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.