Goserelin

(Zoladex®)

Zoladex®

Drug updated on 9/4/2024

Dosage FormImplant (subcutaneous; 10.8 mg)
Drug ClassGonadotropin-releasing hormone agonists
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • Indicated for use in combination with flutamide for the management of locally confined carcinoma of the prostate.
  • Indicated for use as palliative treatment of advanced carcinoma of the prostate.

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Summary
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  • Zoladex (goserelin) is indicated for use in combination with flutamide for the management of locally confined carcinoma of the prostate and as palliative treatment of advanced carcinoma of the prostate.
  • This summary is based on the review of one systematic review(s)/meta-analysis(es). [1]
  • The provided study does not include any specific effectiveness outcomes for goserelin or other GnRH agonists/antagonists in the treatment of prostate cancer.
  • Comparisons of effectiveness between goserelin and other drugs, such as degarelix, relugolix, or leuprolide, are not possible based on the study, as it lacks relevant data.
  • The study does not provide any information regarding differences in effectiveness outcomes among various population types or subgroups.
  • The pooled risk ratio for adverse cardiovascular events among GnRH antagonist recipients (including degarelix and relugolix) was 0.57 (95% CI: 0.39-0.81) compared to GnRH agonists (goserelin and leuprolide), indicating a lower risk associated with antagonists.
  • The pooled risk ratio for cardiovascular death and all-cause mortality was 0.49 (95% CI: 0.25-0.96) and 0.48 (95% CI: 0.28-0.83) respectively, for GnRH antagonists, showing a reduced risk compared to GnRH agonists.
  • There is no population types or subgroups information available in the reviewed studies.

Product Monograph / Prescribing Information

Document TitleYearSource
Zoladex (goserelin) Prescribing Information.2020TerSera Therapeutics LLC, Deerfield, IL

Systematic Reviews / Meta-Analyses

Document TitleYearSource
The cardiovascular effects of gonadotropin-releasing hormone antagonists in men with prostate cancer.2022European Heart Journal - Cardiovascular Pharmacotherapy