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**Docetaxel + prednisolone** is a combination chemotherapy regimen primarily used in the treatment of metastatic castration-resistant prostate cancer (mCRPC) and metastatic hormone-sensitive prostate cancer (mHSPC). **Docetaxel** is a taxane-class chemotherapy agent that promotes and stabilizes microtubule assembly, disrupting mitosis and resulting in cell death. **Prednisolone** is a synthetic glucocorticoid used as an anti-inflammatory and immunosuppressant; in this regimen, it helps to reduce certain chemotherapy side effects and may enhance quality of life. Mechanistically, docetaxel acts as an antineoplastic by interfering with microtubule dynamics, while prednisolone exerts glucocorticoid receptor agonism, impacting gene expression and inflammatory cytokine production. This combination improves overall survival compared to earlier regimens in prostate cancer and is a standard first-line option for mCRPC. The combination is administered intravenously (docetaxel) and orally (prednisolone), typically in 3-week cycles, with dose and duration dependent on clinical protocols.
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