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Updated: May 3, 2026

Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
Taxanes, past, present, and future impact on non-small cell lung cancer
Monika Joshi1, Xin Liu, Chandra P Belani
1Department of Medicine, Division of Medical Oncology, Penn State College of Medicine, Hershey, Pennsylvania, USA.
Abstract:
Taxanes are novel microtubule-stabilizing agents and have shown efficacy in non-small cell lung cancer (NSCLC) since the 1990s. Paclitaxel and docetaxel have been used either as single agents or in combination with a platinum compound. The newer generation albumin-bound taxane, nab-paclitaxel, has also shown similar efficacy in advanced NSCLC, both as a single agent and in combination with a platinum compound. Nab-paclitaxel, being Cremophor EL free, appears to have a better toxicity profile than paclitaxel. Taxane/platinum combinations still remain the foundation of treatment for advanced or metastatic NSCLC. Docetaxel and paclitaxel as single agents have also shown efficacy in the second-line setting in advanced/metastatic NSCLC. Oral formulations of paclitaxel and docetaxel are of great interest, but have yet to receive regulatory approval in this disease. The phase I-II trials have shown that these formulations are feasible in the clinical setting.
Insights
Taxanes, including paclitaxel and docetaxel, are effective treatments for non-small cell lung cancer (NSCLC). Newer formulations like nab-paclitaxel offer improved toxicity profiles, maintaining taxane/platinum combinations as a cornerstone therapy.
Area of Science:
- Oncology
- Pharmacology
Background:
- Taxanes have demonstrated efficacy in non-small cell lung cancer (NSCLC) since the 1990s.
- Paclitaxel and docetaxel are established taxane agents, often used with platinum compounds.
- Albumin-bound paclitaxel (nab-paclitaxel) represents a newer generation with a potentially improved toxicity profile.
Purpose of the Study:
- To review the role and efficacy of taxanes in advanced or metastatic non-small cell lung cancer.
- To compare the efficacy and toxicity profiles of different taxane formulations.
- To discuss the potential of oral taxane formulations in NSCLC treatment.
Main Methods:
- Literature review of clinical trials and studies on taxane-based therapies for NSCLC.
- Analysis of data regarding single-agent and combination therapies.
- Evaluation of toxicity profiles and emerging formulations.
Main Results:
- Taxane/platinum combinations remain a standard treatment for advanced/metastatic NSCLC.
- Nab-paclitaxel shows comparable efficacy to traditional taxanes with a better safety profile.
- Single-agent docetaxel and paclitaxel are effective in the second-line setting.
- Early-phase trials suggest feasibility of oral taxane formulations.
Conclusions:
- Taxanes, particularly in combination with platinum agents, are crucial in advanced NSCLC management.
- Nab-paclitaxel offers a favorable alternative due to its improved tolerability.
- Oral taxane formulations represent a promising future direction pending regulatory approval.
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