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Evaluating progesterone receptor agonist megestrol plus letrozole for women with early-stage estrogen-receptor-positive breast cancer: the window-of-opportunity, randomized, phase 2b, PIONEER trial | Nature Cancer

Jan 05, 2026 |
By Alimu Dayimu, Stuart McIntosh, Beatrix Elsberger, Amit Agrawal, Steven Bell, Carlos Caldas, Karen Pinilla, Wendi Qian, Jean Abraham
| Nature Verified
Abstract The use of progestogens in breast cancer has been controversial. Recent preclinical studies have shown that ligand-bound progesterone receptor interacts directly with the estrogen receptor (ER) and reprograms ER transcriptional activity. Progestogen cotreatment enhances the antitumor activity of antiestrogen therapy in mouse xenografts.
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