Paclitaxel and docetaxel are two key molecules in the treatment of a variet
y of cancers with major impact in the treatment of breast, lung and ovarian
cancers.
A number of taxoids have then been synthesized in an effort to improve some
of the features of the existing drugs. Although the literature is still sc
ant of preclinical data due to the highly competitive field, several compou
nds are already in clinical trials. Most of these will be reviewed and have
, either improved water solubility or reduced cross-resistance with markete
d taxoids or reduced interaction with P-glycoprotein.
In addition, the reduced recognition of several compounds by multi-drug-res
istance-related transport systems has yielded some orally bioavailable comp
ounds with marked in vivo antitumor activity.
It is likely that these additional properties should lead to an expanded sp
ectrum of clinical activity compared to that of clinically available taxoid
s.