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1st appeared 16 June 1999

Osteoporosis Drug Reduces Risk of Breast Cancer by 76 Percent in Postmenopausal Women, Study Finds

Researchers at UC San Francisco report that a novel osteoporosis prevention drug, called raloxifene, reduced the risk of invasive breast cancer in postmenopausal women with osteoporosis by 76 percent after forty months of treatment.

The final results of the Multiple Outcomes of Raloxifene Evaluation (MORE) trial are published in the June 16 issue of The Journal of the American Medical Association (JAMA).

"This is an exciting start because women who are concerned about breast cancer now have another alternative for reducing their risk of developing the disease and preventing osteoporosis at the same time," says Steven R. Cummings, UCSF professor of medicine and epidemiology and lead author of the study. "If raloxifene's benefits continue over a longer period of time, treatment with the drug may be a way of substantially reducing a woman's lifetime risk of breast cancer."

"These results are dramatic because very few preventive treatments have reduced the risk of any disease this much," Cummings says. "However, as with any postmenopausal hormonal therapy, there are both benefits and risks associated with the drug and therefore women should talk to their doctors about different treatment options."

Raloxifene belongs to a class of drugs called selective estrogen receptor modulators (SERMS). SERMS work by mimicking the effects of estrogen in some parts of the body -- for example, SERMS mimic the positive effects of estrogen on a woman's bones and cholesterol levels -- while inhibiting estrogen's "bad" effects on a woman's risk of breast cancer.

One of the most significant benefits of raloxifene is that it reduces the risk of breast cancer among postmenopausal women without causing an apparent increase in uterine cancer -- a side effect associated with other drugs in its class such as tamoxifen.

Some of the reported side effects of raloxifene include hot flashes, leg cramps, peripheral edema and flu-like symptoms. There was also an increased incidence of blood clots among women who received raloxifene. Cummings says that the study will continue for another four years to determine the long-term effects of raloxifene on the prevention of breast cancer among postmenopausal women.

Links:

Full UCSF press release

NIH news release

Journal of the American Medical Association

UCSF Department of Epidemiology and Biostatistics

Related Daybreak stories:

Raloxifene Reduces Risk of Breast Cancer, Study Finds (May, 1998)

Two Years of Novel Therapy Reduces Spinal Fractures in Postmenopausal Women (September, 1998)

Study Compares Hormone Drug on Different Age Groups -- Therapy Shows Promise for Some Postmenopausal Women (January, 1998)

Source: Abby Sinnott, News Services


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