Abstract
Nanosomal docetaxel lipid suspension (NDLS) [DoceAqualip] is a novel formulation of docetaxel approved in India for the treatment of breast cancer, hormone-refractory prostate cancer, locally advanced squamous cell carcinoma of the head and neck, non-small cell lung cancer and advanced gastric adenocarcinoma. The lipid-based delivery system of NDLS eliminates the need for polysorbate 80 and ethanol, which are contained in the conventional docetaxel formulation and are associated with hypersensitivity reactions and infusion-related toxicities. Because of the diminished potential for NDLS to cause hypersensitivity reactions compared with conventional docetaxel, corticosteroid premedication is not required with NDLS. In a randomized trial in patients with pretreated, locally advanced or metastatic breast cancer, the overall response rate was numerically higher with NDLS than with conventional docetaxel, and post-dose adverse events in the NDLS group were considered manageable and most resolved without sequelae, despite the lack of corticosteroid premedication.
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During the peer review process, the manufacturer of NDLS was offered an opportunity to review this article. Changes resulting from comments received were made on the basis of scientific and editorial merit.
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The preparation of this review was not supported by any external funding.
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Kate McKeage is a contracted employee of Adis/Springer, is responsible for the article content and declares no relevant conflicts of interest.
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The manuscript was reviewed by: R. B. Shah, GMERS Medical College and Hospital, Gandhinagar, Gujarat, India; R. Sistla, Pharmacology and Toxicology Division, CSIR-Indian Institute of Chemical Technology (CSIR-IICT), Hyderabad, India.
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McKeage, K. Nanosomal Docetaxel Lipid Suspension: A Guide to Its Use in Cancer. Clin Drug Investig 37, 405–410 (2017). https://doi.org/10.1007/s40261-017-0510-7
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DOI: https://doi.org/10.1007/s40261-017-0510-7