Paclitaxel and docetaxel are among
the most widely used chemotherapeutic
drugs against various types of cancer. However, these drugs cause
undesirable side effects as well as drug resistance. Therefore, it
is essential to develop next-generation taxoid anticancer agents with
better pharmacological properties and improved activity especially
against drug-resistant and metastatic cancers. The SAR studies by
the authors have led to the development of numerous highly potent
novel second- and third-generation taxoids with systematic modifications
at the C-2, C-10, and C-3′ positions. The third-generation
taxoids showed virtually no difference in potency against drug-resistant
and drug-sensitive cell lines. Some of the next-generation taxoids
also exhibited excellent potency against cancer stem cells. This account
summarizes concisely investigations into taxoids over 25 years based
on a strong quest for the discovery and development of efficacious
next-generation taxoids. Discussed herein are SAR studies on different
types of taxoids, a common pharmacophore proposal for microtubule-stabilizing
anticancer agents and its interesting history, the identification
of the paclitaxel binding site and its bioactive conformation, characteristics
of the next-generation taxoids in cancer cell biology, including new
aspects of their mechanism of action, and the highly efficacious tumor-targeted
drug delivery of potent next-generation taxoids.