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. 2022 Feb 12;14(4):921. doi: 10.3390/cancers14040921

Table 1.

Summary of data upon hormonal therapy used for the treatment of ESS.

Early Stage
Study (Year) Type of Study Number of Patients Setting Treatment Results Response
Katz et al. (1987) [25] Case series 2 Adjuvant MA NED Response duration: 24–72 months
Malouf et al. (2010) [28] Retrospective study 4 Adjuvant MA 4 NED NA
Both early and advanced stage
Study (year) Type of study Number of patients Setting Treatment Results Response
Chu et al. (2003) [26] Retrospective study 13–8 Adjuvant–Metastatic MA/NSP 9 NED/4 recurred–4 CR/3 SD/1 PD Response duration:
18–180 months
Cheng et al. (2011) [18] Retrospective study 25–30 Adjuvant–Metastatic NSP 25 NED–5 CR/3 PR/16 SD/6 PD
10-year PFS rate: 43% 10-year OS rate: 85%
ORR: 27%;
median TTP: 24 months
10-year PFS rate: 43%
10-year OS rate: 85%
ORR: 27%; median TTP: 24 months
Advanced disease
Study (year) Type of study Number of patients Setting Treatment Results Response
Friedlander et al.,
2019 [44]
Phase II,
Open label
15 Advanced/
Metastatic
Anastrozole 1 CR/3 PR/7 SD
CBR at 3 months: 73%
Median PFS not reached
ORR 26.7%
CBR at 3 months: 73%
Median PFS not reached
ORR 26.7%
Pink et al. (2006) [30] Case series 8 Advanced/
Metastatic
MPA 1 CR/1 SD/1 PD Response duration:
9–50 months
5 Letrozole 4 PR/1 PD Response duration:
3–37 months
Dahhan et al. (2009) [31] Retrospective study 11 Advanced/
Metastatic
MA 4 CR/3 PR/1 SD Response duration:
4–252 months
3 Letrozole 2 PR/1 PD
Ioffe et al. (2009) [29] Retrospective study 8 Advanced/
Metastatic
MA/MPA 1 PR/3 SD/1 PD Response duration:
6–124 months
3 Letrozole 2 PR/1 CR
Mizuno et al. (2012) [33] Case series 6 Advanced/
Metastatic
MPA 3 PR/3SD After 6 months of therapy: overall response rate: 50%; disease control rate: 100%.
Yamazaki et al. (2015) [32] Retrospective study 9 Advanced/
Metastatic
MPA
DDG
GnRHa
3 CR/2 PR/1 SD/2 PD/1 NA Response rate: 63.6%. Disease control rate 72.7%
Spano et al. (2003) [39] Case series 2 Advanced/
Metastatic
2 Aminoglutethimide 2 CR Response duration:
84–168 months
Altman et al. (2012) [77] Retrospective study 4 Advanced/
Metastatic
4 Anastrozole (1 switched to Letrozole, 1 to Exemestane) 3 SD/1 PR NA
Ryu et al. (2015) [42] Case series 2 Advanced/
Metastatic
2 Letrozole 2 CR Response duration: 3–124 months
Yamagushi et al. (2015) [43] Retrospective study 5 Advanced/
Metastatic
5 Letrozole 1 PR/2 CR/2 SD Time to recurrence (TTR) range: 42–192 months

MA: megestrol acetate; NED: no evidence of disease; CR: complete response; NSP: not specified progestins; PR: partial response; MPA: medroxyprogesterone acetate; DDG: dydrogesterone; GnRHa: gonadotropin-releasing hormone analogues; SD: stable disease; PD: progression of disease; CBR: clinical benefit rate; PFS: progression-free survival; ORR: overall response rate NA: not available.