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Effects of exemestane and tamoxifen on bone health within the Tamoxifen Exemestane Adjuvant Multicentre (TEAM) trial: results of a German, 12-month, prospective, randomised substudy

Identifieur interne : 000674 ( PascalFrancis/Corpus ); précédent : 000673; suivant : 000675

Effects of exemestane and tamoxifen on bone health within the Tamoxifen Exemestane Adjuvant Multicentre (TEAM) trial: results of a German, 12-month, prospective, randomised substudy

Auteurs : P. Hadji ; M. Ziller ; D. G. Kieback ; W. Dornoff ; H. W. Tessen ; T. Menschik ; J. Kuck ; F. Melchert ; A. Hasenburg

Source :

RBID : Pascal:09-0309205

Descripteurs français

English descriptors

Abstract

Background: Adjuvant treatment of hormone receptor-positive breast cancer in postmenopausal women with aromatase inhibitors may be associated with increased bone loss. Patients and methods: Two hundred patients were randomised to receive exemestane or tamoxifen as adjuvant treatment of hormone receptor-positive breast cancer. Bone mineral density (BMD) was assessed by dual-energy X-ray absorptiometry at baseline and after 6 and 12 months treatment. Results: One hundred and sixty-one patients were assessable. Tamoxifen treatment resulted in a 0.5% increase from baseline in BMD at the spine, which was maintained at 12 months. Exemestane-treated patients experienced a 2.6% decrease from baseline in BMD at the spine at 6 months and a further 0.2% decrease at 12 months. There were significant differences in the changes in BMD between tamoxifen and exemestane at 6 and 12 months (P = 0.0026 and P = 0.0008, respectively). The mean changes in BMD from baseline at the total hip were also significantly different between exemestane and tamoxifen at 6 and 12 months (P = 0.0009 and P = 0.04, respectively). There was no difference between tamoxifen and exemestane in mean changes in BMD from baseline at the femoral neck. Conclusions: Exemestane treatment resulted in an increase in bone loss at 6 months; bone loss stabilised after 6- to 12-month treatment.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Ann. oncol.
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A08 01  1  ENG  @1 Effects of exemestane and tamoxifen on bone health within the Tamoxifen Exemestane Adjuvant Multicentre (TEAM) trial: results of a German, 12-month, prospective, randomised substudy
A11 01  1    @1 HADJI (P.)
A11 02  1    @1 ZILLER (M.)
A11 03  1    @1 KIEBACK (D. G.)
A11 04  1    @1 DORNOFF (W.)
A11 05  1    @1 TESSEN (H. W.)
A11 06  1    @1 MENSCHIK (T.)
A11 07  1    @1 KUCK (J.)
A11 08  1    @1 MELCHERT (F.)
A11 09  1    @1 HASENBURG (A.)
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A14 02      @1 Helios Kliniken @2 Aue @3 DEU @Z 3 aut.
A14 03      @1 Klinikum Mutterhaus der Borromaerinnen @2 Trier @3 DEU @Z 4 aut.
A14 04      @1 Onkologische Schwerpunktpraxis @2 Goslar @3 DEU @Z 5 aut.
A14 05      @1 Pfizer, Specialty Brand Team Europe @2 Paris @3 FRA @Z 6 aut.
A14 06      @1 Independent Clinical Research Consulting, Bölschestrasse @2 Berlin @3 DEU @Z 7 aut.
A14 07      @1 University of Mannheim @2 Mannheim @3 DEU @Z 8 aut.
A14 08      @1 Freiburg University, Frauenklinik @2 Freiburg @3 DEU @Z 9 aut.
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A21       @1 2009
A23 01      @0 ENG
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A44       @0 0000 @1 © 2009 INIST-CNRS. All rights reserved.
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A60       @1 P
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A64 01  1    @0 Annals of oncology
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C01 01    ENG  @0 Background: Adjuvant treatment of hormone receptor-positive breast cancer in postmenopausal women with aromatase inhibitors may be associated with increased bone loss. Patients and methods: Two hundred patients were randomised to receive exemestane or tamoxifen as adjuvant treatment of hormone receptor-positive breast cancer. Bone mineral density (BMD) was assessed by dual-energy X-ray absorptiometry at baseline and after 6 and 12 months treatment. Results: One hundred and sixty-one patients were assessable. Tamoxifen treatment resulted in a 0.5% increase from baseline in BMD at the spine, which was maintained at 12 months. Exemestane-treated patients experienced a 2.6% decrease from baseline in BMD at the spine at 6 months and a further 0.2% decrease at 12 months. There were significant differences in the changes in BMD between tamoxifen and exemestane at 6 and 12 months (P = 0.0026 and P = 0.0008, respectively). The mean changes in BMD from baseline at the total hip were also significantly different between exemestane and tamoxifen at 6 and 12 months (P = 0.0009 and P = 0.04, respectively). There was no difference between tamoxifen and exemestane in mean changes in BMD from baseline at the femoral neck. Conclusions: Exemestane treatment resulted in an increase in bone loss at 6 months; bone loss stabilised after 6- to 12-month treatment.
C02 01  X    @0 002B02R
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Format Inist (serveur)

