Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C47H51NO14 |
Molecular Weight | 853.9061 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 11 / 11 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC(=O)O[C@@H]1C2=C(C)[C@H](C[C@@](O)([C@@H](OC(=O)C3=CC=CC=C3)[C@@H]4[C@@]5(CO[C@@H]5C[C@H](O)[C@@]4(C)C1=O)OC(C)=O)C2(C)C)OC(=O)[C@H](O)[C@@H](NC(=O)C6=CC=CC=C6)C7=CC=CC=C7
InChI
InChIKey=RCINICONZNJXQF-MZXODVADSA-N
InChI=1S/C47H51NO14/c1-25-31(60-43(56)36(52)35(28-16-10-7-11-17-28)48-41(54)29-18-12-8-13-19-29)23-47(57)40(61-42(55)30-20-14-9-15-21-30)38-45(6,32(51)22-33-46(38,24-58-33)62-27(3)50)39(53)37(59-26(2)49)34(25)44(47,4)5/h7-21,31-33,35-38,40,51-52,57H,22-24H2,1-6H3,(H,48,54)/t31-,32-,33+,35-,36+,37+,38-,40-,45+,46-,47+/m0/s1
Molecular Formula | C47H51NO14 |
Molecular Weight | 853.9061 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | |
Defined Stereocenters | 11 / 11 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
Paclitaxel is a mitotic inhibitor used in cancer chemotherapy. It was discovered in a US National Cancer Institute program at the Research Triangle Institute in 1967 when Monroe E. Wall and Mansukh C. Wani isolated it from the bark of the Pacific yew tree, Taxus brevifolia and named it taxol. Later it was discovered that endophytic fungi in the bark synthesize paclitaxel. When it was developed commercially by Bristol-Myers Squibb (BMS), the generic name was changed to paclitaxel and the BMS compound is sold under the trademark Taxol. In this formulation, paclitaxel is dissolved in Kolliphor EL and ethanol, as a delivery agent. Taxol is marketed for the treatment of Breast cancer; Gastric cancer; Kaposi's sarcoma; Non-small cell lung cancer; Ovarian cancer. A newer formulation, in which paclitaxel is bound to albumin, is sold under the trademark Abraxane. Paclitaxel is a taxoid antineoplastic agent indicated as first-line and subsequent therapy for the treatment of advanced carcinoma of the ovary, and other various cancers including breast cancer. Paclitaxel is a novel antimicrotubule agent that promotes the assembly of microtubules from tubulin dimers and stabilizes microtubules by preventing depolymerization. This stability results in the inhibition of the normal dynamic reorganization of the microtubule network that is essential for vital interphase and mitotic cellular functions. In addition, paclitaxel induces abnormal arrays or "bundles" of microtubules throughout the cell cycle and multiple asters of microtubules during mitosis. Used in the treatment of Kaposi's sarcoma and cancer of the lung, ovarian, and breast. Abraxane® is specfically indicated for the treatment of metastatic breast cancer and locally advanced or metastatic non-small cell lung cancer. Paclitaxel interferes with the normal function of microtubule growth. Whereas drugs like colchicine cause the depolymerization of microtubules in vivo, paclitaxel arrests their function by having the opposite effect; it hyper-stabilizes their structure. This destroys the cell's ability to use its cytoskeleton in a flexible manner. Specifically, paclitaxel binds to the β subunit of tubulin. Tubulin is the "building block" of mictotubules, and the binding of paclitaxel locks these building blocks in place. The resulting microtubule/paclitaxel complex does not have the ability to disassemble. This adversely affects cell function because the shortening and lengthening of microtubules (termed dynamic instability) is necessary for their function as a transportation highway for the cell. Chromosomes, for example, rely upon this property of microtubules during mitosis. Further research has indicated that paclitaxel induces programmed cell death (apoptosis) in cancer cells by binding to an apoptosis stopping protein called Bcl-2 (B-cell leukemia 2) and thus arresting its function.
