Related Experiment Video
Updated: Jun 6, 2026

Carotid Artery Infusions for Pharmacokinetic and Pharmacodynamic Analysis of Taxanes in Mice
Published on: October 27, 2014
Cabazitaxel, a new taxane with favorable properties
1Université Lyon 1, ISPB, IFR62, INSERM U590, Centre Léon Bérard, Lyon, France. cgalmarini@pharmamar.com
Abstract:
Cabazitaxel is a new taxane characterized by convenient administration, a favorable pharmacokinetic and safety profile and a decreased propensity for P-glycoprotein (Pgp)-mediated drug resistance. In preclinical studies cabazitaxel inhibited cell growth in a wide range of human cancer cell lines, including tumor models expressing Pgp. Phase I clinical trials established that the cabazitaxel side effect profile is similar to that reported for taxanes, with neutropenia and neuropathy being the most commonly reported toxicities. Further clinical studies have revealed that cabazitaxel is clinically active in women with taxaneresistant metastatic breast cancer and in men with metastatic castration-resistant prostate cancer previously treated with docetaxel. The TROPIC phase III trial concluded that, compared to mitoxantrone/prednisone, the combination cabazitaxel/prednisone conferred a statistically significantly longer overall survival in patients after treatment with a docetaxel-containing regimen, providing the basis for its FDA approval in 2010.
Insights
Cabazitaxel offers a new treatment option for advanced cancers, showing effectiveness in taxane-resistant breast and prostate cancers. Clinical trials confirm its survival benefits, particularly in men with metastatic castration-resistant prostate cancer previously treated with docetaxel.
Area of Science:
- Oncology
- Pharmacology
Background:
- Cabazitaxel is a novel taxane with improved properties over existing treatments.
- It demonstrates reduced P-glycoprotein (Pgp)-mediated drug resistance.
- Preclinical studies showed efficacy across various cancer cell lines, including Pgp-expressing tumors.
Purpose of the Study:
- To evaluate the clinical activity and safety of cabazitaxel.
- To assess cabazitaxel's efficacy in taxane-resistant metastatic breast cancer and docetaxel-pretreated metastatic castration-resistant prostate cancer.
- To compare cabazitaxel/prednisone with mitoxantrone/prednisone in the TROPIC phase III trial.
Main Methods:
- Phase I clinical trials to establish safety and side effect profiles.
- Clinical studies in patients with taxane-resistant metastatic breast cancer.
- The TROPIC phase III trial comparing cabazitaxel/prednisone to mitoxantrone/prednisone in men with metastatic castration-resistant prostate cancer.
Main Results:
- Cabazitaxel exhibits a safety profile similar to other taxanes, with neutropenia and neuropathy as common toxicities.
- Clinical activity was observed in women with taxane-resistant metastatic breast cancer.
- The TROPIC trial demonstrated significantly longer overall survival with cabazitaxel/prednisone compared to mitoxantrone/prednisone in men with metastatic castration-resistant prostate cancer.
Conclusions:
- Cabazitaxel is a clinically active agent with a manageable safety profile.
- It provides a survival benefit for patients with metastatic castration-resistant prostate cancer previously treated with docetaxel.
- Cabazitaxel's efficacy led to its FDA approval in 2010 for this indication.
Related Concept Videos
Drugs that Stabilize Microtubules
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Drugs that Destabilize Microtubules
Tumor Immunotherapy
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists

