Cabazitaxel

Cabazitaxel 2D
Brand name: Jevtana
IUPAC: (1S,2S,3R,4S,7R,9S,10S,12R,15S)-4-(acetyloxy)-15-{[(2R,3S)-3-{[(tert-butoxy)carbonyl]amino}-2-hydroxy-3-phenylpropanoyl]oxy}-1-hydroxy-9,12-dimethoxy-10,14,17,17-tetramethyl-11-oxo-6-oxatetracyclo[11.3.1.0³,¹⁰.0⁴,⁷]heptadec-13-en-2-yl benzoate
FDA approval: Yes
Usage:

Jevtana is given through a vein (intravenously, IV). There is no pill form of Jevtana. You will take a corticosteroid pill, prednisone, twice a day, every day while being treated with Jevtana. You will be given pre-medications about 30 minutes prior to each Jevtana infusion.  This is to decrease the risk of having a reaction to the Jevtana。

Mechanism:

Jevtana is a microtubule inhibitor.  Microtubules are essential to cell division, and taxanes, such as Jevtana, stabilize a particular type of protein in the microtubule, thereby inhibiting the process of cell division.  This prevention of cell/division/growth ultimately results in cell death. 

Side effects:

Side effects include black, tarry stools,bleeding gums,bloating or swelling of the face, arms, hands, lower legs, or feet,blood in the urine or stools,burning/numbness/tingling/painful sensations,chest pain,chills,cough,difficult or labored breathing,difficult or painful urination,fever,lower back or side pain,pale skin,pinpoint red spots on the skin,rapid weight gain,sore throat,sores/ulcers/white spots on the lips or in the mouth,swollen glands,tightness in the chest,unsteadiness or awkwardness,unusual bleeding or bruising,unusual tiredness or weakness,unusual weight gain or loss,weakness in the arms, hands, legs, or feet。