Evidence map›Paper›PMID 30941562›Full record

Trial reportWorld journal of urology2020

A phase 3, open-label, multicenter study of a 6-month pre-mixed depot formulation of leuprolide mesylate in advanced prostate cancer patients.

Neal Shore, Ivan Mincik, Mark DeGuenther, Vladimir Student, Mindaugas Jievaltas, Jitka Patockova, Kelle Simpson, Chu-Hsuan Hu, Shih-Tsung Huang, Yuhua Li and 3 more

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
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

13 authors.

Neal ShoreCarolina Urologic Research Center, Suite B, 823 82nd Parkway, Myrtle Beach, SC, 29579, USA. nshore@gsuro.com.ORCID http://orcid.org/0000-0001-5767-0548
Ivan MincikUrocentrum Milab, s.r.o. Hollého 14/D, 080 01, Presov, Slovak Republic.
Mark DeGuentherUrology Center of Alabama, 3485 Independence Drive, Homewood, AL, 35209, USA.
Vladimir StudentFakultní Nemocnice Olomouc Urologická Klinika, I. P. Pavlova 6, Olomouc, 779 00, Czech Republic.
Mindaugas JievaltasHospital of Lithuanian University of Health Sciences Kauno Klinikos, Eivenių 2, Kaunas, 50009, Lithuania.
Jitka PatockovaQPS Holdings, LLC, Three Innovation Way, Suite 240, Newark, DE, 19711, USA.
Kelle SimpsonQPS Holdings, LLC, Three Innovation Way, Suite 240, Newark, DE, 19711, USA.
Chu-Hsuan HuQPS Holdings, LLC, Three Innovation Way, Suite 240, Newark, DE, 19711, USA.
Shih-Tsung HuangDepartment of Surgery and Urology, Chang Gung Memorial Hospital-Linkou, Chung Gung University, College of Medicine, Taoyuan, Taiwan.
Yuhua LiForesee Pharmaceuticals Co., Ltd., 3 F, No 19-3, Sanchong Road, NanKang Dist., Taipei, 11501, Taiwan, R.O.C.
Yisheng LeeForesee Pharmaceuticals Co., Ltd., 3 F, No 19-3, Sanchong Road, NanKang Dist., Taipei, 11501, Taiwan, R.O.C.
Ben ChienForesee Pharmaceuticals Co., Ltd., 3 F, No 19-3, Sanchong Road, NanKang Dist., Taipei, 11501, Taiwan, R.O.C.
John MaoForesee Pharmaceuticals Co., Ltd., 3 F, No 19-3, Sanchong Road, NanKang Dist., Taipei, 11501, Taiwan, R.O.C.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the safety, efficacy and pharmacokinetic (PK) profile of a pre-mixed depot formulation of leuprolide mesylate subcutaneous injectable suspension (LMIS) 50 mg for up to 1 year of treatment for subjects with advanced prostate cancer. PATIENTS AND

methodsIn this open-label, multicenter study, prostate cancer patients with indication for androgen ablation therapy received two subcutaneous injection of LMIS 50 mg 6 months apart and were followed for an additional 6 months. Two efficacy primary end points were the percentage of subjects with a serum testosterone level ≤ 50 ng/dL by Day 28 as well as the percentage of subjects with similar testosterone suppression from Day 28 to Day 336.

resultsOf the 137 enrolled subjects, 15 (10.9%) subjects did not complete the study, including 5 subjects who terminated early due to an adverse event. By Day 28, 98.5% (95% confidence interval 94.8-99.8) of the subjects achieved a castrate testosterone level. At the end of the study, 97% and 95.9% of the subjects had serum testosterone level ≤ 50 ng/dL and ≤ 20 ng/dL, respectively. LMIS 50 mg significantly reduced serum prostate-specific antigen levels after its first injection and this PSA declination effect remained until the end of the study. No statistically significant change was observed in worsening bone pain or urinary symptom assessments during the study. Hot flush (48.9%) and hypertension (14.6%) were the two most common adverse events reported.

conclusionsLMIS 50 mg, administered at 6-month intervals, effectively suppressed serum testosterone level, and demonstrated a consistent safety profile.

Indexed as

AgedAged, 80 and overAntineoplastic Agents, HormonalDose-Response Relationship, DrugDrug Therapy, CombinationHumansInjections, SubcutaneousLeuprolideMaleMesylatesMiddle AgedNeoplasm StagingProstate-Specific AntigenProstatic NeoplasmsTestosteroneTreatment OutcomeAntineoplastic Agents, HormonalLeuprolideMesylatesProstate-Specific AntigenTestosteroneAndrogen deprivation therapyLeuprolide acetateLuteinizing hormone–releasing hormone agonistProstate cancerPSATestosterone

Identifiers

PMID30941562
PMCPMC6954127

What OpenQuestion holds

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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.