They found the risk of dying after five years was 6.6 percent for women who took the two drugs in sequence, compared with a death rate of 8.3 percent for women who took tamoxifen for the full five years and 11.9 percent for women who took no drugs at all.
The new drug also cut the risk of the cancer spreading by 17 percent and lowered the incidence of tumors in the opposite breast by 44 percent. The overall risk of any breast cancer recurrence or any new breast cancer was reduced by 24 percent.
Last month, Britain's National Institute for Health and Clinical Excellence (Nice) provisionally recommended the use of aromatase inhibitors -- which include Arimidex and Femara -- alongside tamoxifen but said there was no evidence the new drugs could improve survival.
The new data, from the Intergroup Exemestane Study, provides the first proof that women live longer when their treatment includes an aromatase inhibitor.
"We're talking about many hundreds of potential lives being saved purely by switching drugs at this early stage," said Mary McCormack, a consultant clinical oncologist at University College hospital in London. "We think up to a thousand."