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Home: Oncology Leader Commentary: Aman Buzdar, MD

Click on the topic below for comments by Dr Aman Buzdar to comment on. You will also find links to related articles and clinical trials.

Arimidex as first-line therapy
Toxicity profile of Arimidex
Choice of first-line endocrine therapy for postmenopausal patients
Neoadjuvant anastrozole
ATAC adjuvant trial: Arimidex vs Tamoxifen vs the Combination
Adjuvant tamoxifen in low-risk patients
Adjuvant tamoxifen in premenopausal patients
Adjuvant tamoxifen in patients with DCIS

Toxicity profile of Arimidex

Interview with Neil Love, MD from Breast Cancer Update for Medical Oncologists, Program 1 2000

Play Audio Below:

It is relatively inert compound, that it doesn’t have its own intrinsic any hormonal property. So it didn’t have any thromboembolic complication, which was seen with the tamoxifen. It almost to 50% lowered risk of thromboembolic complications and also since it doesn’t have an agonistic effect on the endometrium,- so that the risk of vaginal bleeding in a postmenopausal woman which causes quite a bit, even though we think it is a minor inconvenience. But when a woman has postmenopausal bleeding it requires extensive evaluation; number of times patients are having pap smear, patient may need endometrial biopsy, patients get ultrasound and all kind of things to make sure the patient doesn’t have endometrial cancer, and those are also substantially reduced.

Relevant Articles:

Anastrozole versus tamoxifen as first-line therapy for advanced breast cancer in 668 postmenopausal women: Results of the tamoxifen or arimidex randomized group efficacy and tolerability study. Bonneterre, J.; Thurlimann, B.; Robertson, J. F. R.; Krzakowski, M.; Mauriac, L.; Koralewski, P.; Vergote, I.; Webster, A.; Steinberg, M., and von Euler, M. Journal of Clinical Oncology. 18(22):3748-3757, 2000 Nov 15.

Anastrozole is superior to tamoxifen as first-line therapy for advanced breast cancer in postmenopausal women: Results of a North American multicenter randomized trial. Nabholtz, J. M.; Buzdar, A.; Pollak, M.; Harwin, W.; Burton, G.; Mangalik, A.; Steinberg, M.; Webster, A., and von Euler, M. Journal of Clinical Oncology. 18(22):3758-3767, 2000 Nov 15.

Assessment of quality of life in women undergoing hormonal therapy for breast cancer: validation of an endocrine symptom subscale for the FACT-B.
Fallowfield LJ. Leaity SK. Howell A. Benson S. Cella D. Breast Cancer Research & Treatment. 55(2):189-99, 1999.

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