We have previously shown that tamoxifen þ epigallocatechin gallate (EGCG) is synergistically cytotoxic towards oestrogen receptor (ER)-negative breast cancer cells. To determine if this response would correlate with significant tumour suppression in vivo, athymic nude female mice were implanted with MDA-MB-231 cells and treated with tamoxifen, EGCG, EGCG þ tamoxifen, or vehicle control for 10 weeks. Tumour volume in EGCG-(25 mg kg À1 ) þ tamoxifen (75 mg kg À1 )-treated mice decreased by 71% as compared with vehicle control (Po0.05), whereas tumour weight was decreased by 80% compared with control (Po0.01). Epigallocatechin gallate treatment did not alter ER protein expression in MDA-MB-231 cells and thus was not a mechanism for the observed tumour suppression. However, western blotting of tumour extracts demonstrated that epidermal growth factor receptor (EGFR; 85% lower than control), pEGFR (78% lower than control), mammalian target of rapamycin (mTOR; 78% lower than control), and CYP1B1 (75% lower than control) were significantly lower after the combination treatment as compared with all other treatments. Nuclear factor-kB (NF-kB), b-Raf, p-MEK, S6K, 4EBP1, Akt, vascular EGFR-1 (VEGFR-1) and VEGF expressions were decreased in control but not in the individual treatments, whereas MEK, phospholipase D 1/2, TGFa, and ERK expressions were not changed after any treatment. The results demonstrate that tamoxifen at realistic doses (75 mg kg À1 ) can suppress the growth of ERnegative breast cancer when combined with EGCG. In addition, the dominant mechanism for tumour suppression is the concomitant decrease in tumour protein expressions of mTOR and the EGFR.