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Labs

Kathryn Flynn

Medical College of Wisconsin, WI·Medicine & Clinical Research

Many women treated for hormone receptor positive breast cancer are prescribed endocrine therapy. These are daily pills such as tamoxifen or an aromatase inhibitor, taken for five to ten years.

Fields

Medicine & Clinical Research

Public Health & Epidemiology

Pharmacology

Topics

breast cancer

endocrine therapy

tamoxifen

Grants
1 known grant, through Jul 2029

What they work on

  1. Test whether 12 months of symptom monitoring with clinical pharmacist follow-up improves adherence to oral endocrine therapy among breast cancer patients with poor adherence, in a randomized study, and whether the effect lasts to 24 months.
  2. Model how patient-reported symptoms such as pain and menopausal symptoms change over time in intervention versus control groups, and by adherence level, since side effects may rise as more pills are taken.
  3. Use mediation analysis to test whether the intervention works through symptom severity, self-efficacy in managing medications and symptoms, team communication, or social support.

More about the research

They cut the risk of the cancer returning nearly in half and improve survival. Yet almost half of patients do not take all their pills. Women often name pain, menopausal symptoms and other side effects as major reasons. Earlier efforts based on education and reminders had small effects, and more complex programs were hard to keep running.

Why it matters

Women with hormone receptor positive breast cancer who skip endocrine therapy face a higher risk of recurrence. A pharmacist-supported symptom monitoring program could help thousands of women stay on treatment that halves recurrence risk. Because many newly approved cancer drugs are taken as pills at home, the approach could also serve as a model for supporting adherence to other oral cancer medications and inform how oncology care is delivered.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Symptom Monitoring using Patient-Reported Outcomes to Optimize Medication Use (SyMPTOM)

NIH · Aug 2024 – Jul 2029

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The school

Medical College of Wisconsin: 17 labs on PI Pages, $360M a year on research, 44 research doctorates a year.

More about Medical College of Wisconsin

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