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).
Lombardi Comprehensive Cancer Center at Georgetown University, Washington, District of Columbia, United States
Greater Baltimore Medical Center and Cancer Center, Baltimore, Maryland, United States
New England Medical Center Hospital, Boston, Massachusetts, United States
Johns Hopkins Oncology Center, Baltimore, Maryland, United States
University of Wisconsin Comprehensive Cancer Center, Madison, Wisconsin, United States
OHSU Knight Cancer Institute, Portland, Oregon, United States
Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
Tower Cancer Research Foundation, Beverly Hills, California, United States
City of Hope Comprehensive Cancer Center, Duarte, California, United States
Hematology Oncology Consultants-Hemet, Hemet, California, United States
Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai Medical Center, Los Angeles, California, United States
Jonsson Comprehensive Cancer Center at UCLA, Los Angeles, California, United States
University Cancer Center at University of Washington Medical Center, Seattle, Washington, United States
Ottawa Hospital Regional Cancer Centre - General Campus, Ottawa, Ontario, Canada
London Regional Cancer Program at London Health Sciences Centre, London, Ontario, Canada
British Columbia Cancer Agency - Vancouver Cancer Centre, Vancouver, British Columbia, Canada
CCOP - Scottsdale Oncology Program, Scottsdale, Arizona, United States
CCOP - Metro-Minnesota, Saint Louis Park, Minnesota, United States
CCOP - Geisinger Clinical and Medical Center, Danville, Pennsylvania, United States
University of Mississippi Medical Center, Jackson, Mississippi, United States
Grant Riverside Cancer Services, Columbus, Ohio, United States
USC/Norris Comprehensive Cancer Center and Hospital, Los Angeles, California, United States
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