NO : PASCAL 09-0309205 INIST
ET : Effects of exemestane and tamoxifen on bone health within the Tamoxifen Exemestane Adjuvant Multicentre (TEAM) trial: results of a German, 12-month, prospective, randomised substudy
AU : HADJI (P.); ZILLER (M.); KIEBACK (D. G.); DORNOFF (W.); TESSEN (H. W.); MENSCHIK (T.); KUCK (J.); MELCHERT (F.); HASENBURG (A.)
AF : Department of Gynecology, University Hospital of Giessen and Marburg/Marburg/Allemagne (1 aut., 2 aut.); Helios Kliniken/Aue/Allemagne (3 aut.); Klinikum Mutterhaus der Borromaerinnen/Trier/Allemagne (4 aut.); Onkologische Schwerpunktpraxis/Goslar/Allemagne (5 aut.); Pfizer, Specialty Brand Team Europe/Paris/France (6 aut.); Independent Clinical Research Consulting, Bölschestrasse/Berlin/Allemagne (7 aut.); University of Mannheim/Mannheim/Allemagne (8 aut.); Freiburg University, Frauenklinik/Freiburg/Allemagne (9 aut.)
DT : Publication en série; Niveau analytique
SO : Annals of oncology; ISSN 0923-7534; Royaume-Uni; Da. 2009; Vol. 20; No. 7; Pp. 1203-1209; Bibl. 30 ref.
LA : Anglais
EA : Background: Adjuvant treatment of hormone receptor-positive breast cancer in postmenopausal women with aromatase inhibitors may be associated with increased bone loss. Patients and methods: Two hundred patients were randomised to receive exemestane or tamoxifen as adjuvant treatment of hormone receptor-positive breast cancer. Bone mineral density (BMD) was assessed by dual-energy X-ray absorptiometry at baseline and after 6 and 12 months treatment. Results: One hundred and sixty-one patients were assessable. Tamoxifen treatment resulted in a 0.5% increase from baseline in BMD at the spine, which was maintained at 12 months. Exemestane-treated patients experienced a 2.6% decrease from baseline in BMD at the spine at 6 months and a further 0.2% decrease at 12 months. There were significant differences in the changes in BMD between tamoxifen and exemestane at 6 and 12 months (P = 0.0026 and P = 0.0008, respectively). The mean changes in BMD from baseline at the total hip were also significantly different between exemestane and tamoxifen at 6 and 12 months (P = 0.0009 and P = 0.04, respectively). There was no difference between tamoxifen and exemestane in mean changes in BMD from baseline at the femoral neck. Conclusions: Exemestane treatment resulted in an increase in bone loss at 6 months; bone loss stabilised after 6- to 12-month treatment.
CC : 002B02R; 002B20E02; 002B15A
FD : Exémestane; Tamoxifène; Os; Santé; Essai clinique; Allemagne; Prospective; Randomisation; Inhibiteur de l'aromatase; Densité minérale osseuse; Précoce; Cancer du sein; Fracture; Ostéoporose; Anticancéreux
FG : Europe; Dérivé de l'androstane; Estrogen synthase; Enzyme; Inhibiteur enzyme; Stéroïde; Antihormone; Antioestrogène; Composé non stéroïde; Modulateur sélectif des récepteurs aux oestrogènes; Système ostéoarticulaire; Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein; Pathologie du système ostéoarticulaire; Traumatisme
ED : Exemestane; Tamoxifene; Bone; Health; Clinical trial; Germany; Prospective; Randomization; Aromatase inhibitor; Bone mineral density; Early; Breast cancer; Fracture; Osteoporosis; Antineoplastic agent
EG : Europe; Androstane derivatives; Estrogen synthase; Enzyme; Enzyme inhibitor; Steroid; Antihormone; Antiestrogen; Non steroid compound; Selective estrogen receptor modulator; Osteoarticular system; Malignant tumor; Cancer; Mammary gland diseases; Breast disease; Diseases of the osteoarticular system; Trauma
SD : Exemestano; Tamoxifeno; Hueso; Salud; Ensayo clínico; Alemania; Prospectiva; Aleatorización; Inhibidor aromatase; Masa mineral ósea; Precoz; Cáncer del pecho; Fractura; Osteoporosis; Anticanceroso
LO : INIST-22429.354000187188000090
ID : 09-0309205

