Breast Cancer

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The effect of a patient’s race or ethnicity on cancer incidence and mortality rates remains a neglected area of cancer research. However, with cancer statistics differing among various populations, research on racial and ethnic groups could provide clues to cancer trends.

GAITHERSBURG, Maryland-Researchers have identified 18 genes that behave similarly to estrogen-receptor-alpha (ESR1) in patients with estrogen-receptor-positive (ER-positive) breast cancer. The cluster includes seven genes not previously associated with estrogen regulation or with breast cancer, Mihael H. Polymeropoulos, MD, head of pharmacogenetics, Novartis Pharmaceuticals Corporation, told ONI in an interview.

SAN FRANCISCO-A new measure to evaluate the effect of preoperative antiestrogen agents on tumor growth in early estrogen-receptor (ER)-positive breast cancer suggests that fulvestrant (Faslodex, ICI 182,780, investigational) is superior to tamoxifen (Nolvadex). Fulvestrant is an estrogen-receptor downregulator and is considered a pure antiestrogen.

BETHESDA, Maryland-The Avon Products Foundation has awarded $20 million to the National Cancer Institute to help support breast cancer research and expand early-phase clinical trials of promising techniques for prevention, diagnosis, and therapy.

A Breast Cancer Journey

A comprehensive resource from the American Cancer Society (ACS) for anyone interested in the breast cancer experience, A Breast Cancer Journey takes the reader from the time of diagnosis to after treatment is completed. It serves not only as a

Fenretinide (N-4-hydroxyphenyl-retinamide, or 4-HPR) is a semisynthetic retinoid that was initially developed as a low-dose chemopreventative agent.[1-3] Unlike other naturally occurring retinoids such as all-trans, 13-cis, and 9-cis retinoic acids, fenretinide does not induce systemic catabolism that interferes with the maintenance of effective plasma levels during long-term use. This characteristic, combined with the agent’s low toxicity and its ability to block aspects of carcinogenesis, provided the rationale for the development of fenretinide in lower doses as a chemoprevention agent for breast, prostate, and bladder cancer.

SAN FRANCISCO-Very high response rates were achieved in a pilot study with the combination of docetaxel (Taxotere), platinum salts, and trastuzumab (Herceptin) in advanced breast cancer. The study, under the leadership of Dennis J. Slamon, MD, of UCLA, involved 62 patients, most of whom had visceral metastases and prior adjuvant chemotherapy. More than half tested positive for HER-2/neu by fluorescence in situ hybridization (FISH).

SAN FRANCISCO-In a multicenter phase II trial reported at the 37th Annual Meeting of the American Society of Clinical Oncology (ASCO abstract 178), the new selective estrogen-receptor modulator (SERM) arzoxifene showed antitumor efficacy without endometrial hyperplasia in 112 patients with advanced or metastatic breast cancer.

SAN FRANCISCO-As a salvage therapy in advanced breast cancer patients who have failed prior therapy with anthracyclines or anthracenediones, taxanes, and capecitabine (Xeloda), the investigational antifolate pemetrexed disodium (Alimta) shows promising activity, according to clinical trial results presented at the American Society of Clinical Oncology annual meeting (abstract 194).

SAN FRANCISCO-Early research suggests that the epidermal growth factor receptor (EGFR) inhibitor Iressa (ZD1839, investigational) may have therapeutic potential in tamoxifen (Nolvadex)-resistant breast cancer, according to a presentation at the 37th Annual Meeting of the American Society of Clinical Oncology (ASCO abstract 282).

ROCKVILLE, Maryland-The Food and Drug Administration (FDA) has approved a combination of the cancer drugs Xeloda (capecitabine) and Taxotere (docetaxel) for treating patients with metastatic breast cancer whose cancer has progressed after treatment with an anthracycline-containing chemotherapy regimen.

SAN FRANCISCO-Preliminary results of a randomized Intergroup trial (CALGB, RTOG, ECOG) strongly suggest that radiotherapy should not be added to tamoxifen (Nolvadex) in older women who have undergone lumpectomy for early-stage breast cancer, said Kevin S. Hughes, MD, Department of Surgical Oncology, Massachusetts General Hospital, Boston.

SAN FRANCISCO-Common cholesterol-lowering agents (statins) may be effective in the chemoprevention of breast cancer in older women, a new study shows. The data were presented at the 37th Annual Meeting of the American Society of Clinical Oncology (ASCO abstract 1647).