Goserelin (Zoladex) in premenopausal advanced breast cancer: duration of response and survival
1990

Goserelin for Advanced Breast Cancer in Premenopausal Women

Sample size: 75 publication Evidence: moderate

Author Information

Author(s): A.R. Dixon, J.F.R. Robertson, L. Jackson, R.I. Nicholson, K.J. Walker, R.W. Blamey

Primary Institution: City Hospital, Nottingham and Tenovus Institute for Cancer Research, University of Wales College of Medicine

Hypothesis

Can goserelin effectively treat premenopausal women with advanced breast cancer?

Conclusion

Goserelin treatment resulted in a 33% objective response rate with a median duration of response exceeding 15 months.

Supporting Evidence

  • 25 patients (33%) showed an objective response to goserelin treatment.
  • 7 patients (9%) had a complete response with a median duration of over 37 months.
  • Response to therapy was significantly correlated with the oestrogen receptor status of the primary tumour.

Takeaway

Goserelin is a medicine that helps some women with advanced breast cancer feel better for a long time without needing surgery.

Methodology

75 premenopausal patients with advanced breast cancer were treated with monthly goserelin injections and assessed for response.

Limitations

53% of patients experienced disease progression while on goserelin.

Participant Demographics

Median age of participants was 44 years, with a range of 31-55 years.

Statistical Information

P-Value

0.009

Statistical Significance

p<0.005

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