© 2004 by Oxford University Press
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© 2004 Oxford University Press
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Despite Positive Studies, Popularity of Chemoprevention Drugs Increasing Slowly
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Aspirin therapy for people at high risk of heart disease may be the ideal model for preventing disease with pharmaceuticals: It is effective, inexpensive, and has few side effects. However, cancer chemoprevention is a newer concept and far more complicated. The drugs tested so far tend to be more expensive and have more serious side effects than aspirin, and their acceptance by doctors and patients has been slow.
Only a few chemoprevention drugs have so far completed phase III clinical
trials. In 1998, the National Surgical Adjuvant Breast and Bowel Project
(NSABP) completed its P-1 study of tamoxifen for the prevention of breast
cancer in women at high risk. The drug was shown to reduce breast cancer
incidence by about 50% compared with placebo and was approved by the U.S. Food
and Drug Administration for
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J Natl Cancer Inst 2004 96: 1411.
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