Open AccessCan We Keep the ‘PROMISE’?
Author(s) -
Sibylle Loibl,
N. Fersis,
Nadia Harbeck
Publication year - 2011
Publication title -
breast care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.767
H-Index - 30
eISSN - 1661-3805
pISSN - 1661-3791
DOI - 10.1159/000335477
Subject(s) - medicine , luteinizing hormone , fertility , hormone , hormone receptor , clinical trial , intensive care medicine , gynecology , oncology , bioinformatics , breast cancer , cancer , population , environmental health , biology
Recently reported data from the German ZORO trial and the Italian PROMISE-GIM6 trial have come to different conclusions. The AGO Breast Commission does not recommend the general use of luteinizing hormone-releasing hormone (LHRH) analogues for the preservation of ovarian function. Instead, we distinguish between patients with hormone receptor-negative and hormone receptor-positive disease. This article reviews the AGO recommendations in light of the ZORO and PROMISE-GIM6 data. In conclusion, separate recommendations are needed for the prevention of ovarian failure and for fertility preservation because the trials did not investigate fertility rate as a primary outcome measure. The results from not yet published trials such as OPTION and POEM may shed new light on the role of LHRH analogues.