Breast tumor tissue sections from Dutch TEAM patients were immunohistochemically stained for IGF1R status.
Part of this cohort was using metformin because of Diabetes type 2.
Breast cancer patients on exemestane harboring high IGF1R tumor expression had significantly less breast cancer relapse.
The addition of metformin to exemestane treatment resulted in improved efficacy.
Dual blockade of insulin- and estrogen-related growth pathway may improve outcome in selective breast cancer patients.