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Home: Oncology Leader Commentary: John F. Robertson, MD, FRCS

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

Faslodex: Mechanism of action: Tissue effects
Side effects of Faslodex
Faslodex injection

Faslodex: Downregulation of estrogen receptor
Arimidex in premenopausal patients progressing on Zoladex
Zoladex plus Arimidex as adjuvant therapy
Arimidex versus tamoxifen as first-line therapy

Side effects of Faslodex

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

Play Audio Below:

Dr. Robertson: The side effects in Faslodex — actually it’s a very good profile. You get one or two patients who get hot flashes, but much less than with tamoxifen, has been my experience, and we’ve probably treated well over 100 patients with Faslodex. We’ve probably given as many patients Faslodex as any one center in the world, and what we found is that not many patients get hot flashes but there are some who do, but it’s very small.

Dr. Love: What would be the theoretical explanation as to why Faslodex would not cause hot flashes and say a drug like tamoxifen or raloxifene would?

Dr. Robertson: Faslodex is not thought cross the blood-brain-barrier.

Relevant Articles

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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