The LHRH antagonist Cetrorelix: A review

T. Reissmann, A. V. Schally, P. Bouchard, H. Riethmüller, J. Engel

Research output: Contribution to journalArticle

117 Scopus citations

Abstract

In those clinical situations in which an immediate and profound suppression of gonadotrophins is desired, LHRH agonists have the disadvantage of producing an initial stimulatory effect on hormone secretion. Therefore, the use of GnRH antagonists which cause an immediate and dose-related inhibition of LH and FSH by competitive blockade of the receptors is much more advantageous. One of the most advanced antagonist produced to date is Cetrorelix, a decapeptide which has been shown to be safe and effective in inhibiting LH and sex-steroid secretion in a variety of animal species and in clinical studies as well. Clinical trials in patients suffering from advanced carcinoma of the prostate, benign prostate hyperplasia, and ovarian cancer are currently in progress and have already shown the usefulness of this new treatment modality. In particular, the concept that a complete suppression of sex-steroids may not be necessary in indications such as uterine fibroma, endometriosis and benign prostatic hyperplasia represents a promising novel perspective for treatment of these diseases. Following completion of phase III trials in controlled ovarian stimulation for IVF regimens, Cetrorelix was given marketing approval and, thus, became the first LHRH antagonist available clinically.

Original languageEnglish (US)
Pages (from-to)322-331
Number of pages10
JournalHuman Reproduction Update
Volume6
Issue number4
DOIs
StatePublished - Jan 1 2000
Externally publishedYes

Keywords

  • Benign prostatic hyperplasia
  • Cancer treatment
  • GnRH antagonist
  • Gonadotrophins
  • Ovarian stimulation

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

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  • Cite this

    Reissmann, T., Schally, A. V., Bouchard, P., Riethmüller, H., & Engel, J. (2000). The LHRH antagonist Cetrorelix: A review. Human Reproduction Update, 6(4), 322-331. https://doi.org/10.1093/humupd/6.4.322