MedPath

Anastrozole

Generic Name
Anastrozole
Brand Names
Arimidex
Drug Type
Small Molecule
Chemical Formula
C17H19N5
CAS Number
120511-73-1
Unique Ingredient Identifier
2Z07MYW1AZ
Background

Anastrozole is a non-steroidal aromatase inhibitor (AI), similar to letrozole, used to decrease circulating estrogen levels in the treatment of postmenopausal women with estrogen-responsive breast cancer. Anastrozole is also related to exemestane, a steroidal AI, but its non-steroidal nature provides stark advantages including a lack of steroid-associated adverse effects such as weight gain and acne. Aromatase inhibitors, including anastrozole, have become endocrine drugs of choice in the treatment of postmenopausal breast cancer due to a more favourable efficacy and adverse effect profile as compared to earlier estrogen receptor modulators such as tamoxifen.

Anastrozole was first approved for use in the United States in 1995.

Indication

Anastrozole is indicated as adjunct therapy in the treatment of hormone receptor-positive early breast cancer in postmenopausal women, and as a first-line treatment for hormone receptor-positive (or hormone receptor-unknown) locally advanced or metastatic breast cancer in postmenopausal women. It may also be used in the treatment of advanced breast cancer in postmenopausal women who experience disease progression despite treatment with tamoxifen.

Associated Conditions
Advanced Breast Cancer, Invasive Early Breast Cancer, Locally Advanced Breast Cancer (LABC), Metastatic Breast Cancer, Stage I Breast Cancer
Associated Therapies
-

Pre-operative Hormonal Treatment for Hormone Receptor Positive Breast Cancer

Phase 2
Suspended
Conditions
Breast Cancer
Interventions
Drug: Tamoxifen
Drug: Anastrozole+Fulvestrant
Drug: Anastrozole
First Posted Date
2008-08-20
Last Posted Date
2021-01-22
Lead Sponsor
The Netherlands Cancer Institute
Target Recruit Count
250
Registration Number
NCT00738777
Locations
🇳🇱

UMC St. Radboud, Nijmegen, Netherlands

🇳🇱

NKI-AVL, Amsterdam, Netherlands

🇳🇱

Medisch Centrum Haaglanden, den Haag, ZH, Netherlands

and more 1 locations

A Study for Safety and Effectiveness of IMC-A12 by Itself or Combined With Antiestrogens to Treat Breast Cancer

Phase 2
Completed
Conditions
Metastatic Breast Cancer
Interventions
First Posted Date
2008-08-06
Last Posted Date
2018-06-06
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
93
Registration Number
NCT00728949
Locations
🇺🇸

ImClone Investigational Site, Nashville, Tennessee, United States

Effect of Aromatase Inhibitor Therapy on Blood Vessel Function in Postmenopausal Women With Breast Cancer

Completed
Conditions
Breast Cancer
Interventions
Procedure: assessment of therapy complications
Drug: anastrozole
Drug: exemestane
Drug: letrozole
First Posted Date
2008-07-22
Last Posted Date
2024-01-02
Lead Sponsor
Mayo Clinic
Target Recruit Count
109
Registration Number
NCT00719966
Locations
🇺🇸

Mayo Clinic, Rochester, Minnesota, United States

Cyclophosphamide, Methotrexate, and Prednisolone With or Without Aromatase Inhibitor Therapy in Treating Postmenopausal Women With Metastatic Breast Cancer

First Posted Date
2008-06-02
Last Posted Date
2009-06-17
Lead Sponsor
National Cancer Centre, Singapore
Target Recruit Count
70
Registration Number
NCT00687648
Locations
🇸🇬

National Cancer Centre - Singapore, Singapore, Singapore

Fulvestrant With or Without Lapatinib and/or Aromatase Inhibitor Therapy in Treating Postmenopausal Women With Metastatic Breast Cancer That Progressed After Previous Aromatase Inhibitor Therapy

First Posted Date
2008-06-02
Last Posted Date
2013-08-26
Lead Sponsor
Gruppo Italiano Mammella (GIM)
Target Recruit Count
396
Registration Number
NCT00688194
Locations
🇮🇹

Federico II University Medical School, Naples, Italy

Cognitive Function in Older Women With Stage I, Stage II, or Stage III Breast Cancer Receiving Hormone Therapy

Completed
Conditions
Breast Cancer
Interventions
Drug: anastrozole
Drug: letrozole
Other: questionnaire administration
Procedure: cognitive assessment
Procedure: psychosocial assessment and care
First Posted Date
2008-05-21
Last Posted Date
2011-12-02
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
72
Registration Number
NCT00681928
Locations
🇺🇸

City of Hope Comprehensive Cancer Center, Duarte, California, United States

Estrogen in Postmenopausal Women With ER Positive Metastatic Breast Cancer After Failure of Sequential Endocrine Therapy

Phase 2
Terminated
Conditions
Breast Cancer
Neoplasms, Breast
Cancer of the Breast
Interventions
First Posted Date
2008-04-18
Last Posted Date
2017-04-12
Lead Sponsor
Georgetown University
Target Recruit Count
11
Registration Number
NCT00661531
Locations
🇺🇸

Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States

🇺🇸

Cooper Cancer Institute, Voorhees, New Jersey, United States

🇺🇸

Georgetown University Medical Center, Washington, District of Columbia, United States

Breast Cancer Tumor Care Observational Programme

Completed
Conditions
Post Menopausal
Arthralgia
Interventions
First Posted Date
2008-04-17
Last Posted Date
2012-06-06
Lead Sponsor
AstraZeneca
Target Recruit Count
150
Registration Number
NCT00660244
Locations
🇦🇹

Research Site, Graz, Austria

Ax-003/Arimidex (Anastrozole) in the Adjuvant Therapy of Early Breast Cancer

Completed
Conditions
Breast Cancer
Interventions
First Posted Date
2008-03-19
Last Posted Date
2008-03-20
Lead Sponsor
AstraZeneca
Target Recruit Count
1600
Registration Number
NCT00638391

Gynecomastia Extension Study

Phase 3
Completed
Conditions
Gynecomastia
First Posted Date
2008-03-17
Last Posted Date
2008-03-17
Lead Sponsor
AstraZeneca
Registration Number
NCT00637182
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