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. Author manuscript; available in PMC: 2018 Jan 14.
Published in final edited form as: Annu Rev Med. 2017 Jan 14;68:197–211. doi: 10.1146/annurev-med-050715-104920

Table 2.

Adverse events associated with endocrine therapy in the NSABPa B-35 and IBISb-II trials

NSABP B-35
Anastrozole Tamoxifen ORc (95%CId) P value
N=1539 N=1538
Endometrial cancer 8 (0.5%) 17 (1.1%) 0.47 (0.18–1.15) NSe
Osteoporotic fractures 69 (4.4%) 50 (3.3%) 1.38 (0.95–2.03) NS
Arthralgia 504 (33%) 358 (23%)
Thromboembolic events 12 (0.8%) 41 (2.7%)
IBIS-II
Anastrozole Tamoxifen OR (95% CI) P value
N=1449 N=1489
Endometrial cancer 1 (0.06%) 11 (0.7%) 0.09 (0.002–0.64) 0.0044
Osteoporotic fractures 129 (9%) 100 (7%) 1.36 (1.03–1.80) 0.027
Arthralgia 832 (57%) 729 (49%) 1.41 (1.21–1.63) < 0.0001
Hot flashes 818 (56%) 899 (60%) 0.85 (0.73–0.99) 0.031
Vaginal dryness 189 (13%) 159 (11%) 1.25 (1.00–1.58) 0.047
Vaginal discharge 30 (2%) 136 (9%) 0.21 (0.14–0.32) < 0.0001
Thromboembolic events 7 (< 1%) 24 (2%) 0.30 (0.11–0.71) 0.0028
Cardiovascular events 93 (6%) 84 (6%) 1.15 (0.84–1.57) 0.38
Cataracts 72 (5%) 61 (4%) 1.22 (0.85–1.77) 0.26

p values were not included for NSABP B-35

information about adverse events available for 3070 patients (1535 in each treatment arm)

a

Abbreviation: NSABP, National Surgical Adjuvant Breast and Bowel Project

b

Abbreviation: IBIS, International Breast Cancer Intervention Studies

c

Abbreviation: OR, odds ratio for women in the anastrozole group compared with those in the tamoxifen group

d

Abbreviation: CI, confidence interval

e

Abbreviation: NS, non-significant

Adapted with data from Margolese et al and Forbes et al (34, 35).

Note to Editor: This table was created by the authors using data from these 2 cited references. If permission to do so is required beyond this credit line, please notify the authors.