Docetaxel (Taxotere, Docefrez)

Other Medications · Approved since 1996

US FDA Approved EU EMA Approved ES Hospital use off-label in CRC IV 25 Clinical Trials
β-tubulin microtubules

Description

Docetaxel is a semi-synthetic taxane chemotherapy agent that belongs to the antimicrotubule class of cytotoxic drugs. In colorectal cancer, docetaxel is primarily used in salvage therapy for patients with metastatic disease who have progressed on standard fluoropyrimidine-based regimens. It is often combined with other agents such as gemcitabine in relapsed or refractory metastatic colorectal adenocarcinoma. Docetaxel represents a second or third-line treatment option when patients have exhausted more established chemotherapy combinations.

Mechanism of Action

Docetaxel binds to the ?-tubulin subunit of microtubules and promotes microtubule assembly while preventing depolymerization, leading to the formation of stable, non-functional microtubule bundles. This disruption of normal microtubule dynamics arrests cells in the G2/M phase of the cell cycle and ultimately triggers apoptosis. The drug's cytotoxic effect is particularly pronounced in rapidly dividing cancer cells that are more dependent on proper microtubule function for successful mitosis.

Molecular Targets

Side Effects

Neutropenia Peripheral neuropathy Fatigue Fluid retention Alopecia Diarrhea Stomatitis Nail changes

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT07415031 Phase 2
Recruiting
A Solid Tumor Study for Long Term Treatment of Cancer Patients Who Participated in Adagrasib Studies
United States, Australia, Belgium, Canada, China, France, Germany, Greece, Hunga
NCT06943820 Phase 1
Recruiting
AK129 Combination Therapy for Advanced Solid Tumors
China
NCT06241456 Phase 1
Recruiting
FT825/ONO-8250, an Off-the-Shelf, HER2 CAR-T, With or Without Monoclonal Antibodies in Advanced Solid Tumors
United States
NCT05719558 Phase 1
Recruiting
A Study of ASP1002 in Adults for Treatment of Solid Tumors
United States
NCT05382559 Phase 1
Recruiting
A Study of ASP3082 in Adults With Advanced Solid Tumors
United States, China, France, Japan, Puerto Rico, South Korea, Spain
NCT05176483 Phase 1
Recruiting
Study of Zanzalintinib in Combination With Immuno-Oncology or Other Agents in Participants With Solid Tumors
United States, Australia, Austria, Belgium, France, Germany, Israel, Italy, New
View all 25 clinical trials →