Evidence map›Paper›PMID 40189880›Full record

ArticleFuture oncology (London, England)2025

Study of persistence and adherence to ADT in prostate cancer: relugolix, degarelix, and GnRH agonists in the US.

Jason Hafron, Agnes Hong, Michael J Ryan, Hela Romdhani, Frédéric Kinkead, Scott C Flanders, Rana R McKay

Abstract read
In one paragraph

Article in Future oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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.

Jason HafronDepartment of Urology, Michigan Institute of Urology, Troy, MI, USA.ORCID 0000-0003-0866-797X
Agnes HongPfizer Inc, New York, NY, USA.
Michael J RyanPfizer Inc, New York, NY, USA.
Hela RomdhaniAnalysis Group, Montreal, Quebec, Canada.
Frédéric KinkeadAnalysis Group, Montreal, Quebec, Canada.
Scott C FlandersSumitomo Pharma America, Inc, Marlborough, MA, USA.
Rana R McKayDepartment of Medicine and Department of Urology, University of California San Diego Health, San Diego, CA, USA.ORCID 0000-0002-0581-7963

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAndrogen deprivation therapy (ADT) is standard for advanced prostate cancer. Relugolix, a gonadotropin-releasing hormone (GnRH) receptor antagonist, is the only oral ADT, with limited real-world data on therapy persistence and adherence. This retrospective study evaluates persistence and adherence of relugolix, degarelix, and GnRH agonists (leuprolide, goserelin, triptorelin, histrelin) using data from the IBM MarketScan Research Database (Jan 2017 - Dec 2022).

methodsThe IBM MarketScan Research Database (1 January 2017 - 31 December 2022) was used for enrollment history and claims. ADT adherence was measured by the proportion of days covered (PDC) at 3, 6, and 12 months, calculated as days on ADT divided by period duration. Kaplan-Meier analysis assessed treatment persistence by measuring time to treatment discontinuation.

resultsRelugolix had higher adherence (PDC ≥ 80%) at 12 months (60.8%) compared to degarelix (13.0%) and GnRH agonists (46.3%). Median time to discontinuation was also longer for relugolix (13.5 months) than degarelix (3.1 months) and GnRH agonists (8.8 months). Persistence and adherence rates were higher in metastatic prostate cancer.

conclusionsFindings support relugolix use as an oral treatment due to its favorable persistence and long-term adherence profiles.

Indexed as

Androgen AntagonistsAntineoplastic Agents, HormonalGonadotropin-Releasing HormoneOligopeptidesProstatic NeoplasmsAgedAged, 80 and overHumansMaleMiddle AgedPhenylurea CompoundsPyrimidinonesRetrospective StudiesUnited Statesacetyl-2-naphthylalanyl-3-chlorophenylalanyl-1-oxohexadecyl-seryl-4-aminophenylalanyl(hydroorotyl)-4-aminophenylalanyl(carbamoyl)-leucyl-ILys-prolyl-alaninamideAndrogen AntagonistsAntineoplastic Agents, HormonalGonadotropin-Releasing HormoneOligopeptidesPhenylurea CompoundsPyrimidinonesrelugolixAndrogen deprivation therapyprostate cancerrelugolixtreatment adherencetreatment persistence

Identifiers

PMID40189880
PMCPMC11988238

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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.