The USA's Ferring Pharmaceuticals has received approval from the Food and Drug Administration for degarelix, an injectable gonadotropin-releasing hormone receptor antagonist, indicated for patients with advanced prostate cancer.
Degarelix is now the only GnRH receptor antagonist approved by the FDA for the treatment of hormonally-sensitive advanced prostate cancer. The drug achieves medical castration differently than luteinizing hormone releasing hormone agonists, specifically by binding reversibly to GnRH receptors on cells in the pituitary gland, quickly reducing the release of gonadotropins and consequently testosterone.
Prostate cancer is known to grow in the presence of testosterone, the suppression of which has been a treatment goal for advanced prostate cancer for many years. Surgical castration was the standard method of reducing testosterone from the 1940s until the mid-1980s when the earliest forms of medical castration, LHRH agonists, were introduced.
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