Table 4Approaches to overcoming or circumventing drug resistance

Prevention
Aggressive multiagent therapy
Appreciation of factors that induce resistance mechanisms
Circumvention: drug screening programs and rational drug design
Circumvention of drug-uptake defects
Dose escalation
Drugs that use alternate transport mechanisms
Agents that reverse increased efflux
Co-factors that augment drug activation or efficacy
Inhibition of drug inactivation
Novel treatment modalities
Immunotherapy
Development of agents that target signaling and apoptotic pathways

From: Overview of Resistance to Systemic Therapy in Patients with Breast Cancer

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