Evidence map›Paper›PMID 32738042›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2020

Phase 3 Trial of a Small-volume Subcutaneous 6-Month Duration Leuprolide Acetate Treatment for Central Precocious Puberty.

Karen O Klein, Analía Freire, Mirta Graciela Gryngarten, Gad B Kletter, Matthew Benson, Bradley S Miller, Tala S Dajani, Erica A Eugster, Nelly Mauras

Erratum issuedOpen access · hybridAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.4field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. A survey on treatment satisfaction with leuprorelin acetate in girls with central precocious puberty.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Puberty Blocker and Aging Impact on Testicular Cell States and Function.bioRxiv : the preprint server for biology · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Delayed and Precocious Puberty: Genetic Underpinnings and Treatments.Endocrinology and metabolism clinics of North America · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 2 countries.

Karen O KleinRady Children's Hospital and University of California, San Diego, California.
Analía FreireCentro de Investigaciones Endocrinológicas "Dr. César Bergadá" (CEDIE) CONICET - FEI - División de Endocrinología, Hospital de Niños Ricardo Gutierrez, Buenos Aires, Argentina.
Mirta Graciela GryngartenCentro de Investigaciones Endocrinológicas "Dr. César Bergadá" (CEDIE) CONICET - FEI - División de Endocrinología, Hospital de Niños Ricardo Gutierrez, Buenos Aires, Argentina.
Gad B KletterMultiCare Institute for Research and Innovation, Tacoma, Washington.
Matthew BensonNemours Children's Hospital, Orlando, Florida.
Bradley S MillerUniversity of Minnesota Masonic Children's Hospital, Minneapolis, Minnesota.
Tala S DajaniSchool of Osteopathic Medicine in Arizona, A.T. Still University, Mesa, Arizona.
Erica A EugsterRiley Hospital for Children at Indiana University Health, Indianapolis, Indiana.
Nelly MaurasNemours Children's Health System, Jacksonville, Florida.
Consejo Nacional de Investigaciones Científicas y Técnicas · ARNemours Children's Health System · USA.T. Still University · USIndiana University Health · USMultiCare Health System · USUniversity of California San Diego · USUniversity of Minnesota Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextGonadotropin-releasing hormone agonists (GnRHas) are standard of care for central precocious puberty (CPP). A 6-month subcutaneous injection has recently been approved by the Food and Drug Administration.

objectiveDetermine efficacy, pharmacokinetics, and safety of 6-month 45-mg subcutaneous leuprolide acetate for CPP.

designPhase 3 multicenter, open-label, single-arm study.

setting25 sites in 6 countries. SUBJECTS: 64 GnRHa-naïve children with CPP (age: 7.5 ± 0.1 years) received study drug: 59 completed the study. INTERVENTION(S): 2 doses of 45-mg subcutaneous leuprolide acetate (0.375 mL) at 0 and 24 weeks; children were followed for 48 weeks. MAIN OUTCOME MEASURE(S): Percentage of children with serum luteinizing hormone (LH) <4 IU/L 30 minutes following GnRHa stimulation at week 24.

results54/62 (87%) children achieved poststimulation LH <4 IU/L at week 24; 49/56 (88%) girls and 1/2 boys maintained peak LH <4 IU/L at week 48. Mean growth velocity decreased from 8.9 cm/year at week 4 to 6.0 cm/year at week 48. Mean bone age was advanced 3.0 years beyond chronological age at screening and 2.7 years at week 48. Breast pubertal stage regressed or was stable in 97% of girls and external genitalia development regressed in both boys. Adverse events were mild and did not cause treatment discontinuation.

conclusionsA small volume of 45-mg subcutaneous leuprolide acetate administered at a 6-month interval effectively suppressed pubertal hormones and stopped or caused regression of pubertal progression. This long-acting GnRHa preparation of leuprolide acetate is a new, effective, and well-tolerated therapy for children with CPP.

Indexed as

ChildDelayed-Action PreparationsDose-Response Relationship, DrugDrug Administration ScheduleFemaleFollow-Up StudiesGonadotropin-Releasing HormoneHumansInjections, SubcutaneousLeuprolideMalePuberty, PrecociousTreatment OutcomeDelayed-Action PreparationsGonadotropin-Releasing HormoneLeuprolidecentral precocious pubertygonadotropin releasing hormone agonistsleuprolide acetate

Identifiers

PMID32738042
PMCPMC7442270
OpenAlexW3046559666

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.