“…As a recent example, one may mention dextran, soluble starch or hydroxyethyl starch -based ester -prodrugs of naproxen (31), but other polysaccharides have been tested for their usefulness as transport groups for therapeutic agents. Among them one can mention starch for acetyl salicylic acid (32,33), inulin for procainamide (34,35), agarose for mitomycin (36) or for adriamycin (37), soluble starch for nicotinic acid (38), or for salicylate (39), cellulose for metribuzin (40) or for insulin (41) and hydroxypropyl cellulose for estrone and testosterone (42,43). However, clinical experience with such prodrugs is still too limited for an adequate judgment on this aspect of macromolecular prodrugs.…”