have focused on identification of maximally tolerated doses and signals

of activity in refractory populations. Later stages of development have usually focused on

evaluation of safety and efficacy in patient populations mainly defined by clinical and

histologic criteria.