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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

Overview

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.

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

Clinical Trials

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Title
Posted
Study ID
Phase
Status
Sponsor
2022/09/23
Phase 2
Completed
2022/09/16
Phase 1
Terminated
2022/09/15
Phase 2
Recruiting
2022/09/14
Phase 3
Recruiting
ECOG-ACRIN Cancer Research Group
2022/08/26
Phase 1
Recruiting
2022/08/09
Not Applicable
Recruiting
2022/08/01
Phase 2
Recruiting
2022/07/26
Phase 3
Withdrawn
2022/07/18
Phase 2
Terminated
2022/07/18
Phase 2
Recruiting
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School

FDA Approved Products

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HSA Approved Products

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NMPA Approved Products

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PPB Approved Products

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Reg. Date
HK-68551
Part 1, Schedule 1 & Schedule 3 Poison
POM
2025/01/21
HK-62738
Part 1, Schedule 1 & Schedule 3 Poison
POM
2014/04/11
HK-68552
Part 1, Schedule 1 & Schedule 3 Poison
POM
2025/01/21

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