Studien |
Studie |
Serm |
Vergleich |
Patienten |
Bemerkungen |
NSABP-P1 (7) |
20mg Tamoxifen 5a |
Placebo |
13.388 |
ER-positive Tumoren werden reduziert (HR 0,51). ER-negative Tumoren nicht beeinflusst. |
IBIS-I (5,6) |
20mg Tamoxifen 5a |
Placebo |
7.139 |
ER-positive Tumoren werden reduziert (HR 0,73). ER-negative Tumoren nicht beeinflusst. |
Marsden (3,4) |
20mg Tamoxifen 8a |
Placebo |
2.471 |
ER-positive Tumoren werden reduziert (HR 0,78). ER-negative Tumoren nicht beeinflusst. |
Veronesi (9,10) |
20mg Tamoxifen 5a |
Placebo |
5.408 |
Tumoren werden reduziert (HR 0,84). High-risk: HR 0,24. Nach postmenopausaler Östrogengabe: HR 0,43 |
NSABP STAR (14,15) |
60mg Raloxifen 5a |
20mg Tamoxifen |
19.747 |
Mehr invasive Karzinome unter Raloxifen (HR 1,24). Mehr DCIS unter Raloxifen. |
NCIC-CTG-MAP.3 (1) |
25 mg Exemestan 5a |
Placebo |
4.560 |
ER-positive Tumoren werden reduziert (HR 0,35). ER-negative Tumoren nicht beeinflusst. |
IBIS-II (20,22) |
1 mg Anastrozol 5a |
20mg Tamoxifen |
3.864 |
Mehr invasive Karzinome unter Tamoxifen (HR 0,47). ER-negative Tumoren nicht beeinflusst.
| MORE (23) |
Raloxifene |
Placebo |
7,705 |
| CORE (24) |
Raloxifene |
Placebo |
7,705 |
| RUTH (25) |
Raloxifene |
Placebo |
10,101 |
| PEARL (26) |
Lasofoxifene |
Placebo |
5,704 |
| Generations (27, 28) |
Arzoxifene |
Placebo |
9,354 |
|
|
Quellen |
1.) Goss PE, et al.:
Exemestane for breast-cancer prevention in postmenopausal women.
NEJM 364(2011): 2381–91
2.) Cuzick J, et al.:
Selective oestrogen receptor modulators in prevention of breast cancer: an updated meta-analysis of individual participant data.
Lancet 2013; e-pub before print: doi: 10.1016/S0140-6736(13)60140-3.
3.) Powles T, et al.:
Interim analysis of the incidence of breast cancer in the Royal Marsden Hospital tamoxifen randomised chemoprevention trial.
Lancet 352 (1998): 98–101
4.) Powles TJ, et al.:
Twenty-year follow-up of the Royal Marsden randomized, double-blinded tamoxifen breast cancer prevention trial.
J Natl Cancer Inst 99 (2007): 283–290
5.) Cuzick J, et al.:
First results from the International Breast Cancer Intervention Study (IBIS-I): a randomised prevention trial.
Lancet 360 (2002): 817–824
6.) Cuzick J, et al.:
Long-term results of tamoxifen prophylaxis for breast cancer—96-month follow-up of the randomized IBIS-I trial.
J Natl Cancer Inst 99 (2007): 272–282
7.) Fisher B, et al.:
Tamoxifen for prevention of breast cancer: report of the National Surgical Adjuvant Breast and Bowel Project P-1 Study.
J Natl Cancer Inst, 90 (1998): 1371–1388
8.) Fisher B, et al.:
Tamoxifen for the prevention of breast cancer: current status of the National Surgical Adjuvant Breast and Bowel Project P-1 study.
J Natl Cancer Inst 97 (2005):1652–1662
9.) Veronesi U, et al.:
Prevention of breast cancer with tamoxifen: preliminary findings from the Italian randomised trial among hysterectomised women. Italian Tamoxifen Prevention Study.
Lancet 352 (1998): 93–97
10.) Veronesi U, et al.:
Tamoxifen for the prevention of breast cancer: late results of the Italian Randomized Tamoxifen Prevention Trial among women with hysterectomy.
