Adjuvant aminoglutethimide for postmenopausal patients with primary breast cancer: analysis at 8 years.

作者: A L Jones , T J Powles , M Law , A Tidy , D Easton

DOI: 10.1200/JCO.1992.10.10.1547

关键词:

摘要: PURPOSEThe study purpose was to evaluate aminoglutethimide (AG) as adjuvant therapy in patients with primary node-positive breast cancer a randomized double-blind placebo-controlled trial.PATIENTS AND METHODSIn multicenter trial, 354 postmenopausal women early and histologically confirmed positive axillary lymph nodes were after surgery received aminoplac. Patients prescribed either AG 250 mg four times per day hydrocortisone 20 twice or placebos of identical appearance for 2 years.RESULTSAfter median follow-up 8.1 years, there has been no overall benefit terms event-free survival (OS). However, the results are consistent interim analyses significantly improved who up 4 although this subsequently disappears. Similarly, is an OS but also disappears...

参考文章(13)
R Charles Coombes, Trevor J Powles, Douglas Easton, Clair Chilvers, Hubert T Ford, Ian E Smith, McKinna A, Harvey White, John Bradbeer, John Yarnold, Anthony Nash, Radka Bettelheim, Mitch Dowsett, Jean-Claude Gazet, Investigators of the Collaborative Breast Cancer Project, Adjuvant Aminoglutethimide Therapy for Postmenopausal Patients with Primary Breast Cancer Cancer Research. ,vol. 47, pp. 2494- 2497 ,(1987)
David R. Cox, Regression Models and Life-Tables Springer Series in Statistics. ,vol. 34, pp. 527- 541 ,(1992) , 10.1007/978-1-4612-4380-9_37
A. M. H. Brodie, G. Hutchison, J.-C. Gazet, T. J. Powles, P. A. Goss, M. Dowsett, R. C. Coombes, Treatment of Advanced Postmenopausal Breast Cancer with an Aromatase Inhibitor, 4-Hydroxyandrostenedione: Phase II Report Cancer Research. ,vol. 46, pp. 4823- 4826 ,(1986)
TJ Powles, JR Hardy, SE Ashley, GM Farrington, D Cosgrove, JB Davey, M Dowsett, JA McKinna, AG Nash, HD Sinnett, CR Tillyer, JG Treleaven, A pilot trial to evaluate the acute toxicity and feasibility of tamoxifen for prevention of breast cancer British Journal of Cancer. ,vol. 60, pp. 126- 131 ,(1989) , 10.1038/BJC.1989.235
Benjamin P. Haynes, Michael Jarman, Mitchell Dowsett, Anshumala Mehta, Per E. L�nning, Leslie J. Griggs, Alison Jones, Trevor Powles, Rob Stein, R. Charles Coombes, Pharmacokinetics and pharmacodynamics of the aromatase inhibitor 3-ethyl-3-(4-pyridyl)piperidine-2,6-dione in patients with postmenopausal breast cancer. Cancer Chemotherapy and Pharmacology. ,vol. 27, pp. 367- 372 ,(1991) , 10.1007/BF00688859
M D Vincent, H M Clink, R C Coombes, I E Smith, R Kandler, T J Powles, Aminoglutethimide (with hydrocortisone) induced agranulocytosis in primary breast cancer. BMJ. ,vol. 291, pp. 105- 106 ,(1985) , 10.1136/BMJ.291.6488.105-A
Trevor J. Powles, Colin R. Tillyer, Alison L. Jones, Susan E. Ashley, Jennifer Treleaven, Jane B. Davey, J. Alan McKinna, Prevention of breast cancer with tamoxifen--an update on the Royal Marsden Hospital pilot programme. European Journal of Cancer and Clinical Oncology. ,vol. 26, pp. 680- 684 ,(1990) , 10.1016/0277-5379(90)90116-B
R Peto, M C Pike, P Armitage, N E Breslow, D R Cox, S V Howard, N Mantel, K McPherson, J Peto, P G Smith, Design and analysis of randomized clinical trials requiring prolonged observation of each patient. II. analysis and examples. British Journal of Cancer. ,vol. 35, pp. 1- 39 ,(1977) , 10.1038/BJC.1977.1
A. VERMEULEN, R. PARIDAENS, J. C. HEUSON, EFFECTS OF AMINOGLUTETHIMIDE ON ADRENAL STEROID SECRETION Clinical Endocrinology. ,vol. 19, pp. 673- 682 ,(1983) , 10.1111/J.1365-2265.1983.TB00044.X
William L. McGuire, Estrogen receptors in human breast cancer. Journal of Clinical Investigation. ,vol. 52, pp. 73- 77 ,(1973) , 10.1172/JCI107175