Table 3.
Major non-breast cancer events in the prevention trials
| Endometrial cancer | All other cancer* | Any death | Breast cancer death | Venous thrombolic events† | Cardiovascular events‡ | All fractures | Non-vertebral fractures | Vertebral fractures | Cataracts | |
|---|---|---|---|---|---|---|---|---|---|---|
| Marsden | 12 vs 5 | 55 vs 60 | 54 vs 54 | 12 vs 9 | .. | .. | .. | .. | .. | .. |
| IBIS-I | 19 vs 11 | 110 vs 113 | 65 vs 55 | 10 vs 12 | 65 vs 43 | 40 vs 38 | 229 vs 252 | 221 vs 244 | 8 vs 8 | 76 vs 70 |
| NSABP-P-1 | 36 vs 15 | 101 vs 103 | 59 vs 71 | 4 vs 6 | 55 vs 29 | 90 vs 82 | 502 vs 539 | 480 vs 509 | 22 vs 30 | 578 vs 513 |
| Italian | .. | 106 vs 91 | 36 vs 38 | 2 vs 2 | 11 vs 10 | 14 vs 10 | .. | .. | .. | .. |
| MORE/CORE | 6 vs 8 | 112 vs 132 | 81 vs 84 | .. | 47 vs 25 | 82 vs 78 | 353 vs 450 | 214 vs 225 | 139 vs 225 | 275 vs 280 |
| RUTH | 21 vs 17 | 204 vs 203 | 548 vs 585 | 2 vs 0 | 106 vs 73 | 487 vs 481 | 529 vs 591 | 470 vs. 499 | 59 vs 92 | 570 vs 561 |
| STAR§ (raloxifene vs tamoxifen) | 37 vs 65 | 354 vs 323 | 202 vs 236 | 4 vs 11 | 154 vs 202 | 233 vs 220 | 1272 vs 1364 | 1195 vs 1299 | 65 vs 77 | 603 vs 739 |
| PEARL (0·5 mg vs 0·25 mg vs placebo) | 2 vs 2 vs 3 |
25 vs 20 vs 22 |
92 vs 73 vs 65 |
.. | 48 vs 37 vs 18 |
47 vs 54 vs 76 |
359 vs 422 vs 508 |
203 vs 233 vs 246 |
156 vs 189 vs 262 |
320 vs 317 vs 330 |
| GENERATIONS | 9 vs 4 | 74 vs 75 | 103 vs 98 | .. | 43 vs 17 | 71 vs 64 | 426 vs 508 | 316 vs 327 | 110 vs 181 | 382 vs 400 |
| All events | 105 vs 63 | 787 vs 799 | 1038 vs 1050 | 30 vs 29 | 375 vs 215 | 831 vs 829 | 2398 vs 2848 | 1904 vs 2050 | 494 vs 798 | 2201 vs 2154 |
| HR or OR (95% CI) | HR 1·56 (1·13–2·14) | HR 0·98 (0·89–1·08) | HR 0·98 (0·90–1·06) | HR 1·03 (0·55–1·92) | OR 1·73 (1·47–2·05) | OR 0·99 (0·91–1·09) | OR 0·85 (0·80–0·89) | OR 0·93 (0·87–0·99) | OR 0·66 (0·59–0·73) | OR 1·01 (0·95–1·06) |
Data are number of patients for selective oestrogen receptor modulator versus vs placebo, unless otherwise indicated. HR=hazard ratio. OR=odds ratio
Excluding endometrial cancer.
Including deep vein thrombosis, pulmonary embolism, retinal thrombosis; excluding superficial thrombosis.
Including myocardial infarction, cerebrovascular accident, and transient ischaemic accident.
STAR data not included for overall effect.