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.
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).
Centre Henri Becquerel, Rouen, France
Clinique De Genolier, Genolier, Switzerland
C.H. Senlis, Senlis, France
Alfred Hospital, Melbourne, Victoria, Australia
Prince Charles Hospital, Chermside, Queensland, Australia
Mater Medical Centre, South Brisbane, Queensland, Australia
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
Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
Nambour General Hospital, Nambour, Queensland, Australia
Prince Charles Hospital, Chermside, Queensland, Australia
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
Hollings Cancer Center at Medical University of South Carolina, Charleston, South Carolina, United States
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
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
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
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