Although important progress has been made,
cancer still remains a complex disease to treat. Serious side effects, the insurgence of resistance and poor selectivity are some of the problems associated with the classical
metal-based anti-
cancer therapies currently in clinical use. New treatment approaches are still needed to increase
cancer patient survival without
cancer recurrence. Herein, we reviewed two promising-at least in our opinion-new strategies to increase the efficacy of transition
metal-based complexes. First, we considered the possibility of assembling two biologically active fragments containing different
metal centres into the same molecule, thus obtaining a heterobimetallic complex. A critical comparison with the monometallic counterparts was done. The reviewed literature has been divided into two groups: the case of
platinum; the case of
gold. Secondly, the conjugation of
metal-based complexes to a targeting moiety was discussed. Particularly, we highlighted some interesting examples of compounds targeting
cancer cell organelles according to a third-order targeting approach, and complexes targeting the whole
cancer cell, according to a second-order targeting strategy.