Arimidex is indicated for adjuvant treatment of postmenopausal women with hormone receptor-positive early breast cancer. In 2005, the results of the "Arimidex, Tamoxifen, Alone or in Combination (ATAC) trial were published and showed a benefit for Arimidex over tamoxifen in terms of disease-free survival for breast cancer patients.
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Armindex indication
Arimidex is indicated for the first-line treatment of
postmenopausal women with hormone receptor-positive or hormone receptor unknown
locally advanced or metastatic breast cancer
Arimidex is indicated for the treatment of advanced breast cancer in
postmenopausal women with disease progression following tamoxifen therapy.
Patients with estrogen receptor-negative disease and patients who did not
respond to previous tamoxifen therapy rarely respond to Arimidex.
Arimidex is only for postmenopausal women.
Arimidex Side Effects
As add-on therapy for early-stage breast cancerArimidex is less likely than tamoxifen to cause
side
effects, including serious events and those leading to treatment
discontinuation, new research suggests.
Arimidex does increase the risk of bone fractures, but the risk does not extend
beyond the treatment phase.
The current ATAC analysis, which appears in the medical journal Lancet Oncology,
includes follow-up data for 3125 women who completed 5 years of treatment with
anastrozole and 3116 similar women treated with tamoxifen. The average follow-up
period was 68 months.
The overall rate of side effects was significantly lower with anastrozole than
with tamoxifen: 61 percent vs. 68 percent. Serious side effects were nearly half
as common with anastrozole: 5 percent vs. 9 percent.
Eleven percent of anastrozole-treated patients experienced side effects leading
to treatment discontinuation compared with 14 percent of tamoxifen-treated
patients.
Tamoxifen has received much praise since it first became available in the 1970s,
but the newer types of drugs such as anastrozole have really
knocked tamoxifen off its perch.
The study was funded by AstraZeneca, which developed both Arimidex and tamoxifen
(Nolvadex), although the latter agent has been available in a generic form for
several years. Lancet Oncology, August 2006.
Arimidex and Pregnancy
Arimidex is a
pharmaceutical
drug that can cause fetal harm when administered to a pregnant
woman. Before starting treatment with Arimidex, pregnancy must be
excluded.