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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