The International Aromatase Inhibitor Expert Panel, a panel of 24 breast cancer specialists from Europe, the USA, Australia, China and Brazil, has reconfirmed that aromatase inhibitors (AIs) such as Arimidex, are superior to Tamoxifen in the chemoprevention drug treatment of postmenopausal women with newly diagnosed hormone-sensitive, early breast cancer. "Over the last three years, there has been an influx of new information about the use of aromatase inhibitors in early breast cancer, and while this is great news, it has created a great deal of confusion. This guidance helps to clarify considerations for use of AIs in everyday practice. These data provide the evidence that support using an aromatase inhibitor at the earliest opportunity," commented panel member Dr. Aman Buzdar, professor of medicine for the department of breast medical oncology at The University of Texas M. D. Anderson Cancer Center in Houston.
While aromatase inhibitors are better tolerated and cause less potentially life-threatening side effects than Tamoxifen, Als do increase bone fracture risk -- which is said to be a problem that can be watched for and effectively treated. However, the long-term use of aromatase inhibitors and the effects on heart disease are yet to be determined.











1. For many decades, hormonally responsive breast cancer has been managed by use of sequential hormone therapies: oopherectomy, adrenalectomy, diethylstilbesterol, testosterone, progesterone, tamoxifen, aminoglutethimide, and now arimidex.
Armidex is more effective than tamoxifen in preventing recurrence, but it's unclear whether or not treatment with arimidex following recurrence on tamoxifen will not have a "salvage" effect. The recurrence-free data with arimidex are pretty impressive, however, the osteoporosis and fractures are obviously a problem.
Posted at 2:31AM on Sep 24th 2006 by Gregory D. Pawelski