Summary
One-hundred and seventy patients with estrogen receptor positive (≥10 pmol/g protein) advanced breast cancer have been treated in a prospective randomized study either with continuous tamoxifen 30 mg × 1 daily (TAM), or with TAM 30 mg × 1 daily for 8 weeks alternating with medroxyprogesterone acetate 500 mg × 2 daily for 8 weeks (TAM/HD-MPA). The response rate was 62% in the group treated with cyclic TAM/HD-MPA versus 41% in the TAM alone group (p = 0.02). There was no significant difference in duration of remissions or survival.
References
Beatson GT: Lancet ii: 104, 1886
Mouridsen H, Palshof T, Patterson J, Battersby L: Tamoxifen in advanced breast cancer. Cancer Treat Rev 5: 131–141, 1978
Cavalli F, Goldhirsch A, Jungi F, Martz G, Mermillod B, Schafer P, Alberto P: Randomized trial of low-versus-high dose medroxyprogesterone acetate in the treatment of postmenopausal patients with advanced breast cancer. In: Pellegrini A, Robustelli Della Cuna G, Pannuti F, Pouillart P, Jonat W (eds) Role of Medroxyprogesteroneacetate in Endocrine-Related Tumors, Vol III. Raven Press, New York, 1984, pp 79–89
Namer M, Lalanne C, Baulieu E-E: Increase of progesterone receptor by tamoxifen as a hormonal challenge test in breast cancer. Cancer Res 40: 1750–1752, 1980
Waseda N, Kato Y, Imura H, Kurata M: Effects of tamoxifen on estrogen and progesterone receptors in human breast cancer. Cancer Res 41: 1984–1988, 1981
Lundgren S, Kvinnsland S, Varhaug JE, Utaaker E: The influence of progestins on receptor level in breast cancer metastases. Anticancer Res 7: 119–124, 1987
Utaaker E, Lundgren S, Kvinnsland S, Aakwaag A: Pharmacokinetics and metabolism of medroxyprogesterone acetate in patients with advanced breast cancer. J Steroid Biochem 31: 437–441, 1988
EORTC Breast Cooperative group. Revision of the standards for the assessment of hormone receptors in human breast cancer: Report of the second EORTC workshop. Eur J Cancer Clin Oncol 16: 1513–1515, 1980
Pichon MF, Milgrom E: Characterization and assay of progesterone receptor in human mammary carcinoma. Cancer Res 37: 464–471, 1977
Hayward JL, Carbone PP, Heuson JC, Kumaoka S, Segaloff A, Rubens RD: Assessment of response to therapy in advanced breast cancer. Eur J Cancer 13: 89–94, 1977
Peto R, Pike MC, Armitage P, Breslow NE, Cox DR, Howard SV, Mantel N, McPherson K, Peto J, Smith PG: Design and analysis of randomized clinical trials which require prolonged observations of each patient. II. Analysis. Br J Cancer 35: 1–39, 1977
Howell A, Harland RNL, Barnes DM, Baildam AD, Wilkinson MJS, Hayward E, Swindell R, Sellwood RA: Endocrine therapy for advanced carcinoma of the breast: Relationship between the effect of tamoxifen upon concentrations of progesterone receptor and subsequent response to treatment. Cancer Res 47: 300–304, 1987
Steindorfer P, Samonigg H, Pierer Rabl H: Sequential hormonal therapy with tamoxifen and high-dose progestins in advanced breast cancer. Rev Endocr Rel Cancer (Suppl) 18: 33–35, 1986
Garcia-Giralt E, Jouve M, Palangie T, Bretaudeau B, Dorval T, Asselain B, Magdelenat H, Merle S, Zajdela A, Pouillart P: Disseminated breast cancer: Sequential administration of tamoxifen and medroxyprogesterone acetate. Results of a controlled clinical trial. Rev Endocr Rel Cancer (Suppl) 18: 27–32, 1986
Williams MR, Todd JH, Ellis IO, Haybittle JL, Elston CW, Nicholson RI, Griffths K, Blamey RW: Oestrogen receptors in primary and advanced breast cancer: An eight year review of 704 cases. Br J Cancer 55: 67–73, 1987
Tchekmeduyian NS, Tait N, Aisner J: High-dose megestrol acetate in the treatment of postmenopausal women with advanced breast cancer. Semin Oncol 13 (Suppl 4): 20–26, 1986
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Gundersen, S., Kvinnsland, S., Lundgren, S. et al. Cyclical use of tamoxifen and high-dose medroxyprogesterone acetate in advanced estrogen receptor positive breast cancer. Breast Cancer Res Tr 17, 45–50 (1990). https://doi.org/10.1007/BF01812683
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DOI: https://doi.org/10.1007/BF01812683