The rationales for the use of water soluble polymers for anticancer drug de
livery include: the potential to overcome some forms of multidrug; resistan
ce. preferential accumulation in solid tumors due to enhanced permeability
and retention (EPR) effect, biorecognizability. and targetability. The util
ity of a novel paradigm for the treatment of ovarian carcinoma in an experi
mental animal model. which combines chemotherapy and photodynamic therapy w
ith polymer-bound anticancer drugs is explained. Research and clinical appl
ications as well as directions for the future development of macromolecular
therapeutics are discussed. (C) 2001 Elsevier Science B.V. All rights rese
rved.