The two together are critical to commercial success. Just getting rid of cardiotoxicity doesn’t get you a commercial drug as the developers of dexrazoxane discovered and as Neefjes has discovered trying to advance aclarubicin. Success will require showing in the clinic that bisantrene both improves doxorubicin anticancer activity AND makes it safer. This won’t be easy (nothing in clinical research ever is), but the potential makes it worth the effort.
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