Drug intelligence / Profile preview

docetaxel + ketoconazole

Development stage
Unknown
Lead developer
Sanofi
Modality
Small Molecules
Administration
Intravenous, Oral
01

Overview

Docetaxel + ketoconazole is a combination therapy investigated primarily for the treatment of advanced or metastatic castration-resistant prostate cancer. Docetaxel is a taxane-class chemotherapeutic agent that inhibits microtubule depolymerization, thereby disrupting cell division and inducing apoptosis in cancer cells. Ketoconazole, an antifungal agent, also acts as a second-line hormonal therapy in prostate cancer by inhibiting steroidogenesis through cytochrome P450 enzyme (CYP17A1) inhibition. The combination has been studied due to potential synergistic antitumor effects and pharmacokinetic interactions; ketoconazole can increase docetaxel exposure by inhibiting its metabolism via CYP3A4. Clinical studies have shown significant antitumor activity with this regimen, though dose-limiting toxicities such as neutropenia and fatigue have been observed[1][2][3].

Brand names
TaxotereNizoral
Other names
Docetaxel and Ketoconazole
02

Targets

TUBB (Tubulin (alpha and beta subunits))CYP17A1 (Steroid 17-alpha-hydroxylase/C17,20 lyase)CYP3A4 (Cytochrome P450 3A4)

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