The taxanes are a new group of anticancer agents with a novel mechanis
m of action. They promote microtubule assembly and stabilize the micro
tubules. Paclitaxel (Taxol), the first agent in this group in clinical
trials was isolated from the Pacific yew, Tarts brevifolia in 1971. B
oth in preclinical and clinical studies, paclitaxel and its semisynthe
tic analog docetaxel exhibit significant antitumor activity. This revi
ew will provide an overview of the clinical experience with the group
of anti-microtubular agents, the taxanes in pediatric oncology.