Aromatase inhibitors are the most effective agents for preventing breast cancer; however, their use is associated with bone loss and an increased risk of fractures. Sestak and colleagues show that administration of an oral bisphosphonate prevents aromatase-inhibitor-induced bone loss in postmenopausal women with osteopenia or osteoporosis who are at high risk of breast cancer.
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References
Cuzick, J. et al. Anastrozole for prevention of breast cancer in high-risk postmenopausal women (IBIS-II): an international, double-blind, randomised placebo-controlled trial. Lancet 383, 1041–1048 (2014).
Goss, P. E. et al. Exemestane for breast-cancer prevention in postmenopausal women. N. Engl. J. Med. 364, 2381–2391 (2011).
Sestak, I. et al. Changes in bone mineral density at 3 years in postmenopausal women receiving anastrozole and risedronate in the IBIS-II bone substudy: an international, double-blind, randomised, placebo-controlled trial. Lancet Oncol. 15, 1460–1468 (2014).
Ten Have, T. R. et al. Intent-to-treat vs. non-intent-to-treat analyses under treatment non-adherence in mental health randomized trials. Psychiatr. Ann. 38, 772–783 (2008).
Van Poznak, C. H. et al. American Society of Clinical Oncology executive summary of the clinical practice guideline update on the role of bone-modifying agents in metastatic breast cancer. J. Clin. Oncol. 29, 1221–1227 (2011).
Cameron, D. A. Breast cancer chemoprevention: little progress in practice? Lancet 383, 1018–1020 (2014).
Acknowledgements
L.J.S. acknowledges research support from the NIH (R01 CA166060).
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Suva, L., Makhoul, I. Will breast cancer chemoprevention stand on 'solid bone'?. Nat Rev Endocrinol 11, 138–139 (2015). https://doi.org/10.1038/nrendo.2014.220
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DOI: https://doi.org/10.1038/nrendo.2014.220
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