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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

Zoladex plus Arimidex as adjuvant therapy

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

Play Audio Below:

There’s a trial that’s been started in Austria which has been looking at Zoladex plus Arimidex as an adjuvant therapy. The randomization is to Zoladex plus tamoxifen or Zoladex plus Arimidex. The basis for that is there was a study presented at ASCO last year whereby patients were randomized either to CMF or to Zoladex plus tamoxifen. This was in premenopausal, ER-positive patients. And what it showed was that the early recurrence-free survival curves were in favor of the endocrine arm. And so they have taken that as the control arm for the next study, and they’re now comparing Zoladex plus tamoxifen to Zoladex plus Arimidex.

Relevant Articles

Combined endocrine treatment of elderly postmenopausal patients with metastatic breast cancer - A randomized trial of tamoxifen vs. tamoxifen plus aminoglutethimide and hydrocortisone and tamoxifen plu fluoxymesterone in women above 65 years of age.
Rose, C.; Kamby, C.; Mouridsen, H. T.; Andersson, M.; Bastholt, L.; Moller, K. A.; Andersen, J.; Munkholm, P.; Dombernowsky, P., and Christensen, I. J. (Reprint available from: Rose C Odense Univ Hosp, Dept Oncol DK-5000 Odense C Denmark). Breast Cancer Research & Treatment. 61(2):103-110, 2000 May.

Activity of exemestane in metastatic breast cancer after failure of nonsteroidal aromatase inhibitors: A phase II trial.
Lonning, P. E.; Bajetta, E.; Murray, R.; Tubiana-Hulin, M.; Eisenberg, P. D. Mickiewicz, E.; Celio, L.; Pitt, P.; Mita, M.; Aaronson, N. K.; Fowst, C.; Arkhipov, A.; di Salle, E.; Polli, A., and Massimini, G. Journal of Clinical Oncology. 18(11):2234-2244, 2000 Jun.

Exemestane is superior to megestrol acetate after tamoxifen failure in postmenopausal women with advanced breast cancer: Results of a phase III randomized double-blind trial.
Kaufmann, M.; Bajetta, E.; Dirix, L. Y.; Fein, L. E.; Jones, S. E.; Zilembo, N.; Dugardyn, J. C.; Nasurdi, C.; Mennel, R. G.; Cervek, J.; Fowst, C.; Polli, A.; di Salle, E.; Arkhipov, A.; Piscitelli, G.; Miller, L. L., and Massimini, G. Journal of Clinical Oncology. 18(7):1399-1411, 2000 Apr.

Cellular responses of mammary carcinomas to aromatase inhibitors: Effects of vorozole. Breast.
Christov, K.; Shilkaitis, A.; Green, A.; Mehta, R. G.; Grubbs, C.; Kelloff, G., and Lubet, R. (Reprint available from: Christov K Univ Illinois, Dept Surg Oncol 840 S Wood St,M-C 820 Chicago, IL 60612 USA). Cancer Research & Treatment. 60(2):117-128, 2000 Mar.

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.

Formestane is feasible and effective in elderly breast cancer patients with comorbidity and disability.
Venturino, A.; Comandini, D.; Granetto, C.; Audisio, R. A.; Castiglione, F.; Rosso, R., and Repetto, L. (Reprint available from: Venturino A PO S Lazzaro, Via P Belli 26 I-12051 Alba CN Italy). Breast Cancer Research & Treatment. 62(3):217-222, 2000 Aug. In process

Critique of survival update analysis from two phase III anastrozole clinical trials.
Buzdar, A. U.; Wood; Wolter; Vogel; Bland, and Ravdin. Annals of Surgical Oncology. 6(8 Suppl S):8S-11S, 1999 Dec. No abstract

Letrozole: Which dose to be used?
Buzdar, A. U. Journal of Clinical Oncology. 18(8):1802-1803, 2000 Apr. No abstract

Combined treatment with buserelin and tamoxifen in premenopausal metastatic breast cancer: A randomized study.
Klijn, J. G. M.; Beex LVAM; Mauriac, L.; van Zijl, J. A.; Veyret, C.; Wildiers, J.; Jassem, J. Piccart, M.; Burghouts, J.; Becquart, D.; Seynaeve, C.; Mignolet, F., and Duchateau, L. (Reprint available from: Klijn JGM Dr Daniel den Hoed Klin, Rotterdam Canc Inst, Dept Med Oncol Groene Hilledijk 301 NL-3075 EA Rotterdam Netherlands). Journal of the National Cancer Institute. 92(11):903-911, 2000 Jun 7.

Prevention of rat mammary carcinoma utilizing leuprolide as an equivalent to oophorectomy.
Jett, E. A.; Lerner, M. R.; Lightfoot, S. A.; Hanas, J. S.; Brackett, D. J., and Hollingsworth, A. B. (Reprint available from: Hollingsworth AB Mercy Hosp, Womens Ctr 4300 McAuley Blvd Oklahoma City, OK 73120 USA). Breast Cancer Research & Treatment. 58(2):131-136, 1999 Nov.

Combined endocrine therapy for breast cancer - New life for an old idea?
Davidson, N. E. (Reprint available from: Davidson NE Johns Hopkins Oncol Ctr 1650 Orleans St,Rm 409 Baltimore, MD 21231 USA). Journal of the National Cancer Institute 92(11):859-860, 2000 Jun 7. No abstract

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.

Age-related variation in the treatment and outcomes of patients with breast carcinoma
Golledge, J.; Wiggins, J. E., and Callam, M. J.. Cancer. 88(2):369-374, 2000 Jan 15.

Relevant Clinical Trials:

Phase II Study of Exemestane and Goserelin in Premenopausal Women With Hormone Receptor Positive Metastatic Breast Cancer

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