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Home: Oncology Leader Commentary: Charles Loprinzi, MD

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

Clonidine for hot flashes
Physiology of hot flashes
Quality of life impact of hot flashes
Incidence of vasomotor symptoms in breast cancer patients
Soy, Vitamin E for hot flashes
Progestins for hot flashes
Estrogen for hot flashes
Dosing of progestins
Venlafaxine for hot flashes
Current trials of management of hot flashes
Soy for hot flashes

Soy for hot flashes

Interview with Neil Love, MD from Breast Cancer Update for Medical Oncologists, Program 4 2000

Play Audio Below:

We published the first, you know, large, I’ll say well designed placebo controlled trial looking at that, and saw nothing at all. If you then go and look at the pilot studies, and look pretty carefully, there is not a whole lot there, there is not a whole lot there. They say about…there is a significant reduction in hot flashes, compared to baseline, compared to what they saw with soy. Well, we’ve shown that there is about a 25% reduction with placebo, and they weren’t talking about a whole lot more than that. Now there have been a couple of other placebo controlled trials out there, and some of them reported a little bit of benefit, but the amount of benefit is small and even the soy group of promoters are admitting now that whatever they are seeing is not very much there. So, hopefully, we’ll sort things out. We’ve talked to some of the other groups who have published things to try to do a meta-analysis to look together. There are a lot of different soy preparations. We went out there, got Archer’s Daniel Midland, had them do a tablet form instead of having people drink soy milk – we didn’t think they would tolerate that as well – and maybe the preparation we chose was not ideal. So maybe there is another soy product that works, but it remains to be proven of that and I think the end result is going to be that there is really not much there, but there might be another product that might do something.

Relevant Articles:

Mammographic density changes in perimenopausal and postmenopausal women: is effect of hormone replacement therapy predictable?
Sterns, E. E. and Zee, B. Breast Cancer Research & Treatment. 59(2):125-132, 2000 Jan.

Menopausal estrogen and estrogen-progestin replacement therapy and breast cancer risk.
Schairer, C.; Lubin, J.; Troisi, R.; Sturgeon, S.; Brinton, L., and Hoover, R.. Jama: Journal of the American Medical Association. 283(4):485-491, 2000 Jan 26.

Effect of hormone replacement therapy on breast cancer risk: Estrogen versus estrogen plus progestin.
Ross, R. K.; Paganini-Hill, A.; Wan, P. C., and Pike, M. C. (Reprint available from: Ross RK Univ So Calif, Kenneth Norris Jr Comprehens Canc Ctr 1441 Eastlake Ave,Rm 8302B Los Angeles, CA 90089 USA).. Journal of the National Cancer Institute. 92(4):328-332, 2000 Feb 16.

Hormone replacement therapy in relation to risk of lobular and ductal breast carcinoma in middle-aged women
Li, C. I.; Weiss, N. S.; Stanford, J. L., and Daling, J. R.. Cancer. 88(11):2570-2577, 2000 Jun 1.

Hormone replacement therapy and breast cancer [Review].
Jacobs, H. S. Endocrine-Related Cancer. 7(1):53-61, 2000 Mar.

Biopsy confirmed benign breast disease, postmenopausal use of exogenous female hormones, and breast carcinoma risk.
Byrne, C.; Connolly, J. L.; Colditz, G. A., and Schnitt, S. J.. Cancer. 89(10):2046-2052, 2000 Nov 15.

Postmenopausal estrogens - Opposed, unopposed, or none of the above
Willett, W. C.; Colditz, G., and Stampfer, M. (Reprint available from: Willett WC Harvard Univ, Sch Publ Hlth, Dept Nutr 667 Huntington Ave Boston, MA 02115 USA).. Jama: Journal of the American Medical Association. 283(4):534-535, 2000 Jan 26. No abstract

Re: Effect of hormone replacement therapy on breast cancer risk: Estrogen versus estrogen plus progestin
Archer, D. F.; Bush, T., and Nachtigall, L. E. (Reprint available from: Nachtigall LE NYU, Sch Med, Dept Obstet & Gynecol 251 E 33rd St New York, NY 10016 USA).. Journal of the National Cancer Institute. 92(23):1950-1951, 2000 Dec 6. No abstract

 

Research on complementary/alternative medicine for patients with breast cancer: A review of the biomedical literature.
Jacobson, J. S.; Workman, S. B., and Kronenberg, F. Journal of Clinical Oncology. 18(3):668-683, 2000 Feb.

Evaluation of soy phytoestrogens for the treatment of hot flashes in breast cancer survivors: A North Central Cancer Treatment Group trial.
Quella, S. K.; Loprinzi, C. L.; Barton, D. L.; Knost, J. A.; Sloan, J. A.; LaVasseur, B. I.; Swan, D.; Krupp, K. R.; Miller, K. D., and Novotny, P. J. Journal of Clinical Oncology. 18(5):1068-1074, 2000 Mar.

Estrogen deficiency: In search of symptom control and sexuality.
Loprinzi, C. L. and Barton, D. Journal of the National Cancer Institute. 92(13):1028-1029, 2000 Jul 5. No abstract

Managing menopausal symptoms in breast cancer survivors: Results of a randomized controlled trial.
Ganz, P. A.; Greendale, G. A.; Petersen, L.; Zibecchi, L.; Kahn, B., and Belin, T. R. Journal of the National Cancer Institute. 92(13):1054-1064, 2000 Jul 5.

Relevant Clinical Trials:

Phase III Randomized Study of Hormone Replacement Therapy in Menopausal or Perimenopausal Women with Prior Stage O-II Breast Cancer

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