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Letters Funding/Support: Dr Yao is supported by National Institutes of Health (NIH) Importantly, the beneficial clinical results observed with grants R01 CA166701 and R03 CA192205, and Susan G. Komen Foundation use of aromatase inhibitors over tamoxifen relate to the CCR12225973. Dr Ambrosone is supported by NIH grants P01 CA151135, U01 highly potent third-generation compounds exemestane, CA195565, P30 CA16056, and Breast Cancer Research Foundation. Dr Kushi is anastrozole, and letrozole. First- and second-generation supported by NIH grants R01 CA105274, U01 CA195565, R01 CA172855, and U24 CA171524. compounds such as aminoglutethimide and formestane did 1. Yao S, Kwan ML, Ergas IJ, et al. Association of serum level of vitamin D at not reveal any superiority. The difference in on-treatment diagnosis with breast cancer survival: a case-cohort analysis in the Pathways aromatase inhibition between the second- and third- Study. JAMA Oncol. 2017;3(3):351-357. generation inhibitors that underpins these clinical differ- 2. Goodwin PJ, Ennis M, Pritchard KI, Koo J, Hood N. Prognostic effects of ences in efficacy relates to moderate differences in aromatase 25-hydroxyvitamin D levels in early breast cancer. J Clin Oncol. 2009;27(23): inhibition (90% vs 98%) and in plasma estradiol level of only 3757-3763. 1to2pg/mL. 3. Lappe J, Watson P, Travers-Gustafson
JAMA Oncology – American Medical Association
Published: Aug 20, 2017
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