Docetaxel

Generic Name
Docetaxel
Brand Names
Taxotere, Docetaxel Accord, Docetaxel Kabi
Drug Type
Small Molecule
Chemical Formula
C43H53NO14
CAS Number
114977-28-5
Unique Ingredient Identifier
699121PHCA
Background

Docetaxel is a clinically well established anti-mitotic chemotherapy medication used for the treatment of different types of cancer, including breast, ovarian, and non-small cell lung cancer. Docetaxel is a complex diterpenoid molecule and a semisynthetic analogue of paclitaxel. Docetaxel reversibly binds to microtubulin with high affinity in a 1:1 stoichiometric ratio, allowing it to prevent cell division and promote to cell death. Compared to paclitaxel, docetaxel is two times more potent as an inhibitor of microtubule depolymerization. Docetaxel binds to microtubules but does not interact with dimeric tubulin.

The use of docetaxel may lead to udesired outcomes such as hepatic impairment, hematologic effects, enterocolitis and neutropenic colitis, hypersensitivity reactions, fluid retention, second primary malignancies, embryo-fetal toxicity, and tumor lysis syndrome. Docetaxel was approved by the FDA in 1996 and is available in solution for injection for intravenous or parenteral administration.

Indication

Docetaxel is indicated as a single agent for the treatment of locally advanced or metastatic breast cancer after chemotherapy failure; and with doxorubicin and cyclophosphamide as adjuvant treatment of operable node-positive BC. It is also indicated as a single agent for locally advanced or metastatic non-small cell lung cancer (NSCLC) after platinum therapy failure; and with cisplatin for unresectable, locally advanced or metastatic untreated NSCLC. For the treatment of metastatic castration-resistant prostate cancer, docetaxel is indicated with prednisone. Docetaxel is also indicated with cisplatin and fluorouracil for untreated, advanced gastric adenocarcinoma, including the gastroesophageal junction, and with cisplatin and fluorouracil for induction treatment of locally advanced squamous cell carcinoma of the head and neck (SCCHN).

Associated Conditions
Esophageal Cancer, Ewing's Sarcoma, Locally Advanced Breast Cancer (LABC), Metastatic Bladder Cancer, Metastatic Breast Cancer, Metastatic Squamous Cell Carcinoma of the Head and Neck (HNSCC), Node Positive Breast Cancer, Ovarian Cancer Metastatic, Small Cell Lung Cancer (SCLC), Soft Tissue Sarcoma, Advanced untreated gastric adenocarcinoma, Locally advanced Squamous cell carcinoma of head and neck, Locally advanced untreated non small cell lung cancer, Metastatic untreated non small cell lung cancer, Refractory, locally advanced Non small cell lung cancer, Refractory, metastatic Non small cell lung cancer, Refractory, metastatic hormone-refractory Prostate cancer
Associated Therapies
-

Docetaxel in Treating Older Women With Metastatic Breast Cancer

Phase 2
Terminated
Conditions
First Posted Date
2005-03-04
Last Posted Date
2013-09-04
Lead Sponsor
UNICANCER
Target Recruit Count
53
Registration Number
NCT00104624
Locations
🇫🇷

Centre Henri Becquerel, Rouen, France

🇨🇭

Clinique De Genolier, Genolier, Switzerland

🇫🇷

C.H. Senlis, Senlis, France

and more 4 locations

Docetaxel With or Without PI-88 in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer

Phase 2
Completed
Conditions
Interventions
First Posted Date
2005-02-08
Last Posted Date
2022-06-27
Lead Sponsor
Cellxpert Biotechnology Corp.
Target Recruit Count
98
Registration Number
NCT00103389
Locations
🇦🇺

Alfred Hospital, Melbourne, Victoria, Australia

🇦🇺

Prince Charles Hospital, Chermside, Queensland, Australia

🇦🇺

Mater Medical Centre, South Brisbane, Queensland, Australia

and more 10 locations

Docetaxel, Gemcitabine, and Filgrastim (G-CSF) or Pegfilgrastim in Treating Patients With Advanced, Persistent, or Recurrent Uterine Leiomyosarcoma