CNS Activity
Originator
Approval Year
PubMed
Title | Date | PubMed |
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Phase II clinical trials of cisplatin-then-paclitaxel and paclitaxel-then-cisplatin in patients with previously untreated advanced epithelial ovarian cancer. | 2000 Dec |
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Doxorubicin and paclitaxel in advanced breast carcinoma: importance of prior adjuvant anthracycline therapy. | 2000 Dec 1 |
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A paclitaxel-containing chemotherapy does not cause central nervous adverse effects: a prospective study in patients with ovarian cancer. | 2000 Sep-Oct |
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Doxorubicin and paclitaxel in the treatment of advanced breast cancer: efficacy and cardiac considerations. | 2001 |
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The pharmacokinetics and pharmacodynamics of high-dose paclitaxel monotherapy (825 mg/m2 continuous infusion over 24 h) with hematopoietic support in women with metastatic breast cancer. | 2001 |
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Drug approval summaries: arsenic trioxide, tamoxifen citrate, anastrazole, paclitaxel, bexarotene. | 2001 |
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In vivo metabolism of epothilone B in tumor-bearing nude mice: identification of three new epothilone B metabolites by capillary high-pressure liquid chromatography/mass spectrometry/tandem mass spectrometry. | 2001 |
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High affinity binding of paclitaxel to human serum albumin. | 2001 Apr |
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Management of recurrent juvenile granulosa cell tumor of the ovary. | 2001 Apr |
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Recurrent metastatic fallopian tube carcinoma in pregnancy. | 2001 Apr |
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HPV16-E6 enhances mitoxantrone sensitivity in a human ovarian cancer line: an isolated instance or a trend? | 2001 Apr |
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Cell cycle-related changes in regulatory volume decrease and volume-sensitive chloride conductance in mouse fibroblasts. | 2001 Apr |
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Connexin 43 (cx43) enhances chemotherapy-induced apoptosis in human glioblastoma cells. | 2001 Apr 1 |
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Peroxisome proliferator-activated receptor gamma ligands suppress the transcriptional activation of cyclooxygenase-2. Evidence for involvement of activator protein-1 and CREB-binding protein/p300. | 2001 Apr 13 |
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Regional drug delivery with radiation for the treatment of Ewing's sarcoma. In vitro development of a taxol release system. | 2001 Apr 2 |
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Taxol-induced cell cycle arrest and apoptosis: dose-response relationship in lung cancer cells of different wild-type p53 status and under isogenic condition. | 2001 Apr 26 |
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Biweekly gemcitabine, doxorubicin, and paclitaxel as first-line treatment in metastatic breast cancer. Final results from a phase II trial. | 2001 Feb |
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Gemcitabine, paclitaxel, and trastuzumab in metastatic breast cancer. | 2001 Feb |
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Gemcitabine plus cisplatin in breast cancer. | 2001 Feb |
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Phytochemistry and medicinal plants. | 2001 Feb |
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Membrane macrophage colony-stimulating factor on MADB106 breast cancer cells does not activate cytotoxic macrophages but immunizes rats against breast cancer. | 2001 Feb |
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Isolation of cortical MTs from tobacco BY-2 cells. | 2001 Feb |
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Selective drug resistant human osteosarcoma cell lines. | 2001 Feb |
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Changes in glycosylation during Drosophila development. The influence of ecdysone on hemomucin isoforms. | 2001 Feb |
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Disruption of microtubular cytoskeleton induced by cryptogein, an elicitor of hypersensitive response in tobacco cells. | 2001 Feb |
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Involvement of Asp-Glu-Val-Asp-directed, caspase-mediated mitogen-activated protein kinase kinase 1 Cleavage, c-Jun N-terminal kinase activation, and subsequent Bcl-2 phosphorylation for paclitaxel-induced apoptosis in HL-60 cells. | 2001 Feb |
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Study of multi-drug resistant mechanisms in a taxol-resistant hepatocellular carcinoma QGY-TR 50 cell line. | 2001 Feb 9 |
