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Updated: May 3, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Pharmacological treatment of patients with advanced prostate cancer
1Homerton University Hospital, London and Barts Health Hospitals, London.
Abstract:
Prostate cancer is linked to the male sex hormone testosterone. In advanced disease, blocking the production of testosterone using androgen deprivation therapy causes regression of prostate cancer and minimises or prevents symptoms associated with the disease. Luteinising hormone-releasing hormone agonists are commonly used in the management of prostate cancer, however less is known about the role of the newer gonadotrophin-releasing hormone (GnRH) antagonists. This article focuses on the differences between the two treatments and provides nurses with the knowledge to explain the use of GnRH antagonists to patients and administer this therapy effectively.
Insights
Androgen deprivation therapy manages advanced prostate cancer by reducing testosterone. This article compares luteinising hormone-releasing hormone agonists with newer gonadotrophin-releasing hormone (GnRH) antagonists for nurses.
Area of Science:
- Oncology
- Endocrinology
- Pharmacology
Background:
- Prostate cancer growth is linked to testosterone, a male sex hormone.
- Androgen deprivation therapy (ADT) is a standard treatment for advanced prostate cancer, effectively managing symptoms and causing tumor regression.
- Luteinising hormone-releasing hormone (LHRH) agonists are widely used for ADT, but newer gonadotrophin-releasing hormone (GnRH) antagonists are emerging.
Purpose of the Study:
- To elucidate the differences between LHRH agonists and GnRH antagonists in prostate cancer management.
- To equip nurses with essential knowledge for patient education and effective administration of GnRH antagonist therapy.
Main Methods:
- Comparative review of existing literature on LHRH agonists and GnRH antagonists for prostate cancer.
- Focus on mechanisms of action, clinical efficacy, side effect profiles, and administration protocols.
Main Results:
- GnRH antagonists offer a distinct mechanism of action compared to LHRH agonists, potentially leading to different clinical outcomes and side effect profiles.
- Understanding these differences is crucial for optimizing patient care and treatment selection in advanced prostate cancer.
Conclusions:
- GnRH antagonists represent a significant advancement in ADT for prostate cancer.
- Nurses play a vital role in educating patients about GnRH antagonists and ensuring proper administration, thereby improving treatment adherence and outcomes.
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