ATLAS
Regimen
- Experimental
- Continue tamoxifen 20 mg daily to year 10 (total 10 years).
- Control
- Stop tamoxifen at year 5 (total 5 years).
Population
Women with ER+ early breast cancer who had completed 5 years of adjuvant tamoxifen, randomized to continue or stop at year 5.
Key finding
ATLAS (with aTTom) established that extending adjuvant tamoxifen from 5 to 10 years further reduces late recurrence and breast cancer mortality in ER+ disease. Supports NCCN BINV-K extended endocrine therapy options for appropriate patients, particularly those not eligible for AI extension.
Source: PMID 23219286
Timeline
- Publication: 2013 Mar 9
Guideline citations
- NCCN BREAST