ias, Consultant
Oncologist and Professor of Cancer medicine, University College
London. “These data confirm that women who have not had the
advantage of starting their adjuvant therapy with an aromatase
inhibitor and are currently taking tamoxifen should be switched to
anastrozole, to give them the best chance of living cancer-free for
longer. In my view women with hormone-receptor positive early
breast cancer should be offered the opportunity to receive an
aromatase inhibitor like anastrozole immediately after surgery and
chemotherapy to provide the best protection against their cancer
returning.”
Anastrozole cuts recurrence when used as initial adjuvant
therapy
These data reinforce the efficacy and tolerability benefits of
anastrozole over tamoxifen seen in the ATAC (Arimidex, Tamoxifen,
Alone or in Combination) study, which compared 5 years initial
adjuvant therapy with anastrozole versus 5 years’ tamoxifen,
and showed that prescribing anastrozole from the start
significantly reduces the risk of recurrence. There is a 26%
reduction in the risk of recurrence compared with tamoxifen,
meaning that 1 in 4 recurrences are prevented by using anastrozole
instead of tamoxifen at the start of treatment, when the risk of
recurrence is highest. [ii], [iii], [iv], [v]
Furthermore, data from ATAC show that the majority of the
recurrences and also of the serious adverse events associated with
tamoxifen occur within the first 2.5 years of treatment,
emphasising the importance of using the treatment that is more
effective and better tolerated from the outset.
Anastrozole remains the only AI to have demonstrated a superior
risk:benefit profile compared with tamoxifen over the full 5 year
treatment period and beyond, and should establish anastrozole as
the emerging gold standard of care for postmenopausal women with
early breast cancer. 2
- Ends -
Notes to editors:
* ATAC – ‘Arimidex’, Tamoxifen,
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