J Natl Cancer Inst 99 (2007): 727–737
11.) Cauley JA, et al.:
Continued breast cancer risk reduction in postmenopausal women treated with raloxifene: 4-year results from the MORE trial. Multiple outcomes of raloxifene evaluation.
Breast Cancer Res Treat 65 (2001):125–134
12.) Martino S, et al.:
Continuing outcomes relevant to Evista: breast cancer incidence in postmenopausal osteoporotic women in a randomized trial of raloxifene.
J Natl Cancer Inst 96 (2004): 1751–1761
13.) Barrett-Connor E, et al.:
Effects of raloxifene on cardiovascular events and breast cancer in postmenopausal women.
N Engl J Med 355 (2006): 125–137
14.) Vogel VG, et al.:
Effects of tamoxifen vs raloxifene on the risk of developing invasive breast cancer and other disease outcomes: the NSABP Study of Tamoxifen and Raloxifene (STAR) P-2 Trial.
JAMA, 295 (2006): 2727–2741
15.)Vogel VG, et al.:
Update of the National Surgical Adjuvant Breast and Bowel Project Study of Tamoxifen and Raloxifene (STAR) P-2 Trial: preventing breast cancer.
Cancer Prev Res 3 (2010): 696–706
16.) Cummings SR, et al.:
Lasofoxifene in postmenopausal women with osteoporosis.
N Engl J Med 362 (2010): 686–696
17.) LaCroix AZ, et al.:
Breast cancer incidence in the randomized PEARL trial of lasofoxifene in postmenopausal osteoporotic women.
J Natl Cancer Inst 102 (2010): 1706–1715
18.) Cummings SR, et al.:
Arzoxifene for prevention of fractures and invasive breast cancer in postmenopausal women.
J Bone Miner Res 26 (2011): 397–404
19.) Powles TJ, et al.:
Breast cancer incidence in postmenopausal women with osteoporosis or low bone mass using arzoxifene.
Breast Cancer Res Treat 134 (2012): 299–306
20.) Cuzick J:
Aromatase inhibitors in prevention—data from the ATAC (arimidex, tamoxifen alone or in combination) trial and the design of IBIS-II (the second International Breast Cancer Intervention Study).
Recent Results Cancer Res 163 (2003): 96–103
21.) Goss PE, et al.:
Exemestane for breast-cancer prevention in postmenopausal women.
N Engl J Med 364 (2011): 2381–2391
22.) Cuzick J, et al.:
Anastrozole for prevention of breast cancer in high-risk postmenopausal women (IBIS-II): An international, double-blind, randomised placebo-controlled trial.
Lancet 383(2014):1041-8. doi: 10.1016/S0140-6736(13)62292-8
23.) Cauley JA, Norton L, Lippman ME, et al.:
Continued breast cancer risk reduction in postmenopausal women treated with raloxifene: 4-year results from the MORE trial.
Breast Cancer Res Treat 2001;65:125-34. [Erratum, Breast Cancer Res Treat 2001; 67:191.]
24.) Martino S, Cauley JA, Barrett-Connor E, et al.:
Continuing outcomes relevant to Evista: breast cancer incidence in postmenopausal osteoporotic women in a randomized trial of raloxifene.
J Natl Cancer Inst 2004;96:1751-61
25.) Barrett-Connor E, Mosca L, Collins P, et al.:
Effects of raloxifene on cardiovascular events and breast cancer in postmenopausal women.
N Engl J Med 2006;355:125-37.
26.) LaCroix AZ, Powles T, Osborne CK, et al.:
Breast cancer incidence in the randomized PEARL trial of lasofoxifene in postmenopausal osteoporotic women.
J Natl Cancer Inst 2010;102: 1706-15.
27.) Cummings SR, McClung M, Reginster JY, et al.:
Arzoxifene for prevention of fractures and invasive breast cancer in postmenopausal women.
J Bone Miner Res 2011;26:397-404.
28.) Powles TJ, Diem SJ, Fabian CJ, et al.:
Breast cancer incidence in postmenopausal women with osteoporosis or low bone mass using arzoxifene.
Breast Cancer Res Treat 2012;134:299-306.
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