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Research ArticleOriginal Article

Real-world effectiveness and safety of goserelin 10.8-mg depot in Chinese patients with localized or locally advanced prostate cancer

Nanhui Chen, Zengjun Wang, Ming Chen, Qi Ma, Yi He, Yujie Wang, Xin Li, Mingxing Qiu, Lei Shi, Shaoxing Zhu, Qun Xie, Xiuheng Liu, Benkang Shi, Guowen Lin, Weizhong Yang, Yongbin Liao, Haibin Zhang, Shusheng Wang, Jiexian Li, Shaogang Wang, Lijun Dong, Hui Chen, Jiaju Lu, Yongyi Cheng, Xiaoping Zhang, Lulin Ma, Liqun Zhou, He Wang, Shen Li and Dingwei Ye
Cancer Biology & Medicine December 2023, 20 (12) 1047-1059; DOI: https://doi.org/10.20892/j.issn.2095-3941.2023.0335
Nanhui Chen
1Department of Urology, Meizhou People’s Hospital, Meizhou 514089, China
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Zengjun Wang
2Department of Urology, Jiangsu Province Hospital, Nanjing 210029, China
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Ming Chen
3Department of Urology, Zhongda Hospital Southeast University, Nanjing 210009, China
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Qi Ma
4Translational Research Laboratory for Urology, Ningbo First Hospital, Ningbo 315016, China
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Yi He
5Department of Urology, First Affiliated Hospital of Jiaxing, Jiaxing 314050, China
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Yujie Wang
6Department of Urology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830091, China
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Xin Li
7Department of Urology, Baotou Cancer Hospital, Baotou 014016, China
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Mingxing Qiu
8Department of Urology, The People’s Hospital of Sichuan Province, Chengdu 610032, China
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Lei Shi
9Department of Urology, Yantai Yuhuangding Hospital, Yantai 264008, China
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Shaoxing Zhu
10Department of Urology, Cancer Hospital of The University of Chinese Academy of Sciences, Hangzhou 310022, China
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Qun Xie
11Department of Urology, Zhuhai Hospital Affiliated with Jinan University, Zhuhai 519000, China
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Xiuheng Liu
12Department of Urology, Tongji Hospital, Tongji Medical College, HUST, Wuhan 430032, China
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Benkang Shi
13Department of Urology, Qilu Hospital of Shandong University, Jinan 250012, China
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Guowen Lin
14Department of Urology, Fudan University Shanghai Cancer Center, Shanghai 200032, China
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Weizhong Yang
15Department of Urology, Huizhou Third People’s Hospital, Huizhou 516002, China
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Yongbin Liao
16Department of Urology, Jiangmen Central Hospital, Jiangmen 529030, China
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Haibin Zhang
17Department of Urology, Foshan First People’s Hospital, Foshan 528041, China
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Shusheng Wang
18Department of Urology, Guangzhou Province Traditional Chinese Medical Hospital, Guangzhou 510120, China
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Jiexian Li
19Department of Urology, Guangzhou Panyu Central Hospital, Guangzhou 511489, China
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Shaogang Wang
20Department of Urology, Renmin Hospital of Wuhan University, Wuhan 430064, China
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Lijun Dong
21Department of Urology, Hebei Petro China Central Hospital (China National Petroleum Corporation Central Hospital), Langfang 065099, China
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Hui Chen
22Department of Urology, Harbin Medical University Cancer Hospital, Harbin 150086, China
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Jiaju Lu
23Department of Urology, Shandong Provincial Hospital, Jinan 250014, China
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Yongyi Cheng
24Department of Urology, Shaanxi Provincial People’s Hospital, Xi’an 710021, China
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Xiaoping Zhang
25Department of Urology, Union Hospital Tongji Medical College Huazhong University of Science and Technology, Wuhan 430032, China
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Lulin Ma
26Department of Urology, Peking University Third Hospital, Beijing 100191, China
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Liqun Zhou
27Department of Urology, Peking University First Hospital, Beijing 100034, China
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He Wang
28Department of Urology, Tangdu Hospital, Xi’an 710024, China
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Shen Li
29Department of Urology, Shijiazhuang City First Hospital, Shijiazhuang 050012, China
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  • ORCID record for Shen Li
  • For correspondence: sjzlishen{at}163.com dwyeli{at}163.com
Dingwei Ye
14Department of Urology, Fudan University Shanghai Cancer Center, Shanghai 200032, China
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  • For correspondence: sjzlishen{at}163.com dwyeli{at}163.com
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    Figure 1

    Flow diagram.

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    Figure 2

    Serum testosterone: (A) mean (SD) serum testosterone level in the FAS; (B) mean (SD) change from baseline in serum testosterone level in the FAS; (C) proportion of patients with chemical castration (serum testosterone < 50 ng/dL) for the FAS; and (D) mean (SD) serum testosterone level in the testosterone subset. The gray dotted line in (A) represents zero, and the gray solid line in (A) represents the serum testosterone level of 50 ng/dL. FAS, full analysis set; SD, standard deviation.

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    Figure 3

    Serum PSA: (A) mean (SD) change from baseline in serum PSA level for the FAS; (B) mean (SD) serum PSA level for the FAS; (C) mean (SD) serum PSA level in the PSA subset. The gray dotted lines in (A), (B) and (C) represent zero. FAS, full analysis set; PSA, prostate-specific antigen; SD, standard deviation.

