Skip to main content

Overview of Randomized Trials of Systemic Adjuvant Therapy

  • Chapter
Advances in Breast Cancer Management

Part of the book series: Cancer Treatment and Research ((CTAR,volume 103))

  • 177 Accesses

Abstract

The most influential analyses of the effectiveness of systemic adjuvant therapy of breast cancer are the 3 overview meta-analyses performed at Oxford and published in 19881, 19922, and 19983. These meta-analyses are a collaborative effort dependent on pooling of data by trialists of nearly all the randomized clinical trials of systemic adjuvant therapies. The major questions that were addressed by these Overview analyses were:

  1. 1)

    Is systemic adjuvant therapy of breast cancer effective?

  2. 2)

    Are there subsets of patients in whom given adjuvant therapies are particularly effective?

  3. 3)

    How effective is the current adjuvant therapy?

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Anonymous. Effects of adjuvant tamoxifen and of cytotoxic therapy on mortality in early breast cancer: an overview of 61 randomised trials among 28,896 women. Early Breast Cancer Trialists’ Collaborative Group. N Engl J Med 319: 1681–1692, 1988.

    Article  Google Scholar 

  2. Anonymous. Systemic treatment of early breast cancer by hormonal, cytotoxic, or immune therapy. Early Breast Cancer Trialists’ Collaborative Group. Lancet 339:1–15, 71–85, 1992.

    Google Scholar 

  3. Anonymous. Tamoxifen for early breast cancer: an overview of randomised. Early Breast Cancer Trialists’ Collaborative Group. Lancet 351: 1451–1467, 1998.

    Article  Google Scholar 

  4. Ravdin PM. How can prognostic and predictive factors in breast cancer be used in a practical way today?. Recent Results in Cancer Research. 152: 8693, 1998.

    Article  Google Scholar 

  5. Swedish Breast Cancer Cooperative Group. Randomized trial of two versus five years of adjuvant tamoxifen for postmenopausal early stage breast cancer. J Natl Cancer Inst 88: 1543–1549, 1996.

    Article  Google Scholar 

  6. Fisher B, Dignam J, Bryant J, deCillis A, Wickerham DL, Wolmark N, et al. The worth of five versus more than five years of tamoxifen therapy for breast cancer patients with negative lymph nodes and estrogen receptor-positive tumors. J Natl Cancer Inst 88: 1529–1542, 1996.

    Article  PubMed  CAS  Google Scholar 

  7. Anonymous. Ovarian ablation in early breast cancer: An overview of randomised trials. Early Breast Cancer Trialists’ Collaborative Group. Lancet 348: 1189–1196, 1996.

    Article  Google Scholar 

  8. Fisher B, Costantino JP, Redmond CK, Fisher ER, Wickerham DL, Cronin WM, Bowman D, Couture J, Dimitrov NV, Evans J, Farrar W, Kavanah M, Lickley HL, Margolese R, Paterson AHG, Robidoux A, Shibata H, Terz J. Endometrial cancer in tamoxifen treated breast cancer patients: findings from the National Surgical Adjuvant Breast and Bowel Project (NSABP) B14. J Natl Cancer Inst 86: 527–537, 1994.

    Article  PubMed  CAS  Google Scholar 

  9. Love RR, Wiebe DA, Newcomb PA, et al. Effects of tamoxifen on cardiovascular risk factors in postmenopausal women. Ann Intern Med 115: 860–864, 1991.

    PubMed  CAS  Google Scholar 

  10. Henderson IC, Berry D, Demetri G. et al. Improved disease-free and overall survival from the addition of sequential paclitaxel but not from the escalation of doxorubicin dose level in the adjuvant chemotherapy of patients with node-positive primary breast cancer. Proc Am. Soc. Clinical Oncology 17: 390a, 1998.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer Science+Business Media New York

About this chapter

Cite this chapter

Ravdin, P.M. (2000). Overview of Randomized Trials of Systemic Adjuvant Therapy. In: Gradishar, W.J., Wood, W.C. (eds) Advances in Breast Cancer Management. Cancer Treatment and Research, vol 103. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-3147-7_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-3147-7_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-3149-1

  • Online ISBN: 978-1-4757-3147-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics