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Updated: Sep 13, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Preferences between three options for androgen deprivation therapy: a focus group study
Hannah L Rush1,2, Sophie Merrick1, John Marshall3
1MRC Clinical Trials Unit at UCL, Institute of Clinical Trials and Methodology, University College London, London, UK.
Men want choices for advanced prostate cancer treatment. Many prefer oral LHRH antagonists or transdermal oestradiol patches over traditional LHRH agonist injections for androgen deprivation therapy (ADT).
Area of Science:
- Oncology
- Patient-centered care
- Pharmacology
Background:
- Androgen deprivation therapy (ADT) is a primary treatment for advanced prostate cancer.
- Traditional ADT involves luteinizing hormone-releasing hormone (LHRH) agonist injections.
- Newer ADT options include transdermal oestradiol (tE2) patches and oral LHRH antagonists.
Purpose of the Study:
- To determine if men consider ADT choice important.
- To identify which ADT option men would prefer.
- To explore factors influencing men's ADT choices.
Main Methods:
- Five focus groups were conducted with 24 men in the UK.
- Participants included men with and without prior prostate cancer or ADT.
- Data were analyzed using critical realist thematic analysis.
Main Results:
- Men value having a choice in ADT and involvement in decision-making.
- A majority preferred oral LHRH antagonists (14/24) or tE2 patches (8/24) over LHRH agonist injections (2/24).
- Key influencing factors included side-effects, logistics, and advice from trusted sources.
Conclusions:
- Men desire choices in ADT and often prefer alternatives to LHRH agonist injections.
- These patient preferences should inform guidelines and reimbursement decisions for ADT strategies.
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