Abstract

The CYP2D6 enzyme metabolizes tamoxifen to its active metabolite endoxifen. Earlier small studies have suggested that genotyping could categorize patients as extensive, intermediate, or poor metabolizers of tamoxifen. By extension, the hypothesis was that patients would derive different benefits from tamoxifen depending on their ability to metabolize it. However, multiple studies analyzing tumor tissue and clinical outcomes from large adjuvant endocrine trials have …

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