Phase 2
Completed
Conditions
First Posted Date
2005-01-10
Last Posted Date
2014-02-14
Lead Sponsor
Gynecologic Oncology Group
Registration Number
NCT00101127
Locations
🇺🇸

Kaiser Permanente Medical Center - Los Angeles, Los Angeles, California, United States

🇺🇸

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland, United States

🇺🇸

Drexel University College of Medicine - Center City Hahnemann Campus, Philadelphia, Pennsylvania, United States

and more 57 locations

Docetaxel, Radiation Therapy, and Hormone Therapy in Treating Patients With Locally Advanced Prostate Cancer

First Posted Date
2004-12-09
Last Posted Date
2024-01-31
Lead Sponsor
Medical University of South Carolina
Target Recruit Count
20
Registration Number
NCT00099086

Trial of PI-88 With Docetaxel in Advanced Non-Small-Cell Lung Cancer (NSCLC)

Phase 2
Completed
Conditions
First Posted Date
2004-12-01
Last Posted Date
2022-06-27
Lead Sponsor
Cellxpert Biotechnology Corp.
Target Recruit Count
100
Registration Number
NCT00097851
Locations
🇦🇺

Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia

🇦🇺

Nambour General Hospital, Nambour, Queensland, Australia

🇦🇺

Prince Charles Hospital, Chermside, Queensland, Australia

and more 10 locations

Combination Chemotherapy and Radiation in Treating Patients With Stage III or IV Head and Neck Cancer (Paradigm Trial)

First Posted Date
2004-11-09
Last Posted Date
2013-11-19
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
145
Registration Number
NCT00095875
Locations
🇺🇸

Rebecca and John Moores UCSD Cancer Center, La Jolla, California, United States

🇺🇸

Albert Einstein Cancer Center at Albert Einstein College of Medicine, Bronx, New York, United States

🇺🇸

Eugene M. and Christine E. Lynn Cancer Institute at Boca Raton Community Hospital - Main Campus, Boca Raton, Florida, United States

and more 12 locations

Epirubicin and Docetaxel in Treating Patients With Metastatic Prostate Cancer

Phase 1
Terminated
Conditions
First Posted Date
2004-11-09
Last Posted Date
2018-04-10
Lead Sponsor
Medical University of South Carolina
Target Recruit Count
36
Registration Number
NCT00096304
Locations
🇺🇸

Hollings Cancer Center at Medical University of South Carolina, Charleston, South Carolina, United States

Docetaxel or Pemetrexed With or Without Cetuximab in Patients With Recurrent or Progressive Non-Small Cell Lung Cancer

First Posted Date
2004-11-02
Last Posted Date
2012-10-15
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
939
Registration Number
NCT00095199
Locations
🇨🇦

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician., St-Jerome, Quebec, Canada

Combination Chemotherapy in Treating Women Who Have Undergone Surgery for Node-Positive Breast Cancer

First Posted Date
2004-10-08
Last Posted Date
2018-01-11
Lead Sponsor
NSABP Foundation Inc
Target Recruit Count
4894
Registration Number
NCT00093795
Locations
🇺🇸

Chestnut Hill Healthcare Cancer Center, Philadelphia, Pennsylvania, United States

🇺🇸

Altru Cancer Center at Altru Hospital, Grand Forks, North Dakota, United States

🇺🇸

Providence Cancer Center, Anchorage, Alaska, United States

and more 9 locations

S9806: Combination Chemotherapy in Treating Patients With Stage IIIB or Stage IV Non-small Cell Lung Cancer

First Posted Date
2004-09-13
Last Posted Date
2012-10-08
Lead Sponsor
SWOG Cancer Research Network
Target Recruit Count
204
Registration Number
NCT00003587
Locations
🇺🇸

CCOP - Montana Cancer Consortium, Billings, Montana, United States

🇺🇸

USC/Norris Comprehensive Cancer Center, Los Angeles, California, United States

🇺🇸

Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, California, United States

and more 81 locations
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