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exemestane + tamoxifen is a combination hormonal therapy regimen evaluated in the neoadjuvant (preoperative) setting for postmenopausal women with newly diagnosed estrogen receptor-positive (ER+) stage II-III breast cancer. Exemestane is an irreversible steroidal aromatase inactivator that reduces systemic estrogen levels by blocking the conversion of androgens to estrogens. Tamoxifen is a selective estrogen receptor modulator (SERM) that competitively inhibits the binding of estradiol to estrogen receptors in breast tissue. This specific combination was investigated by the University of Colorado, Denver, in a Phase II clinical trial (NCT00212004) to identify molecular predictors of hormone responsiveness and resistance, aiming to optimize preoperative treatment strategies for large or locally advanced tumors.
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