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. 2005 Jul 12;93(2):173–177. doi: 10.1038/sj.bjc.6602698

Table 2. Investigated areas of improvement of docetaxel-based chemotherapy.

Area of improvement Outcome
Weekly schedules Alternative for patients at high risk for myelotoxic complications
PK Interindividual variability can be decreased by phenotypic individualised dosing
  Most predictive phenotyping probe controversial
  Practical disadvantages of phenotyping in oncology practice
  TDM requires investigation
Reversal of resistance ABCB1-modulating agents insufficiently reverse (multi)drug resistance due to multiple resistance mechanisms
Oral administration Oral administration feasible upon pharmacologic modulation
  Second-generation oral taxanes likely to prevail
Second-generation taxanes In clinical phase I/II development; also oral drugs
Alternative formulations Alternative formulations in preclinical phase
  Introduction not foreseen in near future
Pharmacogenomics and pharmacogenetics Sufficiently powered trials necessary to determine clinical relevance

PK=pharmacokinetics; TDM=therapeutic drug monitoring.