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Home: Oncology Leader Commentary: Gershon Locker, MD

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

Trials of first line Arimidex
Choosing first-line endocrine therapy in postmenopausal patients
Vasomotor symptoms and Arimidex
Mechanisms of resistance to endocrine therapy
Tamoxifen rechallenge versus Arimidex
Aromatase inhibitors when adjuvant tamoxifen is contraindicated
ATAC adjuvant trial: Arimidex vs Tamoxifen vs the Combination

Vasomotor symptoms and Arimidex

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

Play Audio Below:

Although the data is that you get hot flashes on Arimidex, it’s pretty rare - at least pretty rare that patients complain of them to me. I think the only thing that is seen, unusually, but is seen is perhaps a little bit of queasiness. But, otherwise it’s quite well tolerated - it’s extremely well tolerated. There should be gynecologic symptoms, and in the studies there are, but they don’t tend to be a big an issue. Now, that maybe, because virtually every woman in my practice on Arimidex other than those on the ATAC trial or the trial we are talking about, they all had tamoxifen before hand, and so they’ve come off tamoxifen and gone on Arimidex. And, so perhaps by comparison, anything they get gynecologically or hot flash-wise seems so much less as to not be worthy of mention. But, my clinical experience with the drug and, I’ve put a lot of patients on it, is that other than perhaps some rare queasiness, it’s pretty free of symptoms.

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.

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