Evidence map›Paper›PMID 39757119›Full record

ArticleDrug testing and analysis2025

The Impact of Triptorelin on Hormone Levels in Human and Its Metabolite Confirmation Using Liquid Chromatography-Ion Trap/Time-of-Flight Mass Spectrometry (LC/MS-IT-TOF) and Liquid Chromatography-Orbitrap (LC-Orbitrap) for Doping Control Analysis.

Navaporn Saardpun, Cholsittapan Asawesna, Seksun Kaewklam, Premsant Sangkhum, Wisoot Kongchareonsombat, Thanit Kusamran, Darawan Pinthong

Abstract read
In one paragraph

Article in Drug testing and analysis, 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

7 authors.

Navaporn SaardpunNational Doping Control Center (NDCC), Analytical Sciences and National Doping Test Institute (ANDI), Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0009-0002-5358-2975
Cholsittapan AsawesnaNational Doping Control Center (NDCC), Analytical Sciences and National Doping Test Institute (ANDI), Mahidol University, Bangkok, Thailand.
Seksun KaewklamNational Doping Control Center (NDCC), Analytical Sciences and National Doping Test Institute (ANDI), Mahidol University, Bangkok, Thailand.
Premsant SangkhumDivision of Urology, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Wisoot KongchareonsombatDivision of Urology, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Thanit KusamranNational Doping Control Center (NDCC), Analytical Sciences and National Doping Test Institute (ANDI), Mahidol University, Bangkok, Thailand.
Darawan PinthongDepartment of Pharmacology, Faculty of Science, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0009-0002-0026-4113

Funding

Analytical Science and National Doping Test Institute (ANDI), Mahidol University, Thailand
6 · The paper itself

Abstract

Triptorelin, a synthetic gonadotrophin-releasing hormone (GnRH), is mainly used in the clinical treatment of prostate cancer. The mechanism initially stimulates luteinizing hormone (LH) and testosterone secretion followed by suppression, resulting in a reduction in cancer progression. However, GnRHs are prohibited in doping control because of the indirect surge of LH and testosterone. Therefore, GnRH analog detection and confirmation are enforced by World Anti-Doping Agency (WADA) requirements. The effects of triptorelin on LH and endogenous steroid levels in urine and serum of five prostate cancer patients taking triptorelin for the first time were investigated and compared with leuprorelin. The samples were collected at 0.0 h, 3.0 h, 6.0 h, 1 month, and 3 months later after drug administration. The effect of triptorelin on LH levels was measured using a sandwich enzyme-linked immunoassay (ELISA). Testosterone and endogenous steroid levels were monitored using gas chromatography coupled with mass spectrometry (GC/MS). Triptorelin showed an advantage over leuprorelin on LH and testosterone suppression, which is preferable to use for prostate cancer treatment. In this study, triptorelin (5-10), a unique in vivo metabolite, was found in urine and serum and verified with synthetic triptorelin (5-10). The metabolite was analyzed using liquid chromatography combined with Orbitrap (LC-Orbitrap) and liquid chromatography coupled with ion trap/time-of-flight mass spectrometry (LC/MS-IT-TOF). When triptorelin levels are undetectable, the presence of triptorelin (5-10) in human urine can be used as evidence that triptorelin is being misused in doping control.

Indexed as

Antineoplastic Agents, HormonalLuteinizing HormoneSubstance Abuse DetectionTestosteroneTriptorelin PamoateChromatography, LiquidDoping in SportsGas Chromatography-Mass SpectrometryHumansLeuprolideMaleProstatic NeoplasmsAntineoplastic Agents, HormonalLeuprolideLuteinizing HormoneTestosteroneTriptorelin PamoateGnRH analogsLC/MS‐IT‐TOFLC‐Orbitraptriptorelintriptorelin (5–10)

Identifiers

PMID39757119
PMCPMC12319519

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LicenceCC BY-NC-ND
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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.