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Pascal:09-0309205

Le document en format XML

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</author>
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<series>
<title level="j" type="main">Annals of oncology</title>
<title level="j" type="abbreviated">Ann. oncol.</title>
<idno type="ISSN">0923-7534</idno>
<imprint>
<date when="2009">2009</date>
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<title level="j" type="main">Annals of oncology</title>
<title level="j" type="abbreviated">Ann. oncol.</title>
<idno type="ISSN">0923-7534</idno>
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<term>Antineoplastic agent</term>
<term>Aromatase inhibitor</term>
<term>Bone</term>
<term>Bone mineral density</term>
<term>Breast cancer</term>
<term>Clinical trial</term>
<term>Early</term>
<term>Exemestane</term>
<term>Fracture</term>
<term>Germany</term>
<term>Health</term>
<term>Osteoporosis</term>
<term>Prospective</term>
<term>Randomization</term>
<term>Tamoxifene</term>
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<keywords scheme="Pascal" xml:lang="fr">
<term>Exémestane</term>
<term>Tamoxifène</term>
<term>Os</term>
<term>Santé</term>
<term>Essai clinique</term>
<term>Allemagne</term>
<term>Prospective</term>
<term>Randomisation</term>
<term>Inhibiteur de l'aromatase</term>
<term>Densité minérale osseuse</term>
<term>Précoce</term>
<term>Cancer du sein</term>
<term>Fracture</term>
<term>Ostéoporose</term>
<term>Anticancéreux</term>
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<front>
<div type="abstract" xml:lang="en">Background: Adjuvant treatment of hormone receptor-positive breast cancer in postmenopausal women with aromatase inhibitors may be associated with increased bone loss. Patients and methods: Two hundred patients were randomised to receive exemestane or tamoxifen as adjuvant treatment of hormone receptor-positive breast cancer. Bone mineral density (BMD) was assessed by dual-energy X-ray absorptiometry at baseline and after 6 and 12 months treatment. Results: One hundred and sixty-one patients were assessable. Tamoxifen treatment resulted in a 0.5% increase from baseline in BMD at the spine, which was maintained at 12 months. Exemestane-treated patients experienced a 2.6% decrease from baseline in BMD at the spine at 6 months and a further 0.2% decrease at 12 months. There were significant differences in the changes in BMD between tamoxifen and exemestane at 6 and 12 months (P = 0.0026 and P = 0.0008, respectively). The mean changes in BMD from baseline at the total hip were also significantly different between exemestane and tamoxifen at 6 and 12 months (P = 0.0009 and P = 0.04, respectively). There was no difference between tamoxifen and exemestane in mean changes in BMD from baseline at the femoral neck. Conclusions: Exemestane treatment resulted in an increase in bone loss at 6 months; bone loss stabilised after 6- to 12-month treatment.</div>
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<s1>Effects of exemestane and tamoxifen on bone health within the Tamoxifen Exemestane Adjuvant Multicentre (TEAM) trial: results of a German, 12-month, prospective, randomised substudy</s1>
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<s1>Onkologische Schwerpunktpraxis</s1>
<s2>Goslar</s2>
<s3>DEU</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="05">
<s1>Pfizer, Specialty Brand Team Europe</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>6 aut.</sZ>
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<fA14 i1="07">
<s1>University of Mannheim</s1>
<s2>Mannheim</s2>
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<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="08">
