endocrine therapies Flashcards
Tamoxifen
SERM
For ER+ cancers
Prodrug that must be metabolized
Pre and postmenopausal women
Leuprolide
GNRH analog
causes decrease of LH and FSH but first causes growth then reduction
for prostate cancer and for premenopausal breast cancer
Abiraterone
Inhibits 17 alpha hydroxylase and 17,20 lyase no formation of DHT
For prostate cancer
Enzalutamide
AR antagonist
prevents movement of androgen receptor to nucleus
Exemestane
Steroid aromatase inhibitor
For estrogen responsive breast cancer in postmenopausal women
Letrozole
NONsteroidal aromatase inhibitor
selective competitive inhibitor
For postmenopausal breast cancer
Fulvestrant
SERD
ER+ metastatic breast cancer in postmenopausal women
Treatment for postmenopausal breast cancer
Fulvestrant (ER+)
Letrozole
Exemestane
tamoxifen (ER+)
treatment for premenopausal breast cancer
leuprolide
Tamoxifen (ER+)
ER+ breast cancer
Fulvestrant (ER+) postmenopausal
Tamoxifen (ER+) pre and postmenopausal