The future potential treatment of high-risk, progressive, nmHSPC

One of the clinical questions that is now beginning to be asked really seriously is this one: “Just how aggressively should we treat a man with high-risk progressive prostate cancer after first-line therapy?” … READ MORE …

NICE recommends coverage of radium-223, but …

According to a recent report in Pharma Times, the National Institute for Health and Care Excellence (NICE) in the UK is recommending coverage of treatment with radium-223 dichoride (Xofigo) but has changed its mind about coverage of degarelix (Firmagon). … READ MORE …

Is treatment with degarelix really “better” than treatment with an LHRH agonist? Part II

Yesterday we commented (by request) on a paper by Klotz et al. suggesting that initial treatment with the LHRH antagonist degarelix might have benefits compared to initial treatment with an LHRH agonist such as leuprolide or goserelin acetate. … READ MORE …

Is treatment with degarelix really “better” than treatment with an LHRH agonist?

One of our regular readers has asked us to comment on a paper suggesting the possibility of “significant improvement” in various outcomes for men initially treated with the LHRH antagonist degarelix as compared to the LHRH agonists leuprolide acetate and goserelin acetate. … READ MORE …

NICE comments on proposed “new” use for degarelix

According to a media release issued by the National Institute for Clinical Excellence (NICE) in the UK, it has issued new draft guidance recommending treatment with degarelix (Firmagon) as an option for men with prostate cancer-related spinal metastases who are at risk for spinal cord compression. … READ MORE …

Adjuvant degarelix in combination with radiation therapy (instead of an LHRH agonist + an antiandrogen)

According to an announcement from the European Association for Urology (EAU) earlier today, data from a recently completed trial demonstrate that degarelix is “non-inferior” to the LHRH agonist goserelin acetate + the antiandrogen bicalutamide at reducing prostate volume in men with advanced hormone- dependent prostate cancer. … READ MORE …

Is an LHRH antagonist a better first-line hormone therapy than an LHRH agonist?

The question of whether an LHRH antagonist (such as degarelix) is really a better first-line hormone therapy than an LHRH agonist (e.g., leuprolide acetate) is still not fully answered. … READ MORE …

Prostate cancer news reports: Sunday, December 6, 2009

In today’s news reports we comment on:

  • The possible link between obesity and prostate cancer risk
  • The economic impact of widespread prostate cancer screening in Europe
  • The potential roles of tumor volume and PSMs in projecting need for adjuvant radiotherapy post-surgery
  • Biochemical progression after treatment with degarelix (at up to 1 year) … READ MORE …

Does control of S-ALP imply control of bone mets with degarelix?

Before the coming of the PSA test, urologists used to use serum acid phosphatase levels (usually) and serum alkaline phosphatase (S-ALP) levels (less commonly) to assess the status of men at risk for or under treatment for metastatic prostate cancer. … READ MORE …

Prostate cancer news reports: Wednesday, August 5, 2009

Apparently Ferring Pharmaceuticals has finally been able to get Firmagon® approved as the new trade (brand) name for degarelix (their new LHRH antagonist) here in the USA. This is the same brand name as is used in Europe. Who knows why it took so long! The media release doesn’t say.

In other news reports today we comment on studies dealing with:

  • Vitamin B-6 and prostate cancer-specific survival
  • Tallness and prostate cancer risk
  • Quality of care indicators for prostate cancer studies … READ MORE …

Understanding the potential of degarelix (and the risks)

A review article and three different sets of editorial comments have just been published in Oncology. They lay out the opinions of several specialists on the potential uses of degarelix — a recently approved, “second-generation” LHRH antagonist — in the management of prostate cancer. All the relevant articles are available in full on line. … READ MORE …

Phase III trial of intermittent degarelix therapy to be started

Ferring Pharmaceuticals has announced the company’s intent to initiate a randomized, controlled, multi-center trial of degarelix used as intermittent androgen deprivation therapy (IADT) in patients with advanced prostate cancer who have rising serum PSA levels after previous curative therapies. … READ MORE …

The Thursday news report: March 5, 2009

There are a significant number of relatively long-term news items in today’s report. Of most immediate interest to the majority of prostate cancer patients and educators we include reports on:

  • The fact that over 70 percent of cancers thought to be unilateral at biopsy turn out to be bilateral post-surgery (which has implications for focal therapy)
  • The availability of degarelix for actual prescription and clinical use in the USA
  • The formation of a specialized new urologic oncology research institute at UCLA … READ MORE …

Degarelix receives final approval for marketing in Europe

We reported last December that the Committee for Medicinal Products for Human Use had adopted a positive opinion and had recommended marketing authorization for degarelix, a second-generation LHRH receptor antagonist, for the treatment of patients with advanced, hormone-dependent prostate cancer.

According to a media release from Ferring Pharmaceuticals earlier today, the European Union has now finalized approval of degarelix for clinical use in Europe.

Degarelix also approved for marketing in the USA

We had previously noted the approval of degarelix in Europe on December 23rd.

It has been kindly pointed out to us that late on Christmas Eve the US Food and Drug Administration also approved the second generation LHRH antagonist degarelix for clinical use and marketing. … READ MORE …