<s1>Freiburg University, Frauenklinik</s1>
<s2>Freiburg</s2>
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<sZ>9 aut.</sZ>
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<s0>Background: Adjuvant treatment of hormone receptor-positive breast cancer in postmenopausal women with aromatase inhibitors may be associated with increased bone loss. Patients and methods: Two hundred patients were randomised to receive exemestane or tamoxifen as adjuvant treatment of hormone receptor-positive breast cancer. Bone mineral density (BMD) was assessed by dual-energy X-ray absorptiometry at baseline and after 6 and 12 months treatment. Results: One hundred and sixty-one patients were assessable. Tamoxifen treatment resulted in a 0.5% increase from baseline in BMD at the spine, which was maintained at 12 months. Exemestane-treated patients experienced a 2.6% decrease from baseline in BMD at the spine at 6 months and a further 0.2% decrease at 12 months. There were significant differences in the changes in BMD between tamoxifen and exemestane at 6 and 12 months (P = 0.0026 and P = 0.0008, respectively). The mean changes in BMD from baseline at the total hip were also significantly different between exemestane and tamoxifen at 6 and 12 months (P = 0.0009 and P = 0.04, respectively). There was no difference between tamoxifen and exemestane in mean changes in BMD from baseline at the femoral neck. Conclusions: Exemestane treatment resulted in an increase in bone loss at 6 months; bone loss stabilised after 6- to 12-month treatment.</s0>
</fC01>
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<s0>002B02R</s0>
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<s0>Exémestane</s0>
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<s0>Tamoxifene</s0>
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<s0>Tamoxifeno</s0>
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<s0>Prospective</s0>
<s5>07</s5>
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<fC03 i1="07" i2="X" l="ENG">
<s0>Prospective</s0>
<s5>07</s5>
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<s0>Prospectiva</s0>
<s5>07</s5>
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<s0>Inhibiteur de l'aromatase</s0>
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<s0>Aromatase inhibitor</s0>
<s5>09</s5>
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<s0>Inhibidor aromatase</s0>
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<s0>Bone mineral density</s0>
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<s0>Masa mineral ósea</s0>
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<s0>Précoce</s0>
<s5>11</s5>
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<s0>Early</s0>
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<s5>37</s5>
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<s5>37</s5>
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<s5>38</s5>
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<s5>38</s5>
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<s0>Estrogen synthase</s0>
<s2>FE</s2>
<s5>38</s5>
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<fC07 i1="04" i2="X" l="FRE">
<s0>Enzyme</s0>
<s2>FE</s2>
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<fC07 i1="04" i2="X" l="ENG">
<s0>Enzyme</s0>
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<s2>FE</s2>
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<s0>Inhibiteur enzyme</s0>
<s5>39</s5>
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<fC07 i1="05" i2="X" l="ENG">
<s0>Enzyme inhibitor</s0>
<s5>39</s5>
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<fC07 i1="05" i2="X" l="SPA">
<s0>Inhibidor enzima</s0>
