San Antonio Breast Cancer Symposium 2007—Adjuvant endocrine therapy update: ATAC 100 highlights
2008

Adjuvant Endocrine Therapy Update: Highlights from the ATAC Trial

Editorial Evidence: moderate

Author Information

Author(s): Joy Anil A.

Primary Institution: Department of Oncology, University of Alberta, and Cross Cancer Institute

Conclusion

The ATAC trial shows that anastrozole is more effective than tamoxifen for postmenopausal women with hormone receptor-positive breast cancer.

Supporting Evidence

  • Anastrozole showed improved disease-free survival compared to tamoxifen.
  • At 5 years, the time to recurrence was lower for anastrozole than for tamoxifen.
  • Anastrozole had a lower incidence of endometrial cancer compared to tamoxifen.

Takeaway

This study found that a medicine called anastrozole works better than another medicine called tamoxifen for women with a certain type of breast cancer.

Methodology

Follow-up data from the ATAC trial were analyzed with a median follow-up of 100 months.

Limitations

No single ideal treatment strategy has emerged, and many questions remain about the best approach.

Participant Demographics

Postmenopausal women with hormone receptor-positive breast cancer.

Statistical Information

P-Value

p = 0.01

Confidence Interval

0.61 to 0.94

Statistical Significance

p = 0.01

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