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Cisplatin and vinorelbine as second-line chemotherapy in patients with advanced non-small cell lung cancer (NSCLC) resistant to taxol plus gemcitabine. | 2001 Feb-Mar |
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Neurotoxicity associated with a regimen of carboplatin (AUC 5-6) and paclitaxel (175 mg/m2 over 3 h) employed in the treatment of gynecologic malignancies. | 2001 Jan |
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Tumor cell-derived TGF-beta and IL-10 dysregulate paclitaxel-induced macrophage activation. | 2001 Jan |
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Opposite effects of microtubule-stabilizing and microtubule-destabilizing drugs on biogenesis of mitochondria in mammalian cells. | 2001 Jan |
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Pretreatment with paclitaxel enhances apo-2 ligand/tumor necrosis factor-related apoptosis-inducing ligand-induced apoptosis of prostate cancer cells by inducing death receptors 4 and 5 protein levels. | 2001 Jan 15 |
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Taxane-antibody conjugates afford potent cytotoxicity, enhanced solubility, and tumor target selectivity. | 2001 Jan 15 |
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Antitumor synergy of CV787, a prostate cancer-specific adenovirus, and paclitaxel and docetaxel. | 2001 Jan 15 |
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Dispersion of cyclin B mRNA aggregation is coupled with translational activation of the mRNA during zebrafish oocyte maturation. | 2001 Jan 15 |
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Stimulation of taxol production and excretion in Taxus spp cell cultures by rare earth chemical lanthanum. | 2001 Jan 23 |
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Increased p53 phosphorylation after microtubule disruption is mediated in a microtubule inhibitor- and cell-specific manner. | 2001 Jan 4 |
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Enhanced taxol production and release in Taxus chinensis cell suspension cultures with selected organic solvents and sucrose feeding. | 2001 Jan-Feb |
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The role of actin filaments and microtubules in hepatocyte spheroid self-assembly. | 2001 Mar |
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Dynamic events are differently mediated by microfilaments, microtubules, and mitogen-activated protein kinase during porcine oocyte maturation and fertilization in vitro. | 2001 Mar |
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Effects of stathmin inhibition on the mitotic spindle. | 2001 Mar |
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Phase II trial of paclitaxel and carboplatin in metastatic small-cell lung cancer: a Groupe Français de Pneumo-Cancérologie study. | 2001 Mar 1 |
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Activation of caspase-8 in drug-induced apoptosis of B-lymphoid cells is independent of CD95/Fas receptor-ligand interaction and occurs downstream of caspase-3. | 2001 Mar 1 |
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Effects of emulsifiers on the controlled release of paclitaxel (Taxol) from nanospheres of biodegradable polymers. | 2001 Mar 12 |
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Paclitaxel restores radiation-induced apoptosis in a bcl-2-expressing, radiation-resistant lymphoma cell line. | 2001 Mar 15 |
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Insulin-like growth factor-I receptor antagonism results in increased cytotoxicity of breast cancer cells to doxorubicin and taxol. | 2001 Mar-Apr |
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Inhibition of telomerase activity as a measure of tumor cell killing by cisplatin in squamous cell carcinoma cell line. | 2001 Mar-Apr |
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P-glycoprotein efflux pump expression and activity in Calu-3 cells. | 2001 May |
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Regulation of stress-responsive mitogen-activated protein (MAP) kinase pathways by TAO2. | 2001 May 11 |
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Regulation of BRCA1 and BRCA2 transcript in response to cisplatin, adriamycin, taxol and ionising radiation is correlated to p53 functional status in ovarian cancer cell lines. | 2001 May-Jun |
Patents
Sample Use Guides
For previously untreated patients with carcinoma of the ovary, one of the following recommended regimens may be given every 3 weeks. a.TAXOL (PACLITAXEL) administered intravenously over 3 hours at a dose of 175 mg/m2 followed by cisplatin at a dose of 75 mg/m2; or b.TAXOL (PACLITAXEL) administered intravenously over 24 hours at a dose of 135 mg/m2 followed by cisplatin at a dose of 75 mg/m2 2) In patients previously treated with chemotherapy for carcinoma of the ovary, the recommended regimen is TAXOL (PACLITAXEL) 135 mg/m2 or 175 mg/m2 administered intravenously over 3 hours every 3 weeks.
