Docetaxel

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Docetaxel (molecular formula: C43H53NO14) is an intravenously administered cytostatic, lipophilic active ingredient (mitosis inhibitor) from the taxane group for the treatment of various types of cancer. Docetaxel can be regarded as a derivative of paclitaxel and differs from it structurally in two positions. The active ingredient is present in the drug as docetaxel trihydrate. It is produced semi-synthetically from ingredients of the European yew (paclitaxel is mainly extracted from the Pacific yew ). Docetaxel is a substrate of CYP3A.

Pharmacodynamics (Effect)
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The effects are based, analogous to those of paclitaxel, on a disruption of the microtubule network, which leads to an inhibition of mitosis and thus to an inhibition of cell division.

Indication
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  • Breast Cancer
  • Non-small cell lung cancer
  • Prostate carcinoma
  • gastric adenocarcinoma
  • Squamous cell carcinomas in the ENT area

Undesirable effects
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Among the most common possible adverse effects of the drug are digestive disorders, fatigue, pain, skin rash, hair loss, infectious diseases and blood count disorders (bone marrow toxicity).

Preparations
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Taxotere®; Generics

Literature
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  1. Graefe KH et al. non-selective cytotoxic chemotherapeutics (cytostatics) In: Graefe KH et al (Eds) Pharmacology and Toxicology. Georg Thieme Publisher Stuttgart S 672

Outgoing links (3)

Microtubules; Pacific yew; Paclitaxel;

Authors

Last updated on: 29.10.2020