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2015 ; 15
(ä): 122
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Degarelix therapy for prostate cancer in a real-world setting: experience from
the German IQUO (Association for Uro-Oncological Quality Assurance) Firmagon®
registry
#MMPMID26674089
Geiges G
; Harms T
; Rodemer G
; Eckert R
; König F
; Eichenauer R
; Schroder J
BMC Urol
2015[Dec]; 15
(ä): 122
PMID26674089
show ga
BACKGROUND: We investigated the use of the gonadotropin-releasing hormone (GnRH)
antagonist degarelix in everyday clinical practice using registry data from
uro-oncology practices in Germany. METHODS: Data were analysed retrospectively
from the IQUO (Association for uro-oncological quality assurance) patient
registry. Data were prospectively collected from all consecutive PCa patients
treated with degarelix (n?=?1010) in 138 uro-oncology practices in Germany
between May 2009 and December 2013. RESULTS: Median overall survival had not yet
been reached in the all-patient group or in subgroups who had or had not received
prior hormonal therapy (HT). Cox regression analysis showed that patients who had
received prior HT (n?=?542) had a 58 % increased mortality risk (hazard ratio
1.58, 95 % CI 1.20-2.09) versus patients who had not (n?=?468) (p?=?0.001). Also,
in patients who had received prior luteinizing hormone-releasing hormone (LHRH)
analogue therapy (LHRH agonists or GnRH antagonists), median time to PSA
progression was shorter (209 weeks) than in those who had not received prior LHRH
analogues (n?=?555; median PSA progression-free survival not yet reached).
Degarelix was generally well tolerated. CONCLUSIONS: Degarelix was effective and
well tolerated in everyday clinical practice, confirming observations from
clinical studies. Patients who received prior HT appeared to have a significantly
higher mortality risk.
|Aged
[MESH]
|Antineoplastic Agents/adverse effects/*therapeutic use
[MESH]
|Germany
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Oligopeptides/adverse effects/*therapeutic use
[MESH]