Clinical study on chlormadinone acetate alone followed by combination with LH-RH analogue for prostatic cancer : effects on lipid metabolism

Twenty-four previously untreated patients with a diagnosis of prostatic cancer were treated with chlormadinone acetate (CMA) alone (100 mg/day) for 4 weeks, and luteinizing hormone-releasing hormone analogue (LH-RHa) was added for the next 24 weeks. Marked decreases in blood LH, testosterone (T), pr...

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Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 44(1998), 7 vom: 05. Juli, Seite 525-32
1. Verfasser: Shimada, M (VerfasserIn)
Weitere Verfasser: Uchida, H, Kasahara, T, Fuji, K, Ogawa, Y, Yoshida, H, Hamajima, T, Matsuda, N, Ikeuchi, T, Kai, Y, Hiramori, M, Hoshino, M, Inoue, K, Higaki, Y
Format: Aufsatz
Sprache:Japanese
Veröffentlicht: 1998
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Clinical Trial English Abstract Journal Article Antineoplastic Agents, Hormonal Apolipoproteins Progesterone Congeners Triglycerides Chlormadinone Acetate 0SY050L61N Testosterone mehr... 3XMK78S47O Cholesterol 97C5T2UQ7J Prostate-Specific Antigen EC 3.4.21.77 Leuprolide EFY6W0M8TG
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520 |a Twenty-four previously untreated patients with a diagnosis of prostatic cancer were treated with chlormadinone acetate (CMA) alone (100 mg/day) for 4 weeks, and luteinizing hormone-releasing hormone analogue (LH-RHa) was added for the next 24 weeks. Marked decreases in blood LH, testosterone (T), prostate specific antigen (PSA), gamma-seminoprotein (gamma-Sm), and prostatic acid phosphatase (PAP) were observed after a single dose of CMA. T levels were significantly increased 3 days after the initial dose of LH-RHa, and did not return to the pretreatment level. There were no significant increases in any of the markers, nor were there any flare-up cases. Triglyceride levels, which were slightly elevated before the start of treatment, were significantly decreased 24 weeks after the completion of combined therapy. PSA was evaluated as partial response (PR) or better in 86.7% of the patients. Overall evaluation showed PR or better in 75.0% of the patients. These findings suggest that prior administration of CMA followed by combined administration with LH-RHa is useful in the treatment of prostatic cancer. No negative effects on lipid metabolism were observed at any time during the treatment period 
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700 1 |a Hiramori, M  |e verfasserin  |4 aut 
700 1 |a Hoshino, M  |e verfasserin  |4 aut 
700 1 |a Inoue, K  |e verfasserin  |4 aut 
700 1 |a Higaki, Y  |e verfasserin  |4 aut 
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