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[醋酸亮丙瑞林(D-色氨酸6-促黄体生成素释放激素)在前列腺癌治疗中关于长效制剂肌肉注射的应用]

[Decapeptyl (D-Trp6-LH-RH) in the therapy of prostatic cancer with reference to the intramuscular administration of a depot preparation].

作者信息

Seppelt U, Bertermann H, Saerbeck C

出版信息

Urologe A. 1986 Sep;25(5):298-301.

PMID:2947371
Abstract

Thirteen patients with untreated prostate cancer were treated initially with subcutaneous 0.5 mg D-Trp6-LH-RH daily for the first week, 0.1 mg daily for the next three weeks and thereafter with intramuscular depot preparations of 3.2 mg every three weeks. Serum testosterone was suppressed to castration levels. Serum LH, FSH and prolactin were reduced, serum cortisol did not change. 10/13 patients showed remissions, as shown by transrectal prostate volumetry, cytological regression grading, serum phosphatases and clinical status. 3/13 tumors showing progression were undifferentiated and androgen-resistant. The investigated compound seems to be effective in selecting androgen sensitive tumors and may be a possible alternative to orchiectomy.

摘要

13例未经治疗的前列腺癌患者,第一周每天皮下注射0.5毫克D-色氨酸6-促黄体生成素释放激素,接下来三周每天注射0.1毫克,此后每三周肌肉注射3.2毫克长效制剂。血清睾酮被抑制至去势水平。血清促黄体生成素、促卵泡生成素和催乳素降低,血清皮质醇无变化。13例患者中有10例出现缓解,经直肠前列腺体积测量、细胞学消退分级、血清磷酸酶及临床状况证实。13例中有3例肿瘤进展,为未分化且雄激素抵抗型。所研究的化合物似乎在选择雄激素敏感肿瘤方面有效,可能是睾丸切除术的一种替代选择。

相似文献

1
[Decapeptyl (D-Trp6-LH-RH) in the therapy of prostatic cancer with reference to the intramuscular administration of a depot preparation].[醋酸亮丙瑞林(D-色氨酸6-促黄体生成素释放激素)在前列腺癌治疗中关于长效制剂肌肉注射的应用]
Urologe A. 1986 Sep;25(5):298-301.
2
Sustained impairment of pituitary and testicular function in prostatic cancer patients treated with a depot form of a GnRH agonist.
Horm Res. 1988;30(1):22-5. doi: 10.1159/000181020.
3
Inhibition of prostate tumor growth in two rat models by chronic administration of D-Trp6 analogue of luteinizing hormone-releasing hormone.通过长期给予促黄体生成素释放激素的D-色氨酸6类似物抑制两种大鼠模型中的前列腺肿瘤生长。
Proc Natl Acad Sci U S A. 1981 Oct;78(10):6509-12. doi: 10.1073/pnas.78.10.6509.
4
Inhibition of the pituitary-gonadal axis by a single intramuscular administration of D-Trp-6-LH-RH (decapeptyl) in a sustained-release formulation in patients with prostatic carcinoma.采用缓释制剂的 D-色氨酸-6-促黄体生成素释放激素(曲普瑞林)单次肌内注射对前列腺癌患者垂体-性腺轴的抑制作用。
Prostate. 1989;14(4):291-300. doi: 10.1002/pros.2990140402.
5
[Contribution to studies on the treatment of cancer of the prostate with D-Trp6-LH-RH].
Biomed Pharmacother. 1987;41(9-10):468-72.
6
Long-term results with a long-acting formulation of D-TRP-6 LH-RH in patients with prostate cancer: an Italian prostatic cancer project (P.O.N.CA.P.) study.
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7
Combination of a long-acting delivery system for luteinizing hormone-releasing hormone agonist with Novantrone chemotherapy: increased efficacy in the rat prostate cancer model.长效促黄体生成素释放激素激动剂递送系统与米托蒽醌化疗联合应用:在大鼠前列腺癌模型中疗效增强。
Proc Natl Acad Sci U S A. 1986 Nov;83(22):8764-8. doi: 10.1073/pnas.83.22.8764.
8
Somatostatin analogs as adjuncts to agonists of luteinizing hormone-releasing hormone in the treatment of experimental prostate cancer.生长抑素类似物作为促黄体生成素释放激素激动剂的辅助药物用于实验性前列腺癌的治疗。
Proc Natl Acad Sci U S A. 1987 Oct;84(20):7275-9. doi: 10.1073/pnas.84.20.7275.
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Treatment of prostatic cancer with a depot form of a luteinizing hormone-releasing hormone analogue.使用促黄体生成素释放激素类似物的长效剂型治疗前列腺癌。
Eur Urol. 1986;12(6):390-4. doi: 10.1159/000472664.
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Inhibition of the growth of some hormone dependent tumors by D-Trp6-LH-RH.D-色氨酸6-促黄体激素释放激素对某些激素依赖性肿瘤生长的抑制作用。
Med Oncol Tumor Pharmacother. 1984;1(2):109-18. doi: 10.1007/BF02934982.