Evidence map›Paper›PMID 36888587›Full record

ArticleThe oncologist2023

A Practical Guide to Relugolix: Early Experience With Oral Androgen Deprivation Therapy.

Saro Kasparian, Oren Wei, Ni-Chun Tsai, Joycelynne Palmer, Sumanta Pal, Yung Lyou, Tanya Dorff

Open access · goldAbstract read
In one paragraph

Article in The oncologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

7 authors at 2 institutions in 1 country.

Saro KasparianDepartment of Medical Oncology, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.ORCID 0000-0001-8995-019X
Oren WeiDepartment of Medical Oncology, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Ni-Chun TsaiDepartment of Biostats, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Joycelynne PalmerDepartment of Biostats, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Sumanta PalDepartment of Medical Oncology, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Yung LyouDepartment of Oncology, Providence St Jude Medical Center, Fullerton, CA, USA.
Tanya DorffDepartment of Medical Oncology, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.ORCID 0000-0001-5990-298X
City of Hope · USProvidence College · US

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI STANLEY R. HAMILTON · 1985 to 2026
$86.3M
NCI NIH HHS P30 CA033572
6 · The paper itself

Abstract

backgroundRelugolix is the newest form of androgen deprivation therapy (ADT) approved for prostate cancer. However, as an oral drug, several real-world concerns exist, particularly medication compliance, safety with other androgen receptor-targeted agents, and financial burden to patients.

methodsA single institution retrospective chart review was conducted evaluating all patients who were prescribed relugolix for any prostate cancer indication from January 1, 2021 to January 31, 2022. Demographic data, cardiac risk factors, concomitant therapy usage, and PSA/testosterone levels, were abstracted from the chart review. Adverse effects were obtained by examining progress notes. Compliance was assessed by clinic notes as well as prescription fills by specialty pharmacy records. The reasons patients did not fill or discontinued the medication were noted.

resultsHundred and one patients were prescribed relugolix, and 91 patients consented to research. Seventy-one (78%) patients filled the prescription to relugolix, with a median follow-up of 5 months. Prescription fill data were available for 45 (63%) patients, with 94% of days covered. The most commonly reported reason not to fill was cost at 50%. Sixty-six (93%) patients reported never missing a dose. PSA levels were available in 71 (100%) patients with 69 (97%) showing stable or improved PSA. Testosterone levels were available in 61 (86%) of patients, which showed 61 (100%) stable or successful castration. Twenty-four (34%) patients used relugolix in combination. No new major safety signals were seen in combination therapy. Nineteen (27%) patients had switched to another form of ADT. Fifteen of these (79%) felt similar or better on relugolix therapy.

conclusionsCompliance with relugolix seemed acceptable. No major new safety signals were seen, even in combination. Among patients who switched therapy, most tolerated relugolix similarly or better than the previous form of ADT. The cost was a major reason for patients not initiating and for discontinuing therapy.

Indexed as

Prostatic NeoplasmsAndrogen AntagonistsAndrogensHumansMalePhenylurea CompoundsProstate-Specific AntigenPyrimidinonesRetrospective StudiesTestosteroneAndrogen AntagonistsAndrogensPhenylurea CompoundsProstate-Specific AntigenPyrimidinonesrelugolixTestosteroneandrogen deprivation therapycombination therapycomplianceprostate cancerrelugolix

Identifiers

PMID36888587
PMCPMC10400130
OpenAlexW4323531914

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.