Paclitaxel (Taxol, Abraxane, Onxol)

Other Medications · Approved since 1992

US FDA Approved EU EMA Approved ES Hospital use other indication IV 54 Clinical Trials

Description

Paclitaxel is a taxane chemotherapy agent derived from the Pacific yew tree that functions as a microtubule-stabilizing drug used in various solid tumors including colorectal cancer. In CRC, paclitaxel is primarily utilized in metastatic settings as part of combination regimens or in refractory disease when standard fluoropyrimidine-based therapies have failed. It is often combined with other agents like carboplatin or targeted therapies in clinical trial settings for advanced colorectal malignancies. The drug may be considered across different molecular subtypes of CRC, including KRAS, NRAS, and BRAF mutated tumors.

Mechanism of Action

Paclitaxel binds to the ?-tubulin subunit of microtubules and promotes their assembly while preventing depolymerization, effectively stabilizing the microtubule structure. This disruption of normal microtubule dynamics prevents proper chromosome segregation during mitosis, leading to mitotic arrest and subsequent apoptosis in rapidly dividing cancer cells. The drug's mechanism is cell cycle-specific, primarily affecting cells in the G2/M phase.

Side Effects

Peripheral neuropathy Neutropenia Fatigue Nausea Vomiting Diarrhea Alopecia Myalgias Arthralgias

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

Clinical Trials

NCT07223047 Phase 1
Recruiting
A Study to Evaluate the Safety, Tolerability, and Efficacy of BMS-986523 Alone and in Combination With Anti-Cancer Agents in Participants With Advanced Solid Malignancies
United States, Canada, Spain
NCT07216105 Phase 1
Recruiting
FT836 With or Without Chemotherapy and/or Monoclonal Antibodies, in Participants With Advanced Solid Tumors
United States
NCT07020221 Phase 1
Recruiting
A Phase 1/2 Study of VS-7375 in Patients With KRAS G12D-Mutated Solid Tumors
United States, Australia
NCT06943820 Phase 1
Recruiting
AK129 Combination Therapy for Advanced Solid Tumors
China
NCT07007559 Phase 1/Phase 2
Recruiting
ASPEN-09: A Study of Evorpacept in Combination With Anti-cancer Therapies in Advanced / Metastatic Malignancies
United States
NCT06917079 Phase 1
Recruiting
BBO-11818 in Adult Subjects With KRAS Mutant Cancer
United States, Australia
View all 54 clinical trials →