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CV morbidity in a randomized trial comparing LHRH-agonist and GnRH-antagonist

    among patients with advanced PCa and pre-existing CV disease.







         ▪       Phase-II randomized open-label study among 80

                 men with PCa and pre-existing CVD randomized to                                                   14
                                                                                                                                  13
                 receive GnRH-agonists or antagonists for 1 year.                                                                                   Agonist        Antagonist
                                                                                                                   12


                                                                 Agonist        Antagonist                         10
                                                                  (n=39)           (n=41)
                                                                                                                                                                   8
                                                                                                                    8
           Myocardial infarction within 1 year                  15 (38%)          15 (37%)
                                                                                                                 n
           prior to randomization, N (%)                                                                            6


           Cerebrovascular condition, N (%)                      8 (21%)           6 (15%)
                                                                                                                    4

                                                                                                                                           2
           Ischemic heart disease, N (%)                        26 (67%)          27 (66%)                          2
                                                                                                                                                                            1


           Peripheral vascular disease, N (%)                     2 (5%)           4 (10%)                          0
                                                                                                                                   CV Event                         MACCE





                                   Margel D et al J Urol. J Urol. 2019 202(6):1199-1208. .
                                   ▪ Cardiovascular-related (CV) events include death, MI, CVA, Transient Ischemic Attack, heart catheterization with or without
                                       intervention and cardiac related hospitalizations.
                                   ▪ Major CV and cerebrovascular events (MACCE) include death, MI, CVA and heart catheterization with stent.
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