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Evista Prevents Breast Cancer -- for Some

By Michael W. Smith, MD
WebMD Health News
Reviewed by Gary D. Vogin, MD

Jan. 8, 2002 -- Previous research has shown that the osteoporosis drug Evista can prevent breast cancer in women. However, a new study shows that this is only true for certain women.

Evista works by blocking the effects of estrogen -- called estradiol in the body. Currently, doctors use it to prevent or treat osteoporosis in women with thinning bones. However, recent research has also shown that it can reduce the chance of getting breast cancer.

To see if this is true for all women, the researchers looked at more than 7,200 women with osteoporosis aged 80 years or younger. Women who had breast cancer or took estrogen in the past were excluded from the study.

The results are published in the Jan. 9 issue of TheJournal of the American Medical Association.

Each woman then had her estradiol levels checked by a blood test. The women were then split into two groups -- one group got Evista and the other got a placebo for four years.

For women on placebo, those with high estradiol levels were almost seven times more likely to develop breast cancer during the four years. This indicates that high estradiol levels in the blood do increase a woman's chance of getting breast cancer.

Next, the researchers compared the effects of Evista vs. placebo in women with the highest levels of estradiol. Women on Evista had about one-fifth the rate of breast cancer than the women on placebo. This indicates that Evista works to reduce breast cancer in women with this high rate of estradiol in their blood.

But the same did not hold true for women with low estradiol levels. These women already had a low risk of getting breast cancer, and Evista did not decrease the chance any further.

In this study, taking Evista for four years would have avoided 47% of breast cancers in women with high estradiol levels. For this study, high estradiol levels were considered to be any that were greater than 2.7 pg/mL, according to lead author Steven R. Cummings, MD, and colleagues. Cummings is with the University of California, San Francisco.

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