This review describes the clinical relevance of the two drug transporters P-glycoprotein (Pgp) and multidrug resistance-associated protein (MRP) and the in vitro phenomenon which is referred to as multidrug resistance (MDR). The attempts to try to block these resistance mechanisms are summarized with specific attention for the intentionally designed 'second generation' MDR-convertors. Potential explanations of the limited clinical success rate are given and recommendations for the design of future studies provided.

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doi.org/10.1023/A:1006487003814, hdl.handle.net/1765/60841
Investigational New Drugs: the journal of new anti-cancer agents
Department of Medical Oncology

van Zuylen, L., Nooter, K., Sparreboom, A., & Verweij, J. (2000). Development of multidrug-resistance convertors: Sense or nonsense?. Investigational New Drugs: the journal of new anti-cancer agents (Vol. 18, pp. 205–220). doi:10.1023/A:1006487003814