Polymer conjugates are currently entering routine clinical use as anti
cancer agents, and they are under development as adjuncts to cancer ch
emotherapy, for example, in the form of polymer-cytokine conjugates an
d as imaging agents for use in both diagnosis and disease evaluation.
Regulatory authority approval of styrene maleic anhydride-neocarzinost
atin in Japan and poly(ethyleneglycol)-L-asparaginase in the United St
ates, as well as the progression of N-(2-hydroxypropyl)-methacrylamide
copolymer-doxorubicin into Phase II clinical trial, have confirmed th
e practicalities of this approach, and indeed show that polymer conjug
ates constitute a new class of cancer chemotherapy. In this article, t
he basic rationale for design of polymeric anticancer agents is descri
bed and recent progress in the field is reviewed.