Study discontinuations in the megestrol acetate comparison study for adverse events other than progression of tumor occurred in 5/188 (2.7%) of patients on Letrozole tablets 0.5 mg, in 4/174 (2.3%) of the patients on Letrozole tablets 2.5 mg, and in 15/190 (7.9%) of patients on megestrol acetate. There were fewer thromboembolic events at both Letrozole tablets doses than on the megestrol acetate arm (2 of 362 patients or 0.6% vs. 9 of 190 patients or 4.7%). There was also less vaginal bleeding (1 of 362 patients or 0.3% vs. 6 of 190 patients or 3.2%) on letrozole than on megestrol acetate. In the aminoglutethimide comparison study discontinuations for reasons other than progression occurred in 6/193 (3.1%) of patients on 0.5 mg Letrozole tablets, 7/185 (3.8%) of patients on 2.5 mg Letrozole tablets, and 7/178 (3.9%) of patients on aminoglutethimide.
Other less frequent (<5%) adverse experiences considered consequential and reported in at least 3 patients treated with Letrozole tablets included hypercalcemia, fracture, depression, anxiety, pleural effusion, alopecia, increased sweating and vertigo.
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