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- W2013094952 abstract "Aromatase Inhibitors as Adjuvant Therapy Adjuvant hormonal therapy significantly improves disease-free and overall survival in patients with stage I, II, or III breast cancer and hormone receptor–positive tumors.1,2 For some time, 5 years of adjuvant tamoxifen has been the gold standard. However, recent results from studies evaluating the third generation aromatase inhibitors (AIs) as adjuvant therapy in postmenopausal women have challenged the primacy of tamoxifen for this group of patients.3-14 In patients with advanced-stage breast cancer, the third generation nonsteroidal AIs anastrozole and letrozole as well as the steroidal inactivator exemestane have been found superior to megestrol acetate as second-line therapy15-21 and at least equivalent (and possibly superior) to tamoxifen as first-line therapy.21-25 Based on these results, several clinical trials have evaluated or are currently evaluating AIs as adjuvant therapy in postmenopausal patients with early-stage breast cancer. In the adjuvant setting, AIs have demonstrated activity in 3 distinct clinical scenarios. In the first, an AI was compared with tamoxifen as initial adjuvant hormonal therapy in patients with resected operable breast cancer.3-5 The ATAC (Arimidex, Tamoxifen, Alone or in Combination) trial demonstrated that 5 years of anastrozole significantly improved disease-free survival (DFS) when compared with 5 years of tamoxifen.3,4 More recently, the BIG (Breast Intergroup) 1-98 trial also demonstrated similar benefit for 5 years of letrozole compared with 5 years of tamoxifen.5 In the second scenario, an AI was compared with tamoxifen in patients who had already received 2-3 years of adjuvant tamoxifen.6-10 In 3 randomized trials (the IES [Intergroup Exemestane Study] trial,6,7 the ABCSG [Austrian Breast and Colorectal Cancer Study Group]–8/ARNO [ArimidexNSABP B-42: A Clinical Trial to Determine the Efficacy of Five Years of Letrozole Compared with Placebo in Patients Completing Five Years of Hormonal Therapy Consisting of an Aromatase Inhibitor (AI) or Tamoxifen Followed by an AI in Prolonging Disease-Free Survival in Postmenopausal Women with Hormone Receptor–Positive Breast Cancer" @default.
- W2013094952 created "2016-06-24" @default.
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- W2013094952 date "2006-12-01" @default.
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- W2013094952 title "NSABP B-42: A Clinical Trial to Determine the Efficacy of Five Years of Letrozole Compared with Placebo in Patients Completing Five Years of Hormonal Therapy Consisting of an Aromatase Inhibitor (AI) or Tamoxifen Followed by an AI in Prolonging Disease-Free Survival in Postmenopausal Women with Hormone Receptor—Positive Breast Cancer" @default.
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- W2013094952 doi "https://doi.org/10.3816/cbc.2006.n.061" @default.
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