Docetaxel (Taxotere) in the treatment of solid tumors other than breast and lung cancer. 1995

S B Kaye
Department of Medical Oncology, Beatson Oncology Centre, Western Infirmary, Glasgow, UK.

Docetaxel (Taxotere; Rhône-Poulenc Rorer, Antony, France) has been widely studied in phase II trials in Europe and in the United States in a range of solid tumors. This review examines its activity in diseases other than breast and lung cancer (which are reviewed elsewhere in this supplement). Seventeen separate trials in eight tumor types have been reviewed, including almost 500 evaluable cases. All studies involved the same schedule, ie, docetaxel 100 mg/m2 given over 1 hour every 3 weeks. Significant activity has been seen in several diseases. Response rates in ovarian cancer range from 17% to 37% (according to extent of prior therapy); in gastric and pancreatic cancer, response rates of 26% and 29% have been reported, despite the fact that these diseases are notoriously resistant to chemotherapy. Other tumor types in which activity has been seen include head and neck cancer (32% response rate), melanoma (17%), and soft tissue sarcoma (18%). With regard to toxicity, a major feature has been the development of fluid retention and skin toxicity; efforts to ameliorate this with premedication are under way. For the future, trials will examine combination schedules and will also assess the drug's activity compared with paclitaxel. Current data suggest that it possesses antitumor efficacy that is at least as broad, and there are examples in which preliminary information indicates superiority.

UI MeSH Term Description Entries
D009369 Neoplasms New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms. Benign Neoplasm,Cancer,Malignant Neoplasm,Tumor,Tumors,Benign Neoplasms,Malignancy,Malignant Neoplasms,Neoplasia,Neoplasm,Neoplasms, Benign,Cancers,Malignancies,Neoplasias,Neoplasm, Benign,Neoplasm, Malignant,Neoplasms, Malignant
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000077143 Docetaxel A semisynthetic analog of PACLITAXEL used in the treatment of locally advanced or metastatic BREAST NEOPLASMS and NON-SMALL CELL LUNG CANCER. Docetaxel Anhydrous,Docetaxel Hydrate,Docetaxel Trihydrate,Docetaxol,N-Debenzoyl-N-tert-butoxycarbonyl-10-deacetyltaxol,NSC 628503,RP 56976,RP-56976,Taxoltere Metro,Taxotere,N Debenzoyl N tert butoxycarbonyl 10 deacetyltaxol,RP56976
D000972 Antineoplastic Agents, Phytogenic Agents obtained from higher plants that have demonstrable cytostatic or antineoplastic activity. Antineoplastics, Botanical,Antineoplastics, Phytogenic,Agents, Phytogenic Antineoplastic,Botanical Antineoplastics,Phytogenic Antineoplastic Agents,Phytogenic Antineoplastics
D017239 Paclitaxel A cyclodecane isolated from the bark of the Pacific yew tree, TAXUS BREVIFOLIA. It stabilizes MICROTUBULES in their polymerized form leading to cell death. 7-epi-Taxol,Anzatax,Bris Taxol,NSC-125973,Onxol,Paclitaxel, (4 alpha)-Isomer,Paxene,Praxel,Taxol,Taxol A,7 epi Taxol,NSC 125973,NSC125973,Taxol, Bris
D017322 Clinical Trials, Phase II as Topic Works about studies that are usually controlled to assess the effectiveness and dosage (if appropriate) of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques. These studies are performed on several hundred volunteers, including a limited number of patients with the target disease or disorder, and last about two years. This concept includes phase II studies conducted in both the U.S. and in other countries. Drug Evaluation, FDA Phase 2 as Topic,Drug Evaluation, FDA Phase II as Topic,Evaluation Studies, FDA Phase 2 as Topic,Evaluation Studies, FDA Phase II as Topic
D043823 Taxoids A group of diterpenoid CYCLODECANES named for the taxanes that were discovered in the TAXUS tree. The action on MICROTUBULES has made some of them useful as ANTINEOPLASTIC AGENTS. Taxanes,Taxoid

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