Aromatase inhibitors - Anastrozole, Exemestane

Anastrozole, Exemestane


ATC CODE

  • L02BG

INDICATIONS AND NEMLC RECOMMENDATIONS

INDICATIONS AND NEMLC RECOMMENDATIONS 1

INDICATION

  • Adjuvant breast cancer.

RECOMMENDATION

  • Approved
    for use in women with confirmed intolerance to tamoxifen, i.e. thrombo-embolic disease or endometrial hyperplasia (proven on ultrasound).
    Choice of aromatase inhibitor will depend on best tender price.

REVIEW INDICATORS

  • Publication of the ongoing Secondary Adjuvant Long term Study with Arimidex (SALSA) study and ATAC .
  • Long term data BIG 1-98.
  • TEAM data late in 2008.
  • Price parity with tamoxifen.

DATE RATIFIED

  • 27 November 2008



INDICATIONS AND NEMLC RECOMMENDATIONS 2

INDICATION

  • Metastatic breast cancer.

RECOMMENDATION

  • Approved
    for use as second-line therapy after tamoxifen in advanced breast cancer in postmenopausal women who do not have visceral metastases.
    Choice of aromatase inhibitor will depend on best tender price.

REVIEW INDICATORS

  • Further developments regarding tamoxifen pharmacogenetics.

DATE RATIFIED

  • September 2010