The sustained release of LH X RH agonist from LH X RH agonist-polymer composite in patients with prostatic cancer

Prostate. 1986;8(4):325-32. doi: 10.1002/pros.2990080404.

Abstract

Luteinizing hormone-releasing hormone (LH X RH) agonist can be administered daily to patients with prostatic cancer with resulting clinical efficacy. A sustained drug release formulation of an LH X RH agonist, (D-Leu6)-des Gly-NH2(10)-LH X RH ethylamide (leuprolide)-vinyl polymer composite, was prepared by means of radiation-induced polymerization under a supercooled state. The sustained release of leuprolide from subcutaneously implanted leuprolide-vinyl polymer composite (14 mm in diameter and 4 mm in thickness) was obtained over a period of several months in five patients with prostatic cancer. Serum testosterone levels began to decrease on the tenth day, fell below 1 ng/ml after three weeks of implantation, and thereafter remained at the castration level until removal of the polymer composite. Clinical improvement was associated with serum hormonal changes, and support this as a novel and superior method of administration of LH X RH agonist.

MeSH terms

  • Aged
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / therapeutic use*
  • Delayed-Action Preparations
  • Follicle Stimulating Hormone / blood
  • Gonadotropin-Releasing Hormone / administration & dosage
  • Gonadotropin-Releasing Hormone / analogs & derivatives*
  • Gonadotropin-Releasing Hormone / therapeutic use
  • Hormones / administration & dosage
  • Hormones / therapeutic use*
  • Humans
  • Leuprolide
  • Luteinizing Hormone / blood
  • Male
  • Polymers
  • Prostatic Neoplasms / drug therapy*
  • Testosterone / blood

Substances

  • Antineoplastic Agents
  • Delayed-Action Preparations
  • Hormones
  • Polymers
  • Gonadotropin-Releasing Hormone
  • Testosterone
  • Luteinizing Hormone
  • Follicle Stimulating Hormone
  • Leuprolide