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
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Combination Chemotherapy in Treating Patients With Locally Advanced or Metastatic Cancer of the Pancreas

Phase 2
Completed
Conditions
First Posted Date
2004-08-04
Last Posted Date
2023-06-15
Lead Sponsor
Eastern Cooperative Oncology Group
Registration Number
NCT00003810
Locations
🇺🇸

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

and more 7 locations

Docetaxel, Cisplatin, and Amifostine in Treating Patients With Advanced Non-small Cell Lung Cancer

First Posted Date
2004-07-26
Last Posted Date
2013-12-04
Lead Sponsor
University of Wisconsin, Madison
Registration Number
NCT00004264
Locations
🇺🇸

University of Wisconsin Comprehensive Cancer Center, Madison, Wisconsin, United States

Docetaxel in Treating Patients With Stage IV Prostate Cancer

Phase 2
Completed
Conditions
First Posted Date
2004-07-22
Last Posted Date
2017-04-28
Lead Sponsor
OHSU Knight Cancer Institute
Target Recruit Count
25
Registration Number
NCT00003781
Locations
🇺🇸

OHSU Knight Cancer Institute, Portland, Oregon, United States

Combination Chemotherapy in Treating Patients With Stage IIB, Stage III, or Stage IV Cancer of the Nasopharynx

Phase 2
Conditions
First Posted Date
2004-07-19
Last Posted Date
2009-02-09
Lead Sponsor
Dana-Farber Cancer Institute
Registration Number
NCT00004164
Locations
🇺🇸

Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

Gefitinib, Trastuzumab, and Docetaxel in Treating Patients With Metastatic Breast Cancer

First Posted Date
2004-07-12
Last Posted Date
2017-02-27
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
31
Registration Number
NCT00086957
Locations
🇺🇸

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

and more 3 locations

Docetaxel and Erlotinib in Treating Older Patients With Prostate Cancer

First Posted Date
2004-07-12
Last Posted Date
2020-08-03
Lead Sponsor
Jonsson Comprehensive Cancer Center
Target Recruit Count
1
Registration Number
NCT00087035
Locations
🇺🇸

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

GTI-2040, Docetaxel, and Prednisone in Treating Patients With Prostate Cancer

Phase 2
Completed
Conditions
First Posted Date
2004-07-12
Last Posted Date
2021-04-28
Lead Sponsor
University Health Network, Toronto
Target Recruit Count
22
Registration Number
NCT00087165
Locations
🇨🇦

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

and more 2 locations

Docetaxel and Gemcitabine in Treating Patients With Stage IIIB or Stage IV Non-small Cell Lung Cancer

Phase 2
Completed
Conditions
Interventions
First Posted Date
2004-06-24
Last Posted Date
2016-07-13
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
106
Registration Number
NCT00003762
Locations
🇺🇸

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

and more 14 locations

S0217, Adjuvant Cisplatin and Docetaxel After Complete Resection Stage III or IV Head and Neck Cancer

First Posted Date
2004-06-11
Last Posted Date
2012-06-14
Lead Sponsor
SWOG Cancer Research Network
Registration Number
NCT00084435
Locations
🇺🇸

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

and more 26 locations
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