Evidence map›Paper›PMID 39500846›Full record

SynthesisClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2025

A systematic review and meta-analysis of cardiovascular disease risk with degarelix and GnRH agonists in prostate cancer.

Francisco Cezar Aquino de Moraes, Vitor Kendi Tsuchiya Sano, Clara Rocha Dantas, Nathália Hoffmeister, Francinny Alves Kelly, Rommel Mario Rodríguez Burbano

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2025. 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
–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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Francisco Cezar Aquino de MoraesFederal University of Pará, R. Augusto Corrêa, Guamá, n°01, Belém, PA, 66075-110, Brazil. francisco.cezar2205@gmail.com.ORCID http://orcid.org/0000-0003-0623-8135
Vitor Kendi Tsuchiya SanoFederal University of Acre, Rio Branco, Acre, 69920-900, Brazil.ORCID http://orcid.org/0000-0001-8317-1857
Clara Rocha DantasUniversity of Buenos Aires, C1053ABH, Buenos Aires, Argentina.ORCID http://orcid.org/0009-0001-9661-8539
Nathália HoffmeisterFeevale University, Novo Hamburgo, Rio Grande do Sul, 93510-235, Brazil.ORCID http://orcid.org/0009-0005-0407-7085
Francinny Alves KellyDante Pazzanese Institute of Cardiology, São Paulo, São Paulo, 04012-909, Brazil.ORCID http://orcid.org/0000-0003-0706-6929
Rommel Mario Rodríguez BurbanoOphir Loyola Hospital, Belém, PA, 66063-240, Brazil.ORCID http://orcid.org/0000-0002-4872-234X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDegarelix is a third-generation GnRH receptor antagonist approved for the treatment of prostate cancer, however, the decision to use a GnRH agonist or an antagonist depends on several factors. We aimed to perform a meta-analysis comparing the cardiovascular disease risk between degarelix and gonadotropin-releasing hormone agonists in patients with all stages of prostate cancer.

methodsDatabases were searched for randomized control trials (RCTs) and observational studies that compared the risk of cardiovascular disease between degarelix and GnRH agonists in patients with prostate cancer. We computed for binary endpoints risk ratio (RR) or hazard ratio (HR) with 95% confidence intervals (CI) which were analyzed using a random-effects model.

resultsA total of 15 studies were included with 123,969 patients and follow-up ranging from 3 to 13 months. Degarelix was associated with a significantly lower incidence of major adverse cardiovascular events (RR 0.59; 95% CI 0.41-0.84; p = 0.003; I

conclusionIn patients with prostate cancer, degarelix is associated with a significantly lower incidence of major adverse cardiovascular events.

Indexed as

Cardiovascular DiseasesGonadotropin-Releasing HormoneOligopeptidesProstatic NeoplasmsHumansMaleRandomized Controlled Trials as Topicacetyl-2-naphthylalanyl-3-chlorophenylalanyl-1-oxohexadecyl-seryl-4-aminophenylalanyl(hydroorotyl)-4-aminophenylalanyl(carbamoyl)-leucyl-ILys-prolyl-alaninamideGonadotropin-Releasing HormoneOligopeptidesDegarelixGnRh agonistsGnRh antagonistsMeta-analysisSystematic review

Identifiers

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Registered trials

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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.