TEXT
Regimen
- Experimental
- Exemestane 25 mg daily plus OFS (triptorelin) for 5 years.
- Control
- Tamoxifen 20 mg daily plus OFS (triptorelin) for 5 years.
Population
Premenopausal women with HR+ early breast cancer who started OFS (triptorelin) upfront, concurrently with adjuvant chemotherapy when indicated. Joint analysis with SOFT.
Key finding
TEXT (combined with SOFT) showed exemestane plus OFS reduced invasive recurrences versus tamoxifen plus OFS in premenopausal HR+ early breast cancer. NCCN BINV-K cites SOFT/TEXT as the basis for AI plus OFS in higher-risk premenopausal disease; 15-year updates confirm durable DFS benefit.
Source: PMID 24881463
Timeline
- Publication: 2014 Jul 10
Guideline citations
- NCCN BREAST