Phase II Study of Gonadotropin-Releasing Hormone Analog for Ovarian Function Preservation in Hematopoietic Stem Cell Transplantation Patients

Phase II Study of Gonadotropin-Releasing Hormone Analog for Ovarian Function Preservation in Hematopoietic Stem Cell Transplantation Patients
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DOI:
10.1634/theoncologist.2011-0205
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发表时间:
2012-02-01
期刊:
影响因子:
5.8
通讯作者:
Ueno, Naoto T.
Ueno, Naoto T.
中科院分区:
医学2区
文献类型:
--
作者:
Cheng, Yee Chung;Takagi, Mariko;Ueno, Naoto T.

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目的。单纯接受常规化疗的患者中有 40%-70% 发生卵巢早衰。然而,在接受造血干细胞移植(HSCT)清髓化疗的患者中,发生率更高,为70%-100%。促性腺激素释放激素 (GnRH) 类似物,如连续释放制剂中的亮丙瑞林,可以保护卵巢免受化疗的性腺毒性作用。在非 HSCT 环境中,GnRH 类似物降低了卵巢早衰的风险
Purpose. Premature ovarian failure occurs in 40%-70% of patients who receive conventional chemotherapy alone. However, the incidence is higher, 70%-100%, in patients who undergo myeloablative chemotherapy with hematopoietic stem cell transplantation (HSCT). Gonadotropin-releasing hormone (GnRH) analogs, such as leuprolide, in a continuous-release formulation, may protect the ovaries from the gonadotoxic effects of chemotherapy. In non-HSCT settings, GnRH analogs have reduced the risk for premature ovarian failure to