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    Table 1

    Baseline demographics and characteristics in the full analysis set, the testosterone subset, and the PSA subset

    CharacteristicsFAS
    (n = 294)
    Testosterone subset†
    (n = 80)
    PSA subset†
    (n = 107)
    Mean age ± SD, years70.2 ± 7.768.9 ± 6.968.9 ± 6.6
    ECOG score, n (%)
     0152 (51.7)47 (58.8)58 (54.2)
     1131 (44.6)32 (40.0)46 (43.0)
     2–311 (3.7)1 (1.3)3 (2.8)
    Mean serum PSA ± SD, ng/mL36.7 ± 88.8–39.5 ± 116.4
    Mean serum testosterone ± SD, ng/dL574.5 ± 2,053.5392.2 ± 169.8–
    Disease status, n (%)
     Localized135 (45.9)35 (43.8)49 (45.8)
     Locally advanced159 (54.1)45 (56.3)58 (54.2)
    RP status, n (%)
     RP182 (61.9)57 (71.3)80 (74.8)
     No RP112 (38.1)23 (28.8)27 (25.2)
    T staging, n (%)
     T1–2108 (36.7)31 (38.8)39 (36.4)
     T3–4161 (54.8)45 (56.3)60 (56.1)
     Missing25 (8.5)4 (5.0)8 (7.5)
    N staging, n (%)
     N0221 (75.2)60 (75.0)79 (73.8)
     N135 (11.9)12 (15.0)15 (14.0)
     Nx18 (6.1)7 (8.8)7 (6.5)
     Missing20 (6.8)1 (1.3)6 (5.6)
    Gleason score, n (%)
     619 (6.5)4 (5.0)6 (5.6)
     7110 (37.4)30 (37.5)43 (40.2)
     877 (26.2)18 (22.5)25 (23.4)
     ≥ 976 (25.9)23 (28.8)27 (25.2)
     Missing3 (1.0)1 (1.3)1 (0.9)
    • ↵†The testosterone and PSA subsets consisted of all patients who completed the three tests for serum testosterone and PSA, respectively, at baseline, week 12 ± 2, and week 24 ± 2. ECOG, Eastern Cooperative Oncology Group; PSA, prostate-specific antigen; RP, radical prostatectomy; SD, standard deviation.

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    Table 2

    Summary of AEs in the FAS

    AE, n (%)FAS (n = 294)
    Any AEs117 (39.8)
    Treatment-emergent AEs (TEAEs)109 (37.1)
    Adverse drug reactions (ADRs)22 (7.5)
    AEs with CTCAE grade ≥ 332 (10.9)
    TEAEs with CTCAE grade ≥ 331 (10.5)
    Serious AEs30 (10.2)
    Serious TEAEs30 (10.2)
    Treatment-related serious TEAEs1 (0.3)
    TEAEs leading to death1 (0.3)
    TEAEs leading to treatment discontinuation1 (0.3)
    ADRs leading to treatment discontinuation0
    AEs of interest (cardiovascular, sexual)0

    AE, adverse event; CTCAE, common terminology criteria for adverse events; TEAE, treatment-emergent adverse event.

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      Table 3

      Summary of treatment-emergent adverse events (TEAEs) by preferred terms reported in > 1% of patients in the FAS

      TEAE, n (%)FAS (n = 294)
      Urinary tract infection21 (7.1)
      Anemia19 (6.5)
      Pneumonia8 (2.7)
      Hypoproteinemia8 (2.7)
      Diarrhea6 (2.0)
      Hypokalemia6 (2.0)
      Hematuria6 (2.0)
      Hepatic function abnormal6 (2.0)
      Hot flush6 (2.0)
      Constipation5 (1.7)
      Insomnia5 (1.7)
      Upper respiratory tract infection5 (1.7)
      Liver injury5 (1.7)
      Chronic gastritis4 (1.4)
      Hyperlipidemia4 (1.4)
      Blood lactate dehydrogenase increased4 (1.4)

      FAS, full analysis set.

      Supplementary Materials

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      Real-world effectiveness and safety of goserelin 10.8-mg depot in Chinese patients with localized or locally advanced prostate cancer
      Nanhui Chen, Zengjun Wang, Ming Chen, Qi Ma, Yi He, Yujie Wang, Xin Li, Mingxing Qiu, Lei Shi, Shaoxing Zhu, Qun Xie, Xiuheng Liu, Benkang Shi, Guowen Lin, Weizhong Yang, Yongbin Liao, Haibin Zhang, Shusheng Wang, Jiexian Li, Shaogang Wang, Lijun Dong, Hui Chen, Jiaju Lu, Yongyi Cheng, Xiaoping Zhang, Lulin Ma, Liqun Zhou, He Wang, Shen Li, Dingwei Ye
      Cancer Biology & Medicine Dec 2023, 20 (12) 1047-1059; DOI: 10.20892/j.issn.2095-3941.2023.0335

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      Real-world effectiveness and safety of goserelin 10.8-mg depot in Chinese patients with localized or locally advanced prostate cancer
      Nanhui Chen, Zengjun Wang, Ming Chen, Qi Ma, Yi He, Yujie Wang, Xin Li, Mingxing Qiu, Lei Shi, Shaoxing Zhu, Qun Xie, Xiuheng Liu, Benkang Shi, Guowen Lin, Weizhong Yang, Yongbin Liao, Haibin Zhang, Shusheng Wang, Jiexian Li, Shaogang Wang, Lijun Dong, Hui Chen, Jiaju Lu, Yongyi Cheng, Xiaoping Zhang, Lulin Ma, Liqun Zhou, He Wang, Shen Li, Dingwei Ye
      Cancer Biology & Medicine Dec 2023, 20 (12) 1047-1059; DOI: 10.20892/j.issn.2095-3941.2023.0335
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      Keywords

      • Goserelin
      • hormone-sensitive
      • luteinizing hormone-releasing hormone
      • Prostate cancer
      • China
      • real-world

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