ORAL GONADOTROPIN-RELEASING HORMONE ANTAGONISTS IN THE MANAGEMENT OF ENDOMETRIOSIS-ASSOCIATED PAIN: A COMPREHENSIVE REVIEW OF CLINICAL EFFICACY, SAFETY AND SOCIOECONOMIC IMPACT
This review synthesizes clinical data on oral GnRH antagonists for endometriosis-associated pain, evaluating their efficacy, safety, and socioeconomic impact on patients.
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This comprehensive review evaluates oral non-peptide GnRH antagonists—elagolix, relugolix, and linzagolix—for endometriosis-associated pain, synthesizing evidence from major clinical trials (ELARIS, SPIRIT, and SELECT) and related studies on hormonal add-back therapy. It reports that hormonal add-back therapy is an important component for long-term management by helping preserve bone mineral density while maintaining pain suppression, alongside trial findings on clinical efficacy and safety and discussion of patient-reported and socioeconomic impacts such as work productivity and quality of life. The review’s limitations are that it is a narrative synthesis of selected trials and does not provide new primary data, and it frames outcomes through the evidence available in those studies. This paper is centrally about endometriosis — specifically, it reviews the clinical efficacy, safety, and socioeconomic impact of oral GnRH antagonists (elagolix, relugolix, linzagolix) for endometriosis-associated pain.
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Cites (3)
- Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries 2011
- Treatment of Endometriosis-Associated Pain with Elagolix, an Oral GnRH Antagonist 2017
- Once daily oral relugolix combination therapy versus placebo in patients with endometriosis-associated pain: two replicate phase 3, randomised, double-blind, studies (SPIRIT 1 and 2) 2022
References (10)
- Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries via openalex
- Once daily oral relugolix combination therapy versus placebo in patients with endometriosis-associated pain: two replicate phase 3, randomised, double-blind, studies (SPIRIT 1 and 2) via openalex
- Treatment of Endometriosis-Associated Pain with Elagolix, an Oral GnRH Antagonist via openalex
- W4320919153 via openalex
- W4377140328 via openalex
- W4389099021 via openalex
- W4389778528 via openalex
- W4391509563 via openalex
- W4283377447 via openalex
- W4318477667 via openalex
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