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Lower Odds of Cardiac Events for GnRH Antagonists versus


    Agonists






       ▪      Data from VigiBase, the WHO database of

              individual case safety reports, collecting data

              from >130 countries on adverse drug

              reactions (ADRs).


       ▪      10 504 ADRs for agonists, and 1606 for

              antagonists; 805 (7.7%) were cardiac-related

              for agonists and 102 for antagonists (6.4%).
              Time from initiation of therapy to onset of

              ADR was >1 year (mean 541.9, standard

              deviation 909.6).

       ▪      The majority of ADRs were severe (82.8%) and

              20.2% of cardiac events resulted in death.




                                                                                                    Number and odds of cardiac events in patients with prostate  cancer
                                                                                                    taking GnRH agonists or antagonists (degarelix). EBE reports the lower
                                                                                                      th
                                                                                                    (5 percentile) bounds of the posterior distribution of odds.


                                    E. Blanchard Cone BJU Int. 2020  https://doi.org/10.1111/bju.15059
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