Efficacy of leuprolide acetate versus triptorelin pamoate administered every 3 months for treatment of central precocious puberty.
Thaneetrakool. Thanaporn T; Aroonparkmongkol. Suphab S; Numsriskulrat. Nattakarn N; Supornsilchai. Vichit V; Wacharasindhu. Suttipong S; Srilanchakon. Khomsak K
Key Findings
- Leuprolide acetate and triptorelin pamoate both significantly suppress LH when dosed quarterly
- Predicted adult height and bone age advancement are comparable between the two treatments
- No significant difference in efficacy was observed between the two GnRH agonists
Practical Outcomes
- For self‑directed health optimizers, this study suggests that either leuprolide or triptorelin can be used on a 3‑month schedule without expecting a performance edge. Choose based on availability, cost, or personal tolerance, as both appear equally effective for managing early puberty.
Summary
Both leuprolide acetate and triptorelin pamoate, given every three months, effectively suppress luteinizing hormone in girls with early puberty and lead to similar predicted adult height and bone age outcomes, meaning either drug works equally well for this purpose.
Abstract
Central precocious puberty (CPP) is typically treated with gonadotropin-releasing hormone (GnRH) agonists. Although numerous GnRH agonist variants are available, limited research has compared the efficacy of leuprolide acetate and triptorelin pamoate administered at 3-month intervals. This study aimed to assess the efficacy of CPP treatment with triptorelin pamoate and leuprolide acetate administered at 3-month intervals. This retrospective cohort study included 116 girls with CPP: 71 treated with leuprolide acetate every 3 months and 45 treated with triptorelin pamoate every 3 months. Anthropometric measurements were compared before and after therapy. At 6 months after the therapy, luteinizing hormone (LH) suppression was evaluated. When administered every 3 months, leuprolide acetate and triptorelin pamoate significantly suppressed LH. The predicted adult height (PAH) and degree of bone age advancement at the end of treatment were comparable. Treatment with leuprolide acetate and triptorelin pamoate every 3 months did not have significantly different effects on LH suppression or PAH.
Study Information
pubmed
2024
2024-11-06T00:00:00.000Z
10.3345/cep.2024.00822
22