<s5>39</s5>
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<s0>Stéroïde</s0>
<s5>40</s5>
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<s0>Steroid</s0>
<s5>40</s5>
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<s0>Esteroide</s0>
<s5>40</s5>
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<s0>Antihormone</s0>
<s5>41</s5>
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<fC07 i1="07" i2="X" l="ENG">
<s0>Antihormone</s0>
<s5>41</s5>
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<s5>41</s5>
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<s0>Antioestrogène</s0>
<s5>42</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Antiestrogen</s0>
<s5>42</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Antiestrógeno</s0>
<s5>42</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE">
<s0>Composé non stéroïde</s0>
<s5>43</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG">
<s0>Non steroid compound</s0>
<s5>43</s5>
</fC07>
<fC07 i1="09" i2="X" l="SPA">
<s0>Compuesto no esteroide</s0>
<s5>43</s5>
</fC07>
<fC07 i1="10" i2="X" l="FRE">
<s0>Modulateur sélectif des récepteurs aux oestrogènes</s0>
<s5>44</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG">
<s0>Selective estrogen receptor modulator</s0>
<s5>44</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA">
<s0>Modulador selectivo del receptor de estrógeno</s0>
<s5>44</s5>
</fC07>
<fC07 i1="11" i2="X" l="FRE">
<s0>Système ostéoarticulaire</s0>
<s5>45</s5>
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<fC07 i1="11" i2="X" l="ENG">
<s0>Osteoarticular system</s0>
<s5>45</s5>
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<fC07 i1="11" i2="X" l="SPA">
<s0>Sistema osteoarticular</s0>
<s5>45</s5>
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<fC07 i1="12" i2="X" l="FRE">
<s0>Tumeur maligne</s0>
<s2>NM</s2>
<s5>46</s5>
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<fC07 i1="12" i2="X" l="ENG">
<s0>Malignant tumor</s0>
<s2>NM</s2>
<s5>46</s5>
</fC07>
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<s0>Tumor maligno</s0>
<s2>NM</s2>
<s5>46</s5>
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<s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="13" i2="X" l="ENG">
<s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="13" i2="X" l="SPA">
<s0>Cáncer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="14" i2="X" l="FRE">
<s0>Pathologie de la glande mammaire</s0>
<s2>NM</s2>
<s5>47</s5>
</fC07>
<fC07 i1="14" i2="X" l="ENG">
<s0>Mammary gland diseases</s0>
<s2>NM</s2>
<s5>47</s5>
</fC07>
<fC07 i1="14" i2="X" l="SPA">
<s0>Glándula mamaria patología</s0>
<s2>NM</s2>
<s5>47</s5>
</fC07>
<fC07 i1="15" i2="X" l="FRE">
<s0>Pathologie du sein</s0>
<s2>NM</s2>
<s5>48</s5>
</fC07>
<fC07 i1="15" i2="X" l="ENG">
<s0>Breast disease</s0>
<s2>NM</s2>
<s5>48</s5>
</fC07>
<fC07 i1="15" i2="X" l="SPA">
<s0>Seno patología</s0>
<s2>NM</s2>
<s5>48</s5>
</fC07>
<fC07 i1="16" i2="X" l="FRE">
<s0>Pathologie du système ostéoarticulaire</s0>
<s5>49</s5>
</fC07>
<fC07 i1="16" i2="X" l="ENG">
<s0>Diseases of the osteoarticular system</s0>
<s5>49</s5>
</fC07>
<fC07 i1="16" i2="X" l="SPA">
<s0>Sistema osteoarticular patología</s0>
<s5>49</s5>
</fC07>
<fC07 i1="17" i2="X" l="FRE">
<s0>Traumatisme</s0>
<s5>50</s5>
</fC07>
<fC07 i1="17" i2="X" l="ENG">
<s0>Trauma</s0>
<s5>50</s5>
</fC07>
<fC07 i1="17" i2="X" l="SPA">
<s0>Traumatismo</s0>
<s5>50</s5>
</fC07>
<fN21>
<s1>222</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
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<server>
<NO>PASCAL 09-0309205 INIST</NO>
<ET>Effects of exemestane and tamoxifen on bone health within the Tamoxifen Exemestane Adjuvant Multicentre (TEAM) trial: results of a German, 12-month, prospective, randomised substudy</ET>
