Recent advances in the clinical application of aromatase inhibitors

C Harper-Wynne1, M Dowsett

  • 1Academic Department of Biochemistry, The Royal Marsden Hospital, Fulham Road, SW3 3JJ, London, UK. cwynne@icr.ac.uk

Insights

Aromatase inhibitors are now well-tolerated treatments for postmenopausal breast cancer, showing promise as a first-line therapy. Ongoing research may expand their role in adjuvant therapy and prevention.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Aromatase inhibitors have significantly evolved over two decades.
  • These agents effectively inhibit aromatase activity in postmenopausal women.

Purpose of the Study:

  • To review the evolution and current applications of aromatase inhibitors in breast cancer treatment.
  • To discuss their potential as first-line therapy and in adjuvant and prevention settings.

Main Methods:

  • Review of clinical data and ongoing trials.
  • Analysis of efficacy compared to existing treatments like tamoxifen.

Main Results:

  • Aromatase inhibitors are well-tolerated and effective in advanced breast cancer.
  • They are currently preferred as second-line treatment after tamoxifen.
  • Emerging data suggest they may be more efficacious than tamoxifen.

Conclusions:

  • Aromatase inhibitors represent a significant advancement in breast cancer therapy.
  • They are poised to become a first-line treatment option.
  • Further studies will define their role in adjuvant treatment and prevention.