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Fulvestrant,
a new anti-estrogen therapy from a class of agents known as selective
estrogen receptor downregulators, may help women with advanced
breast cancer who have failed other hormonal therapies, according
to Austrial researchers.
In a report
presented at the European Cancer Conference, the researchers described
results of a relatively small study, involving 67 patients who
were followed for periods ranging from 4 to 23 months.
Three of the
women received fulvestrant as first-line therapy, but one-third
received it as second-line therapy, 45 percent received it as
third-line therapy, and 15 patients received it as a fourth-line
therapy.
Other hormonal
therapies they had used, which had failed, include tamoxifen,
anastrozole and exemestane.
Over the course
of follow-up, two women receiving fulvestrant as second-line therapy
showed a partial response, as did three receiving it as a third-line
therapy, indicating the drug can be effective even in patients
that have been heavily treated with other drugs.
Dr. Guenther
Steger of the University of Vienna said there was no evidence
of cross-resistance between this drug and the other hormonal therapies.
"From
this perspective, these data suggest that patients with both ER-positive
and progestin receptor positive status may gain some benefit from
fulvestrant treatment," Steger said.
Other
Sources: European
Cancer Conference
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