<AU>HADJI (P.); ZILLER (M.); KIEBACK (D. G.); DORNOFF (W.); TESSEN (H. W.); MENSCHIK (T.); KUCK (J.); MELCHERT (F.); HASENBURG (A.)</AU>
<AF>Department of Gynecology, University Hospital of Giessen and Marburg/Marburg/Allemagne (1 aut., 2 aut.); Helios Kliniken/Aue/Allemagne (3 aut.); Klinikum Mutterhaus der Borromaerinnen/Trier/Allemagne (4 aut.); Onkologische Schwerpunktpraxis/Goslar/Allemagne (5 aut.); Pfizer, Specialty Brand Team Europe/Paris/France (6 aut.); Independent Clinical Research Consulting, Bölschestrasse/Berlin/Allemagne (7 aut.); University of Mannheim/Mannheim/Allemagne (8 aut.); Freiburg University, Frauenklinik/Freiburg/Allemagne (9 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Annals of oncology; ISSN 0923-7534; Royaume-Uni; Da. 2009; Vol. 20; No. 7; Pp. 1203-1209; Bibl. 30 ref.</SO>
<LA>Anglais</LA>
<EA>Background: Adjuvant treatment of hormone receptor-positive breast cancer in postmenopausal women with aromatase inhibitors may be associated with increased bone loss. Patients and methods: Two hundred patients were randomised to receive exemestane or tamoxifen as adjuvant treatment of hormone receptor-positive breast cancer. Bone mineral density (BMD) was assessed by dual-energy X-ray absorptiometry at baseline and after 6 and 12 months treatment. Results: One hundred and sixty-one patients were assessable. Tamoxifen treatment resulted in a 0.5% increase from baseline in BMD at the spine, which was maintained at 12 months. Exemestane-treated patients experienced a 2.6% decrease from baseline in BMD at the spine at 6 months and a further 0.2% decrease at 12 months. There were significant differences in the changes in BMD between tamoxifen and exemestane at 6 and 12 months (P = 0.0026 and P = 0.0008, respectively). The mean changes in BMD from baseline at the total hip were also significantly different between exemestane and tamoxifen at 6 and 12 months (P = 0.0009 and P = 0.04, respectively). There was no difference between tamoxifen and exemestane in mean changes in BMD from baseline at the femoral neck. Conclusions: Exemestane treatment resulted in an increase in bone loss at 6 months; bone loss stabilised after 6- to 12-month treatment.</EA>
<CC>002B02R; 002B20E02; 002B15A</CC>
<FD>Exémestane; Tamoxifène; Os; Santé; Essai clinique; Allemagne; Prospective; Randomisation; Inhibiteur de l'aromatase; Densité minérale osseuse; Précoce; Cancer du sein; Fracture; Ostéoporose; Anticancéreux</FD>
<FG>Europe; Dérivé de l'androstane; Estrogen synthase; Enzyme; Inhibiteur enzyme; Stéroïde; Antihormone; Antioestrogène; Composé non stéroïde; Modulateur sélectif des récepteurs aux oestrogènes; Système ostéoarticulaire; Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein; Pathologie du système ostéoarticulaire; Traumatisme</FG>
<ED>Exemestane; Tamoxifene; Bone; Health; Clinical trial; Germany; Prospective; Randomization; Aromatase inhibitor; Bone mineral density; Early; Breast cancer; Fracture; Osteoporosis; Antineoplastic agent</ED>
<EG>Europe; Androstane derivatives; Estrogen synthase; Enzyme; Enzyme inhibitor; Steroid; Antihormone; Antiestrogen; Non steroid compound; Selective estrogen receptor modulator; Osteoarticular system; Malignant tumor; Cancer; Mammary gland diseases; Breast disease; Diseases of the osteoarticular system; Trauma</EG>
<SD>Exemestano; Tamoxifeno; Hueso; Salud; Ensayo clínico; Alemania; Prospectiva; Aleatorización; Inhibidor aromatase; Masa mineral ósea; Precoz; Cáncer del pecho; Fractura; Osteoporosis; Anticanceroso</SD>
<LO>INIST-22429.354000187188000090</LO>
<ID>09-0309205</ID>
</server>
</inist>
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