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Home: Oncology Leader Commentary: Kathy I. Pritchard, MD

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

First-line trials of adjuvant Arimidex
Mechanism of action of Faslodex
Faslodex intramuscular injection
Faslodex and hot flashes
Faslodex and bone metabolism
Overview data on ovarian ablation
Adjuvant Zoladex
Endocrine effects of adjuvant chemotherapy

Mechanism of action of Faslodex

Interview with Neil Love, MD from Breast Cancer Update for Medical Oncologists, Program 5 2000

Play Audio Below:

Faslodex is pretty exciting. It has been called "pure antiestrogen." I think, in fact, it’s better called an estrogen receptor down regulator. And, unlike tamoxifen and other SERMs that just get on the receptor complex and block it and block its action at some point down the chain, Faslodex actually results in total disappearance of estrogen receptor in cells so they’re down regulated, they disappear out of the cell, and potentially that has the possibility of producing even more depravation of estrogen for the breast cancer cells, and potentially even better results. And in some of the animal models, for example the xenograph models, or the tamoxifen-dependent cell lines that can be produced in animal or in vitro models, where tamoxifen or other SERMs will make breast cancer cells grow and sort of feed them, Faslodex stops them. And in addition, in some of the animal models, xenograph models, Faslodex can prevent the formation of tumors and prevent it indefinitely; whereas, other SERMs prevent it but the tumors come along later. So, I think there’s theoretical and animal model and cell line model information to suggest that Faslodex could be a step up.

Relevant Links:

Is ICI 182,780 an antiprogestin in addition to being an antiestrogen?
Zand, R. S. R.; Grass, L.; Magklara, A.; Jenkins, D. J. A., and Diamandis, E. P. (Reprint available from: Zand RSR Mt Sinai Hosp, Dept Pathol & Lab Med 600 Univ Ave Toronto ON M5G 1X5 Canada). Breast Cancer Research & Treatment. 60(1):1-8, 2000 Mar.

Selective estrogen receptor modulators: Structure, function, and clinical use [Review].
Osborne, C. K. and Fuqua, S. A. W. Journal of Clinical Oncology. 18(17):3172-3186, 2000 Sep.

Development of a novel, "pure" antiestrogen.
Howell, A.; Osborne, C. K.; Morris, C., and Wakeling, A. E. ICI 182,780 (Faslodex (TM)) -. Cancer. 89(4):817-825, 2000 Aug 15.

Similarities and distinctions in the mode of action of different classes of antioestrogens [Review].
Wakeling, A. E. Endocrine-Related Cancer. 7(1):17-28, 2000 Mar. No abstract

Approaches targeted to estrogen receptors for treatment of tamoxifen-resistant breast cancer: A brief overview.
Terakawa, N. (Reprint available from: Terakawa N Tottori Univ, Sch Med, Dept Obstet & Gynecol Yonago Tottori 683 Japan).. Oncology. 59(Suppl 1):3-4, 2000. No abstract

Treatment with the pure antiestrogen faslodex (ICI 182780) induces tumor necrosis factor receptor 1 (TNFR1) expression in MCF-7 breast cancer cells.
Smolnikar, K.; Loffek, S.; Schulz, T.; Michna, H., and Diel, P. (Reprint available from: Smolnikar K DSHS Cologne, Inst Morphol & Tumor Res Carl Diem Weg 6 D-50927 Cologne Germany). Breast Cancer Research & Treatment. 63(3):249-259, 2000 Oct. In process

Symposium overview: Estrogens and antiestrogens in managing the patient with breast cancer.
Newman, L. A.; Wood, W. C.; Sellin, R. V.; Morrow, M.; Vogel, C., and Singletary, S. E (Reprint available from: Singletary SE Univ Texas, MD Anderson Canc Ctr, Dept Surg Oncol 1515 Holcombe Blvd,Box 106 Houston, TX 77030 USA).. Annals of Surgical Oncology. 7(8):568-574, 2000 Sep. In process

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