Presurgical trial of metformin in overweight and obese patients with newly diagnosed breast cancer.

Presurgical trial of metformin in overweight and obese patients with newly diagnosed breast cancer.
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DOI:
10.3109/07357907.2014.889706
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发表时间:
2014-05
影响因子:
2.4
通讯作者:
Hershman DL
Hershman DL
中科院分区:
医学4区
文献类型:
--
作者:
Kalinsky K;Crew KD;Refice S;Xiao T;Wang A;Feldman SM;Taback B;Ahmad A;Cremers S;Hibshoosh H;Maurer M;Hershman DL

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We conducted a presurgical trial to assess the tissue-related effects of metformin in overweight/obese breast cancer (BC) patients. Metformin 1,500 mg daily was administered to 35 nondiabetics with stage 0–III BC, body mass index (BMI) ≥ 25 kg/m2. The primary endpoint was tumor proliferation change (i.e., ki-67). Tumor proliferation change was compared to untreated historical controls, matched by age, BMI, and stage. There was no reduction in ln(ki-67) after metformin (p = .98) or compared to controls (p = .47). There was a significant reduction in BMI, cholesterol, and leptin. Despite no proliferation changes, we observed reductions in other relevant biomarkers.
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