Evidence map›Paper›PMID 37932568›Full record

Trial reportInvestigative and clinical urology2023

Testosterone castration levels in patients with prostate cancer: Is there a difference between GnRH agonist and GnRH antagonist? Primary results of an open-label randomized control study.

Vaios-Konstantinos Mytilekas, Efstathios Papaefstathiou, Periklis Koukourikis, Xenofon Ouzounidis, Stavros Kazantzidis, Konstantinos Hatzimouratidis

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Investigative and clinical urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
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

6 authors at 1 institution in 1 country.

Vaios-Konstantinos MytilekasSecond Department of Urology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Efstathios PapaefstathiouSecond Department of Urology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.ORCID 0000-0003-3069-3066
Periklis KoukourikisSecond Department of Urology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece. perikliskoukourikis@gmail.com.ORCID 0000-0003-4688-8343
Xenofon OuzounidisSecond Department of Urology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Stavros KazantzidisSecond Department of Urology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Konstantinos HatzimouratidisSecond Department of Urology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Aristotle University of Thessaloniki · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare testosterone castration levels between patients treated with the gonadotropin-releasing hormone (GnRH) antagonist, degarelix, and GnRH agonist. MATERIALS AND

methodsPatients with prostate cancer (PCa) of a single outpatient clinic were randomized (2:1) to receive degarelix (group A) or GnRH agonist (group B). The study evaluated testosterone and prostate-specific antigen (PSA) levels, patients' age, Gleason score and the presence of metastases (nodal or bone). Testosterone and PSA levels were measured at 1st, 6th, 12th, and 18th months. Mann-Whitney test and Spearman correlation were used to investigate independent variable while standard multiple regression was performed to explore statistically significant correlations. Kruskal-Wallis test was used to compare testosterone levels at follow-up.

resultsThe study included 168 patients, 107 in group A and 61 in group B. Testosterone levels at 1st month were significantly lower in patients under GnRH antagonist than those receiving GnRH agonist (group A: 22 ng/dL vs. group B: 29 ng/dL, p=0.011). However, PSA values did not differ significantly between groups (group A: 0.130 ng/mL vs. group B: 0.067 ng/mL, p=0.261). In multivariate analysis, treatment with degarelix was an independent factor of lower testosterone levels at 1st month (p=0.013). Comparison of testosterone levels at 6, 12, and 18 months did not reveal any significant difference within each group.

conclusionsIn patients with PCa who are candidates for androgen deprivation therapy, the administration of GnRH antagonist seems to achieve significantly lower testosterone levels compared to treatment with GnRH agonist at 1st month of treatment.

Indexed as

Prostatic NeoplasmsAndrogen AntagonistsGonadotropin-Releasing HormoneHumansMaleOligopeptidesOrchiectomyProstate-Specific AntigenTestosteroneAndrogen AntagonistsGonadotropin-Releasing HormoneOligopeptidesProstate-Specific AntigenTestosteroneAndrogen deprivation therapyProstate cancerTestosterone

Identifiers

PMID37932568
PMCPMC10630685
OpenAlexW4388195760

What OpenQuestion holds

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LicenceCC BY-NC
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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.