PMID- 7909941 OWN - NLM STAT- MEDLINE DCOM- 19940609 LR - 20181130 VI - 36 Suppl 1 DP - 1994 TI - Taxoids: a new class of cytotoxic agents. PG - S25-8 AB - Taxoids (paclitaxel and docetaxel) are a new class of cytotoxic agents. Their mechanism of action (enhanced polymerization of tubulin and inhibition of its depolymerization) acts thereby as mitotic spindle inhibitors. Significant experimental antitumor activity, although more marked with docetaxel, has been observed with both agents. Their main side-effects are reversible non cumulative neutropenia and alopecia; significant hypersensitivity reactions using cortico-steroids antiHT1/2 premedication are seen in < 5% of patients receiving paclitaxel as a pulsed (3 h) infusion; neurotoxicity appears dose-related; docetaxel can induce a peculiar skin toxicity often associated with edema. Paclitaxel at the recommended dose of 175 mg/m2 achieves responses in 20-30% of patients with relapsed ovarian carcinoma; its activity in advanced breast cancer although significant is clearly dose-related with an optimal dose still debatable; responses are observed in approximately 30% of patients with non small cell lung cancer (NSCLC). Docetaxel (100 mg/2) is active in first line treatment of advanced breast cancer (50-72% RR) as well as 2nd line treatment (> 40% RR); an activity in the range of that observed with paclitaxel is reported in NSCLC. FAU - Marty, M AU - Marty M AD - Service d'Oncologie Medicale, Hopital Saint Louis, Paris, France. FAU - Extra, J M AU - Extra JM FAU - Giacchetti, S AU - Giacchetti S FAU - Cuvier, C AU - Cuvier C FAU - Espie, M AU - Espie M LA - eng PT - Journal Article PT - Review PL - Germany TA - Nouv Rev Fr Hematol (1978) JT - Nouvelle revue francaise d'hematologie JID - 7909092 RN - 0 (Antineoplastic Agents, Phytogenic) RN - 0 (Taxoids) RN - 15H5577CQD (Docetaxel) RN - P88XT4IS4D (Paclitaxel) SB - IM MH - Animals MH - Antineoplastic Agents, Phytogenic/classification/*therapeutic use/toxicity MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Docetaxel MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Humans MH - Neoplasms/drug therapy MH - Paclitaxel/*analogs & derivatives/*therapeutic use/toxicity MH - *Taxoids RF - 17 EDAT- 1994/01/01 00:00 MHDA- 1994/01/01 00:01 CRDT- 1994/01/01 00:00 PHST- 1994/01/01 00:00 [pubmed] PHST- 1994/01/01 00:01 [medline] PHST- 1994/01/01 00:00 [entrez] PST - ppublish SO - Nouv Rev Fr Hematol (1978). 1994;36 Suppl 1:S25-8.