A randomized trial of aminoglutethimide +/- estrogen before chemotherapy in advanced breast cancer. 1987

A Lipton, and R J Santen, and H A Harvey, and A Manni, and M A Simmonds, and D White-Hershey, and M J Bartholomew, and B K Walker, and R H Dixon, and D E Valdevia

Recent reports have suggested that the sensitivity to chemotherapy of endocrine-dependent breast cancer may be enhanced by transient exposure to hormonal stimulation. To test this concept, 39 postmenopausal women with proven metastatic breast carcinoma and measurable disease were entered into this prospective, double-blind trial; 35 are currently evaluable. All patients were continuously treated with aminoglutethimide and hydrocortisone to lower estrogen production, plus cyclic chemotherapy. Patients in the "stimulation" arm received in addition, Estrace 2 mg b.i.d. sublingually for 3 days before and on the day of chemotherapy. Estrace administration appeared to accelerate tumor growth as demonstrated by increased bone pain, hypercalcemia, and growth of skin lesions. Response rates, response duration, and survival were similar in the stimulation and control groups.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011897 Random Allocation A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects. Randomization,Allocation, Random
D001943 Breast Neoplasms Tumors or cancer of the human BREAST. Breast Cancer,Breast Tumors,Cancer of Breast,Breast Carcinoma,Cancer of the Breast,Human Mammary Carcinoma,Malignant Neoplasm of Breast,Malignant Tumor of Breast,Mammary Cancer,Mammary Carcinoma, Human,Mammary Neoplasm, Human,Mammary Neoplasms, Human,Neoplasms, Breast,Tumors, Breast,Breast Carcinomas,Breast Malignant Neoplasm,Breast Malignant Neoplasms,Breast Malignant Tumor,Breast Malignant Tumors,Breast Neoplasm,Breast Tumor,Cancer, Breast,Cancer, Mammary,Cancers, Mammary,Carcinoma, Breast,Carcinoma, Human Mammary,Carcinomas, Breast,Carcinomas, Human Mammary,Human Mammary Carcinomas,Human Mammary Neoplasm,Human Mammary Neoplasms,Mammary Cancers,Mammary Carcinomas, Human,Neoplasm, Breast,Neoplasm, Human Mammary,Neoplasms, Human Mammary,Tumor, Breast
D002986 Clinical Trials as Topic Works about pre-planned studies of the safety, efficacy, or optimum dosage schedule (if appropriate) of one or more diagnostic, therapeutic, or prophylactic drugs, devices, or techniques selected according to predetermined criteria of eligibility and observed for predefined evidence of favorable and unfavorable effects. This concept includes clinical trials conducted both in the U.S. and in other countries. Clinical Trial as Topic
D004958 Estradiol The 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids. 17 beta-Estradiol,Estradiol-17 beta,Oestradiol,17 beta-Oestradiol,Aerodiol,Delestrogen,Estrace,Estraderm TTS,Estradiol Anhydrous,Estradiol Hemihydrate,Estradiol Hemihydrate, (17 alpha)-Isomer,Estradiol Monohydrate,Estradiol Valerate,Estradiol Valeriante,Estradiol, (+-)-Isomer,Estradiol, (-)-Isomer,Estradiol, (16 alpha,17 alpha)-Isomer,Estradiol, (16 alpha,17 beta)-Isomer,Estradiol, (17-alpha)-Isomer,Estradiol, (8 alpha,17 beta)-(+-)-Isomer,Estradiol, (8 alpha,17 beta)-Isomer,Estradiol, (9 beta,17 alpha)-Isomer,Estradiol, (9 beta,17 beta)-Isomer,Estradiol, Monosodium Salt,Estradiol, Sodium Salt,Estradiol-17 alpha,Estradiol-17beta,Ovocyclin,Progynon-Depot,Progynova,Vivelle,17 beta Estradiol,17 beta Oestradiol,Estradiol 17 alpha,Estradiol 17 beta,Estradiol 17beta,Progynon Depot
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006854 Hydrocortisone The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions. Cortef,Cortisol,Pregn-4-ene-3,20-dione, 11,17,21-trihydroxy-, (11beta)-,11-Epicortisol,Cortifair,Cortril,Epicortisol,Hydrocortisone, (11 alpha)-Isomer,Hydrocortisone, (9 beta,10 alpha,11 alpha)-Isomer,11 Epicortisol
D000616 Aminoglutethimide An aromatase inhibitor that is used in the treatment of advanced BREAST CANCER. Cytadren,Orimeten

Related Publications

A Lipton, and R J Santen, and H A Harvey, and A Manni, and M A Simmonds, and D White-Hershey, and M J Bartholomew, and B K Walker, and R H Dixon, and D E Valdevia
January 1988, Oncology,
A Lipton, and R J Santen, and H A Harvey, and A Manni, and M A Simmonds, and D White-Hershey, and M J Bartholomew, and B K Walker, and R H Dixon, and D E Valdevia
July 1987, Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology,
A Lipton, and R J Santen, and H A Harvey, and A Manni, and M A Simmonds, and D White-Hershey, and M J Bartholomew, and B K Walker, and R H Dixon, and D E Valdevia
November 1981, British medical journal (Clinical research ed.),
A Lipton, and R J Santen, and H A Harvey, and A Manni, and M A Simmonds, and D White-Hershey, and M J Bartholomew, and B K Walker, and R H Dixon, and D E Valdevia
October 1985, Tumori,
A Lipton, and R J Santen, and H A Harvey, and A Manni, and M A Simmonds, and D White-Hershey, and M J Bartholomew, and B K Walker, and R H Dixon, and D E Valdevia
November 1985, The New England journal of medicine,
A Lipton, and R J Santen, and H A Harvey, and A Manni, and M A Simmonds, and D White-Hershey, and M J Bartholomew, and B K Walker, and R H Dixon, and D E Valdevia
December 1985, Wiener medizinische Wochenschrift (1946),
A Lipton, and R J Santen, and H A Harvey, and A Manni, and M A Simmonds, and D White-Hershey, and M J Bartholomew, and B K Walker, and R H Dixon, and D E Valdevia
February 1981, The Australian and New Zealand journal of surgery,
A Lipton, and R J Santen, and H A Harvey, and A Manni, and M A Simmonds, and D White-Hershey, and M J Bartholomew, and B K Walker, and R H Dixon, and D E Valdevia
April 1985, American journal of clinical oncology,
A Lipton, and R J Santen, and H A Harvey, and A Manni, and M A Simmonds, and D White-Hershey, and M J Bartholomew, and B K Walker, and R H Dixon, and D E Valdevia
December 1985, Cancer,
A Lipton, and R J Santen, and H A Harvey, and A Manni, and M A Simmonds, and D White-Hershey, and M J Bartholomew, and B K Walker, and R H Dixon, and D E Valdevia
October 1992, Gan to kagaku ryoho. Cancer & chemotherapy,
Copied contents to your clipboard!