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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Pfeiler, G; Stöger, H; Dubsky, P; Mlineritsch, B; Singer, C; Balic, M; Fitzal, F; Moik, M; Kwasny, W; Selim, U; Renner, K; Ploner, F; Steger, GG; Seifert, M; Hofbauer, F; Sandbichler, P; Samonigg, H; Jakesz, R; Greil, R; Fesl, C; Gnant, M; ABCSG.
Efficacy of tamoxifen ± aminoglutethimide in normal weight and overweight postmenopausal patients with hormone receptor-positive breast cancer: an analysis of 1509 patients of the ABCSG-06 trial.
Br J Cancer. 2013; 108(7):1408-1414 Doi: 10.1038/bjc.2013.114 [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz

Balic Marija

Ploner Ferdinand

Samonigg Hellmut

Stöger Herbert

Study Group Mitglieder der Med Uni Graz:

Hofmann Guenter

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Abstract:

There exists evidence that body mass index (BMI) impacts on the efficacy of aromatase inhibitors in patients with breast cancer. The relationship between BMI and the efficacy of tamoxifen is conflicting. We investigated the impact of BMI on the efficacy of single tamoxifen and tamoxifen plus an aromatase inhibitor in the well-defined prospective study population of the ABCSG-06 trial. ABCSG-06 investigated the efficacy of tamoxifen vs tamoxifen plus aminoglutethimide in postmenopausal women with hormone receptor-positive breast cancer. Taking BMI at baseline, patients were classified as normal weight (BMI=18.5-24.9 kg m(-)(2)), overweight (BMI=25-29.9 kg m(-)(2)), and obese (30 kg m(-)(2)) according to WHO criteria. Overweight+obese patients had an increased risk for distant recurrences (hazard ratio (HR): 1.51; Cox P=0·018) and a worse overall survival (OS; HR: 1·49; Cox P=0·052) compared with normal weight patients. Analysing patients treated with single tamoxifen only, no difference between overweight+obese patients and normal weight patients regarding distant recurrence-free survival (HR: 1.35; Cox P=0·24) and OS (HR: 0.99; Cox P=0·97) could be observed. In contrast, in the group of patients treated with the combination of tamoxifen plus aminoglutethimide, overweight+obese patients had an increased risk for distant recurrences (1.67; Cox P=0·03) and a worse OS (1.47; Cox P=0·11) compared with normal weight patients. BMI impacts on the efficacy of aromatase inhibitor-based treatment but not single tamoxifen.

Find related publications in this database (using NLM MeSH Indexing)

Aged -

Aged, 80 and over -

Aminoglutethimide - administration & dosage

Aminoglutethimide - adverse effects

Antineoplastic Agents, Hormonal - administration & dosage

Antineoplastic Agents, Hormonal - adverse effects

Antineoplastic Agents, Hormonal - therapeutic use

Antineoplastic Combined Chemotherapy Protocols - adverse effects

Antineoplastic Combined Chemotherapy Protocols - therapeutic use

Aromatase Inhibitors - administration & dosage

Aromatase Inhibitors - adverse effects

Body Mass Index -

Breast Neoplasms - drug therapy

Breast Neoplasms - metabolism

Breast Neoplasms - physiopathology

Female -

Humans -

Middle Aged -

Overweight - physiopathology

Postmenopause -

Prospective Studies -

Receptors, Cell Surface - biosynthesis

Tamoxifen - administration & dosage

Tamoxifen - adverse effects

Tamoxifen - therapeutic use

Treatment Outcome -

Find related publications in this database (Keywords)

breast cancer

obesity

tamoxifen

aromatase inhibitor

BMI

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