(Z)-Endoxifen and Early Recurrence of Breast Cancer: An Explorative Analysis in a Prospective Brazilian Study.

(Z)-endoxifen Brazil CYP2D6 breast cancer early recurrence survival tamoxifen

Journal

Journal of personalized medicine
ISSN: 2075-4426
Titre abrégé: J Pers Med
Pays: Switzerland
ID NLM: 101602269

Informations de publication

Date de publication:
22 Mar 2022
Historique:
received: 24 02 2022
revised: 12 03 2022
accepted: 19 03 2022
entrez: 23 4 2022
pubmed: 24 4 2022
medline: 24 4 2022
Statut: epublish

Résumé

Adherence to treatment and use of co-medication, but also molecular factors such as CYP2D6 genotype, affect tamoxifen metabolism, with consequences for early breast cancer prognosis. In a prospective study of 149 tamoxifen-treated early-stage breast cancer patients from Brazil followed up for 5 years, we investigated the association between the active tamoxifen metabolite (Z)-endoxifen at 3 months and event-free survival (EFS) adjusted for clinico-pathological factors. Twenty-five patients (16.8%) had recurred or died at a median follow-up of 52.3 months. When we applied a putative 15 nM threshold used in previous independent studies, (Z)-endoxifen levels below the threshold showed an association with shorter EFS in univariate analysis (

Identifiants

pubmed: 35455627
pii: jpm12040511
doi: 10.3390/jpm12040511
pmc: PMC9030524
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Thais Almeida (T)

Clinical Oncology Department, Erasto Gaertner Hospital, Curitiba 81520-060, Brazil.
Post Graduation Department, Pontifical Catholic University of Parana, Curitiba 80215-901, Brazil.

Werner Schroth (W)

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, University of Tuebingen, 70376 Tuebingen, Germany.

Jeanine Nardin (J)

Clinical Research Department, Erasto Gaertner Hospital, Curitiba 81520-060, Brazil.
School of Health Science, UniBrasil, Curitiba 82820-540, Brazil.

Thomas E Mürdter (TE)

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, University of Tuebingen, 70376 Tuebingen, Germany.

Stefan Winter (S)

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, University of Tuebingen, 70376 Tuebingen, Germany.

Solane Picolotto (S)

Pharmacy Department, Erasto Gaertner Hospital, Curitiba 81520-060, Brazil.

Reiner Hoppe (R)

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, University of Tuebingen, 70376 Tuebingen, Germany.

Jenifer Kogin (J)

School of Health Science, UniBrasil, Curitiba 82820-540, Brazil.

Elisa Gaio (E)

Clinical Oncology Department, Erasto Gaertner Hospital, Curitiba 81520-060, Brazil.

Angela Dasenbrock (A)

Clinical Oncology Department, Erasto Gaertner Hospital, Curitiba 81520-060, Brazil.

Raquel Cristina Skrsypcsak (RC)

Clinical Oncology Department, Erasto Gaertner Hospital, Curitiba 81520-060, Brazil.

Lucia de Noronha (L)

Post Graduation Department, Pontifical Catholic University of Parana, Curitiba 80215-901, Brazil.

Matthias Schwab (M)

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, University of Tuebingen, 70376 Tuebingen, Germany.
German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Partner Site Tübingen, 69120 Tuebingen, Germany.
Cluster of Excellence iFIT (EXC2180) "Image-Guided and Functionally Instructed Tumor Therapies", University of Tuebingen, 69120 Tuebingen, Germany.
Department of Clinical Pharmacology, University of Tübingen, 69120 Tuebingen, Germany.
Department of Biochemistry and Pharmacy, University of Tübingen, 69120 Tuebingen, Germany.

Hiltrud Brauch (H)

Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, University of Tuebingen, 70376 Tuebingen, Germany.
German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Partner Site Tübingen, 69120 Tuebingen, Germany.
Cluster of Excellence iFIT (EXC2180) "Image-Guided and Functionally Instructed Tumor Therapies", University of Tuebingen, 69120 Tuebingen, Germany.

José Claudio Casali-da-Rocha (JC)

Post Graduation Department, Pontifical Catholic University of Parana, Curitiba 80215-901, Brazil.
Department of Oncogenetics, Erasto Gaertner Hospital, Curitiba 81520-060, Brazil.
Department of Oncogenetics, A. C. Camargo Cancer Center, São Paulo 01525-001, Brazil.

Classifications MeSH