Evidence map›Paper›PMID 27097892›Full record

ReviewWorld journal of urology2016

The role of gonadotrophin-releasing hormone antagonists in the treatment of patients with advanced hormone-dependent prostate cancer in the UK.

Derek J Rosario, Patrick Davey, James Green, Damien Greene, Bruce Turner, Heather Payne, Mike Kirby

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 42 citations in OpenAlex.

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  16. Does Exist a Differential Impact of DegarelixFrontiers in endocrinology · 2021
    Review
  17. Optimizing screening and management of cardiovascular health in prostate cancer: A review.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2020
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 1 country.

Derek J RosarioRoyal Hallamshire Hospital, University of Sheffield, Sheffield, UK. d.j.rosario@sheffield.ac.uk.
Patrick DaveyNorthampton General Hospital, Northampton, UK.
James GreenBarts Health Hospitals, London, UK.
Damien GreeneSunderland Royal Hospital, Sunderland, UK.
Bruce TurnerBarts Health Hospitals, London, UK.
Heather PayneUniversity College Hospital, London, UK.
Mike KirbyUniversity of Hertfordshire, Hatfield, UK.
Barts Health NHS Trust · GBHomerton University Hospital · GBNorthampton General Hospital · GBSunderland Royal Hospital · GBUniversity College London · GBUniversity of Hertfordshire · GBUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeComparing gonadotrophin-releasing hormone (GnRH) antagonists and agonists as androgen deprivation therapy for advanced prostate cancer (PC).

methodsThis article stems from a round-table meeting in December 2014 to compare the properties of GnRH agonists and antagonists in the published literature in order to identify the patient groups most likely to benefit from GnRH antagonist therapy. A broad PubMed and congress abstract search was carried out in preparation for the meeting to ensure that the latest data and opinion were available for the discussions.

resultsIn randomised, controlled trials, GnRH antagonist therapy provides more rapid suppression of luteinising hormone, follicle-stimulating hormone and testosterone than GnRH agonist treatment. Compared with the GnRH agonist, there is evidence of improved disease control by a GnRH antagonist, with longer interval to prostate-specific antigen progression and greater reduction of serum alkaline phosphatase. In a post hoc analysis of six randomised trials, the risk of cardiac events within 1 year of initiating therapy was significantly lower among men receiving GnRH antagonist than agonist. Pre-clinical laboratory data suggest a number of mechanisms whereby GnRH antagonist therapy may benefit men with pre-existing cardiovascular disease (CVD), the most plausible hypothesis being that, unlike GnRH agonists, GnRH antagonists do not activate T lymphocytes, which act to increase atherosclerotic plaque rupture.

conclusionWhen making treatment decisions, clinicians should consider comorbidities, particularly CVD, in addition to effects on PC. GnRH antagonists may be appropriate in patients with significant CV risk, existing osteopenia, lower urinary tract symptoms and significant metastatic disease.

Indexed as

Gonadotropin-Releasing HormoneHormone AntagonistsHumansMaleMorbidityNeoplasms, Hormone-DependentProstatic NeoplasmsUnited KingdomGonadotropin-Releasing HormoneHormone AntagonistsADTCardiovascularDegarelixGnRHProstate cancerUK

Identifiers

PMID27097892
PMCPMC5114327
OpenAlexW2337137963

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.