Tamoxifen vs exemestane

Discussion in 'Prescription Cost Comparison' started by Acidic, 11-Sep-2019.

  1. gemaglabin User

    Tamoxifen vs exemestane


    uses cookies to improve performance by remembering your session ID when you navigate from page to page. Please set your browser to accept cookies to continue. This cookie stores just a session ID; no other information is captured. Accepting the NEJM cookie is necessary to use the website. Eine fünfjährige Tamoxifen-Einnahme gilt bislang als Standard in der adjuvanten Therapie des Estrogen-Rezeptor-positiven postmenopausalen Mammakarzinoms. In der Intergroup-Exemestan-Studie mit 4742 Patientinnen erhöhte ein Wechsel von Tamoxifen auf den Aromatasehemmer Exemestan nach zwei bis drei Jahren das krankheitsfreie Überleben innerhalb der nächsten drei Jahre. Standard in der adjuvanten (postoperativen) Behandlung Estrogen-Rezeptor-positiver Mammakarzinome ist eine fünfjährige Tamoxifen-Gabe. Sie senkt das Rezidivrisiko um fast die Hälfte und die Letalität um ein Viertel. Allerdings steigt mit der Dauer der Tamoxifen-Therapie das Risiko für thromboembolische Erkrankungen und Endometriumkarzinome. Außerdem kann der Tumor im Laufe der Behandlung – häufig schon nach 12 bis 18 Monaten – resistent gegenüber Tamoxifen werden, so dass Rezidive entstehen. Bei einem Brustkrebsrezidiv unter Tamoxifen sind andere Hormontherapien, wie Aromatasehemmer, häufig noch wirksam.

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    Whereas tamoxifen interferes with the ability of breast cancer cells to. One group switched to exemestane and took it for an additional 2 or 3. Dutch postmenopausal early breast cancer patients were randomized between 5 years of exemestane, or tamoxifen 2.5–3 years. The women had all undergone initial breast cancer surgery and were then randomized to receive five years of either tamoxifen or exemestane.

    The 10-year follow-up of the phase III TEAM trial has shown that exemestane alone and sequential tamoxifen/exemestane provide similar outcomes as adjuvant endocrine therapy in postmenopausal women with hormone receptor–positive early breast cancer. A prior report at a median follow-up of 5 years showed no difference between exemestane vs sequential tamoxifen and exemestane in disease-free survival. Study Details In the open-label trial, patients were randomized to 5 years of exemestane at 25 mg once daily or tamoxifen at 20 mg once a day for 2.5 to 3.0 years followed by exemestane for a total of 5 years. Of the original 9,776 patients, 6,120 (3,075 in exemestane group, 3,045 in the sequential group) were included in the current intention-to-treat analysis of disease-free survival. All patients from Japan (n = 184), France (n = 1,230), and the United States (n = 2,232) were excluded from the current analysis due to absence of long-term data. Patients included in the analysis were from the Netherlands, Germany, UK, Ireland, Belgium, and Luxembourg. Disease-Free Survival Median follow-up was 9.8 years. Disease-free survival at 10 years was 67% (95% confidence interval = 65%–69%) in the exemestane group vs 67% (95% CI = 65%–69%) in the sequential group (hazard ratio [HR] = 0.96, = .15). For premenopausal, hormone-sensitive breast cancer patients, the estrogen blocker tamoxifen is often prescribed after surgery to help prevent the cancer from returning. But new research data may change this longstanding practice since it found the aromatase inhibitor exemestane (trade name Aromasin) to be more effective this role. These findings came from a joint analysis of two phase III breast cancer clinical trials, called TEXT and SOFT, and were presented during the plenary session of the American Society of Clinical Oncology annual meeting. Reporting on the study, lead author Olivia Pagani, M. D., said that the exemestane group were 34 percent less likely than the tamoxifen group to develop a subsequent breast cancer."For years, tamoxifen has been the standard hormone therapy for preventing breast cancer recurrences in young women with hormone-sensitive disease. These results confirm that exemestane with ovarian function suppression constitutes a valid alternative," said Pagani, clinical director of the Breast Unit at the Oncology Institute of Southern Switzerland, in a press release. For this study, Pagani and her team looked at data from almost 4,700 women in both trials.

    Tamoxifen vs exemestane

    Exemestane - Wikipedia, Quality of life in relation to tamoxifen or exemestane treatment in.

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  6. Differences between the non-steroidal aromatase inhibitors anastrozole. vs tamoxifen at. and safety of exemestane vs tamoxifen after.

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    • A Randomized Trial of Exemestane after Two to Three Years of..

    Aromasin chemical name exemestane. OFS vs tamoxifen T plus OFS in premenopausal women with hormone receptor positive HR+ early breast cancer BC. Adjuvant Anastrozole vs Exemestane. Outcomes were similar among patients who received 5 years of AI therapy and those who received 2 years of tamoxifen. This medication is used to treat certain types of breast cancer such as hormone-receptor-positive breast cancer in women after menopause. Exemestane is also used to.

     
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