22 Jul Beyond Tamoxifen: How (Z)-Endoxifen May Transform ER+ Breast Cancer Treatment — and Offer New Hope in Duchenne Muscular Dystrophy
MedicalResearch.com Interview with:
Steven Quay, MD, PhD
Founder, Chairman of the Board and Chief Executive Officer
Atossa Therapeutics
Publications discussed: The rise of selective estrogen receptor modulators (SERMs) in breast cancer therapy: a promising horizon and (Z)-Endoxifen as a Potential Modulator of Utrophin Pathways in Duchenne Muscular Dystrophy: A Mechanistic and Transcriptomic Perspective
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Dr. Steven C. Quay[/caption]
MedicalResearch.com: What is the background for these studies? What are the main findings of the reviews?
Dr. Quay: Breast cancer remains the most common cancer diagnosis and the second leading cause of cancer death among women in the United States. Around 70% of these cases are estrogen receptor-positive (ER+), meaning the tumor cells use the body's natural estrogen as fuel to multiply and grow. While traditional endocrine therapies like tamoxifen have saved countless lives, patients frequently face severe side effects or eventually develop resistance to the treatment.
To bridge this gap, these studies show the promise of next-generation selective estrogen receptor modulators (SERMs), specifically (Z)-endoxifen. The main findings indicate that this active-form drug delivers more consistent, well-tolerated exposure to keep pace with a patient's unique biology. We are looking at the whole picture — from cancer prevention in high-risk patients to shrinking tumors before cases worsen. Ultimately, this approach builds on tamoxifen's legacy and blocks estrogen signaling to provide patients with more effective therapy options. For context on risk factors in breast cancer prevention, see this overview of breast cancer risk and dense breast tissue.
Dr. Tatum[/caption]
Kristina L. Tatum, PsyD, MS
Instructor
Department of Social and Behavioral Sciences
School of Public Health
A large population-based analysis of more than 841,000 breast cancer patients across the United States examines whether GLP-1 receptor agonist use is associated with improved survival and lower recurrence risk — with findings that researchers describe as very promising.
Dr. Stone[/caption]
Co-author Meredith Stone, PhD
Assistant Director for Cell Therapy Translation
in Dr. Davila’s lab at Roswell Park - presenting author
MedicalResearch.com: What is the background for this study?
Response: While CD19-targeted CAR T cell therapy has garnered clinical success and FDA approval for the treatment of large B cell lymphoma, approximately half of patients suffer from primary resistance or relapse. Increasing evidence suggests that resistance mechanisms are supported by the tumor microenvironment (TME). Cytokines secreted by CAR T cells can remodel the TME, determining the phenotype and function of other immune cells.
Dr. Serena Guo[/caption]
Serena Jingchuan Guo, MD PhD
Assistant Professor
Department of Pharmaceutical Outcomes and Policy
University of Florida College of Pharmacy
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Dr. Hao Dai[/caption]
Hao Dai, PhD
Postdoctoral Fellow
Department of Biostatistics & Health Data Science
Indiana University School of Medicine
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Obesity and type 2 diabetes are both known to increase the risk of several cancers. Glucagon-like peptide 1 receptor agonists (GLP-1RAs) have become very popular for both glycemic control and weight loss, but their long-term effects on cancer risk are still unclear. Using a large real-world dataset, we emulated a target trial comparing more than 43,000 GLP-1RA users to matched non-users.
We found that GLP-1RA use was associated with a significantly lower overall cancer risk.
Dr. Jiyoung Ahn[/caption]
MedicalResearch.com Interview with:
Jiyoung Ahn, PhD