20 years of taxane therapy in prostate cancer - the past, present and future

Marc Carceles-Cordon1, Veronica Rodriguez-Bravo1,2, Daniel P Petrylak3

  • 1Urology Department, Mayo Clinic, Rochester, MN, USA.

Nature Reviews. Urology
|November 10, 2025
PubMed

Insights

Taxane therapy, including docetaxel, has been a breakthrough in advanced prostate cancer treatment for 20 years. New evidence confirms taxanes improve survival in combination therapies for early-stage prostate cancer.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Taxane therapy, specifically docetaxel, received FDA approval for advanced prostate cancer treatment in 2004.
  • This marked a significant advancement, showing a non-antiandrogen agent could improve patient survival.
  • Recent findings reinforce taxanes' efficacy, particularly when combined with androgen-targeting therapy in early-stage metastatic hormone-sensitive prostate cancer.

Purpose of the Study:

  • To provide an updated analysis of taxanes' role in prostate cancer treatment.
  • To explore the mechanisms underlying taxane effectiveness.
  • To discuss strategies for overcoming taxane resistance in prostate cancer therapy.

Main Methods:

  • Review of pivotal studies and clinical trials on taxane therapy in prostate cancer.
  • Analysis of pharmacological data and mechanisms of action for taxanes.
  • Examination of resistance mechanisms and potential therapeutic targets.

Main Results:

  • Taxane therapy, including docetaxel, is a gold standard and mainstay in prostate cancer treatment.
  • Combination therapy with taxanes and androgen-targeting agents improves survival in early-stage metastatic hormone-sensitive prostate cancer.
  • Understanding taxane resistance mechanisms is crucial for developing novel therapeutic strategies.

Conclusions:

  • Taxanes play a pivotal role in improving survival outcomes for prostate cancer patients.
  • Further research into taxane resistance mechanisms can lead to more effective treatment strategies.
  • Taxane-based therapies remain a cornerstone in the management of prostate cancer.

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