Hormone therapyFDA-approvedFirst-line

Aromatase inhibitors (e.g. Letrozole)

Generic name: letrozole

How it works

Blocks the aromatase enzyme that converts androgens to estrogens, reducing estrogen levels and slowing tumor growth.

Cancer types

Breast Cancer— Hormone receptor-positive

Efficacy

In clinical trials, patients with hormone receptor-positive breast cancer who received aromatase inhibitors had improved progression-free survival and overall survival compared to those who received tamoxifen.

Side effects

Mild

Most people tolerate this treatment well. Side effects are generally manageable and do not require stopping treatment.

Evidence from research

StudyCancer typeStageEfficacy
Aromatase Inhibitors Linked to Liver Damage in Breast Cancer PatientsBreast Cancerobservational—Source →
Comparing Injectable and Oral Letrozole for Breast Cancer TreatmentBreast Cancerphase-1—Source →
Evaluating Zanidatamab in Early Stage HER2+ Breast CancerBreast Cancerphase-2—Source →
Testing New Treatment for Advanced Breast CancerBreast Cancerphase-3—Source →
Testing a New Treatment for Advanced Breast CancerBreast Cancerphase-3—Source →
Abemaciclib and Letrozole in Rare Ovarian CancerOvarian Cancerphase-2—Source →
Study of Avutometinib, Defactinib, and Letrozole for Low-Grade Serous Ovarian CancerOvarian Cancerphase-2—Source →
Evaluating Dalpiciclib with or without Entinostat and Letrozole in Early Breast CancerBreast Cancerphase-2—Source →
Tamoxifen and Other Hormone Treatments for Invasive Breast CancerBreast Cancerphase-3—Source →
Testing a Combination Therapy for ER-Positive, HER-2 Positive Breast CancerBreast Cancerphase-2—Source →
Testing Letrozole and Ribociclib in Early Breast CancerBreast Cancerphase-2—Source →
Ribociclib and Letrozole Effective in Older Women with Advanced Breast CancerBreast CancerpreclinicalThe median progression-free survival was 36 months, and the breast cancer-specific survival rate at 24 and 36 months was 82% and 75%, respectively.Source →
CD8+ T cells may influence breast cancer treatment responseBreast Cancerlab-study—Source →
Researchers Explore New Treatment Approach for Endometrial CancerOvarian Cancerobservational—Source →
Combination Therapy Shows Promise in Rare Male Breast CancerBreast Cancerobservational—Source →
New Delivery Method for Breast Cancer TreatmentBreast Cancerlab-study—Source →
Combining two treatments for hormone receptor positive breast cancerBreast Cancerphase-2The estimated median progression-free survival for the combination was 17.7 months versus 14.6 months for letrozole alone.Source →
CDK4/6 Inhibitors and Endocrine Therapy for Metastatic Breast CancerBreast Cancerphase-3Ribociclib combined with letrozole significantly improved PFS over letrozole alone.Source →
Letrozole May Help Manage Rare Uterine TumorsLung Cancerobservational—Source →
Researchers Treat Breast Cancer with Letrozole and AbemaciclibBreast Cancerobservational—Source →
Rare Cancer Responds to Combination TherapyOvarian Cancerlab-study—Source →
Alpelisib and Letrozole May Help Some Breast Cancer PatientsBreast Cancerphase-2—Source →

This information is provided for general education only and is not medical advice. Always consult a qualified healthcare professional before making treatment decisions.