PMID- 19671438 OWN - NLM STAT- MEDLINE DCOM- 20100202 LR - 20220309 IS - 1872-8294 (Electronic) IS - 0169-409X (Linking) VI - 61 IP - 13 DP - 2009 Nov 12 TI - PEG conjugates in clinical development or use as anticancer agents: an overview. PG - 1177-88 LID - 10.1016/j.addr.2009.02.010 [doi] AB - During the almost forty years of PEGylation, several antitumour agents, either proteins, peptides or low molecular weight drugs, have been considered for polymer conjugation but only few entered clinical phase studies. The results from the first clinical trials have shared and improved the knowledge on biodistribution, clearance, mechanism of action and stability of a polymer conjugate in vivo. This has helped to design conjugates with improved features. So far, most of the PEG conjugates comprise of a protein, which in the native form has serious shortcomings that limit the full exploitation of its therapeutic action. The main issues can be short in vivo half-life, instability towards degrading enzymes or immunogenicity. PEGylation proved to be effective in shielding sensitive sites at the protein surface, such as antigenic epitopes and enzymatic degradable sequences, as well as in prolonging the drug half-life by decreasing the kidney clearance. In this review PEG conjugates of proteins or low molecular weight drugs, in clinical development or use as anticancer agents, will be taken into consideration. In the case of PEG-protein derivatives the most represented are depleting enzymes, which act by degrading amino acids essential for cancer cells. Interestingly, PEGylated conjugates have been also considered as adjuvant therapy in many standard anticancer protocols, in this regard the case of PEG-G-CSF and PEG-interferons will be presented. FAU - Pasut, Gianfranco AU - Pasut G AD - Department of Pharmaceutical Sciences, University of Padua, via Marzolo 5, 35100 Padova, Italy. gianfranco.pasut@unipd.it FAU - Veronese, Francesco M AU - Veronese FM LA - eng PT - Journal Article PT - Review DEP - 20090809 PL - Netherlands TA - Adv Drug Deliv Rev JT - Advanced drug delivery reviews JID - 8710523 RN - 0 (Antineoplastic Agents) RN - 0 (Drug Carriers) RN - 0 (Peptides) RN - 0 (Proteins) RN - 3WJQ0SDW1A (Polyethylene Glycols) SB - IM MH - Animals MH - Antineoplastic Agents/*administration & dosage/pharmacokinetics/pharmacology MH - Clinical Trials as Topic MH - Drug Carriers/*chemistry MH - Drug Design MH - Drug Stability MH - Humans MH - Neoplasms/drug therapy MH - Peptides/administration & dosage/pharmacokinetics/pharmacology MH - Polyethylene Glycols/*chemistry MH - Proteins/administration & dosage/pharmacokinetics/pharmacology RF - 107 EDAT- 2009/08/13 09:00 MHDA- 2010/02/03 06:00 CRDT- 2009/08/13 09:00 PHST- 2009/01/07 00:00 [received] PHST- 2009/02/14 00:00 [accepted] PHST- 2009/08/13 09:00 [entrez] PHST- 2009/08/13 09:00 [pubmed] PHST- 2010/02/03 06:00 [medline] AID - S0169-409X(09)00239-7 [pii] AID - 10.1016/j.addr.2009.02.010 [doi] PST - ppublish SO - Adv Drug Deliv Rev. 2009 Nov 12;61(13):1177-88. doi: 10.1016/j.addr.2009.02.010. Epub 2009 Aug 9.