Route of Administration:
Intravenous
Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Oct 21 20:43:31 UTC 2019
by
admin
on
Mon Oct 21 20:43:31 UTC 2019
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Record UNII |
P88XT4IS4D
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Record Status |
Validated (UNII)
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Record Version |
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Classification Tree | Code System | Code | ||
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FDA ORPHAN DRUG |
270208
Created by
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FDA ORPHAN DRUG |
50190
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NDF-RT |
N0000175085
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LIVERTOX |
730
Created by
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FDA ORPHAN DRUG |
394813
Created by
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NCI_THESAURUS |
C67437
Created by
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EU-Orphan Drug |
EU/3/06/422
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FDA ORPHAN DRUG |
454014
Created by
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WHO-VATC |
QL01CD01
Created by
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FDA ORPHAN DRUG |
594217
Created by
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FDA ORPHAN DRUG |
469915
Created by
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FDA ORPHAN DRUG |
103497
Created by
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FDA ORPHAN DRUG |
186404
Created by
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FDA ORPHAN DRUG |
482015
Created by
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NDF-RT |
N0000175592
Created by
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FDA ORPHAN DRUG |
278309
Created by
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WHO-ESSENTIAL MEDICINES LIST |
8.2
Created by
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FDA ORPHAN DRUG |
384912
Created by
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FDA ORPHAN DRUG |
104797
Created by
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FDA ORPHAN DRUG |
454114
Created by
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EMA ASSESSMENT REPORTS |
PAXENE (WITHDRAWN: OVARIAN NEOPLASMS)
Created by
admin on Mon Oct 21 20:43:31 UTC 2019 , Edited by admin on Mon Oct 21 20:43:31 UTC 2019
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CFR |
21 CFR 516.1684
Created by
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FDA ORPHAN DRUG |
290709
Created by
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FDA ORPHAN DRUG |
252907
Created by
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NCI_THESAURUS |
C1490
Created by
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WHO-ATC |
L01CD01
Created by
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EMA ASSESSMENT REPORTS |
ABRAXANE (AUTHORIZED: PANCREATIC NEOPLASMS)
Created by
admin on Mon Oct 21 20:43:31 UTC 2019 , Edited by admin on Mon Oct 21 20:43:31 UTC 2019
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FDA ORPHAN DRUG |
291009
Created by
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EMA ASSESSMENT REPORTS |
PAXENE (WITHDRAWN: CARCINOMA, NON-SMALL-CELL LUNG)
Created by
admin on Mon Oct 21 20:43:31 UTC 2019 , Edited by admin on Mon Oct 21 20:43:31 UTC 2019
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FDA ORPHAN DRUG |
141701
Created by
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FDA ORPHAN DRUG |
280409
Created by
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Code System | Code | Type | Description | ||
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33069-62-4
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D017239
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33069-62-4
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CHEMBL428647
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33069-62-4
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DB01229
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2770
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PRIMARY | |||
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7052
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PRIMARY | |||
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PACLITAXEL
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PRIMARY | |||
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56946
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33069-62-4
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SUB09583MIG
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C1411
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PRIMARY | |||
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36314
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PRIMARY | |||
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M8351
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PRIMARY | Merck Index | ||
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C495179
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PRIMARY | |||
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486610
Created by
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ALTERNATIVE |
Related Record | Type | Details | ||
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TRANSPORTER -> SUBSTRATE | |||
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TRANSPORTER -> INHIBITOR | |||
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METABOLIC ENZYME -> INDUCER | |||
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TRANSPORTER -> INHIBITOR | |||
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TRANSPORTER -> INHIBITOR | |||
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TRANSPORTER -> INDUCER |
Paclitaxel activates pregnane X receptor (PXR)
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METABOLIC ENZYME -> SUBSTRATE | |||
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TRANSPORTER -> SUBSTRATE | |||
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TRANSPORTER -> SUBSTRATE | |||
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METABOLIC ENZYME -> INDUCER |
Paclitaxel activates pregnane X receptor (PXR)
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TRANSPORTER -> SUBSTRATE | |||
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BINDER->LIGAND |
BINDING
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Related Record | Type | Details | ||
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PRODRUG -> METABOLITE ACTIVE | |||
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METABOLITE -> PARENT |
In vitro studies with human liver microsomes and tissue slices showed that paclitaxel was metabolized primarily to 6α-hydroxypaclitaxel by CYP2C8; and to two minor metabolites, 3'-p-hydroxypaclitaxel and 6α, 3'-p-dihydroxypaclitaxel, by CYP3A4.
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Related Record | Type | Details | ||
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IMPURITY -> PARENT | |||
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IMPURITY -> PARENT | |||
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IMPURITY -> PARENT | |||
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IMPURITY -> PARENT |
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ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Biological Half-life | PHARMACOKINETIC |
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