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This therapeutic regimen consists of the taxane chemotherapy agent docetaxel administered weekly in combination with definitive radiotherapy and long-term androgen deprivation therapy (ADT). Developed and studied by the Medical University of South Carolina (MUSC), this multimodal combination is intended for patients with high-risk localized prostate cancer. Docetaxel acts by stabilizing microtubules, thereby inhibiting cell division and inducing apoptosis. Radiotherapy provides local control by inducing DNA damage, while ADT reduces circulating testosterone levels to inhibit the growth of androgen-sensitive prostate cancer cells. The Phase I study (NCT00115310) aimed to determine the maximum tolerated dose of weekly docetaxel when integrated into this treatment framework to improve outcomes in high-risk localized disease.
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