Androgen‐targeting therapeutics mitigate the adverse effect of GnRH agonist on the risk of neurodegenerative disease in men treated for prostate cancer
Abstract Background Prostate cancer and multiple neurodegenerative diseases (NDD) share an age‐associated pattern of onset. Therapy of prostate cancer is known to impact cognitive function. The objective of this study was to determine the impact of multiple classes of androgen‐targeting therapeutics...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-07-01
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| Series: | Cancer Medicine |
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| Online Access: | https://doi.org/10.1002/cam4.4650 |
| _version_ | 1818245100258459648 |
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| author | Gregory L. Branigan Georgina Torrandell‐Haro Maira Soto Edward P. Gelmann Francesca Vitali Kathleen E. Rodgers Roberta Diaz Brinton |
| author_facet | Gregory L. Branigan Georgina Torrandell‐Haro Maira Soto Edward P. Gelmann Francesca Vitali Kathleen E. Rodgers Roberta Diaz Brinton |
| author_sort | Gregory L. Branigan |
| collection | DOAJ |
| description | Abstract Background Prostate cancer and multiple neurodegenerative diseases (NDD) share an age‐associated pattern of onset. Therapy of prostate cancer is known to impact cognitive function. The objective of this study was to determine the impact of multiple classes of androgen‐targeting therapeutics (ATT) on the risk of NDD. Methods A retrospective cohort study of men aged 45 and older with prostate within the US‐based Mariner claims data set between January 1 and 27, 2021. A propensity score approach was used to minimize measured and unmeasured selection bias. Disease risk was determined using Kaplan–Meier survival analyses. Results Of the 1,798,648 men with prostate cancer, 209,722 met inclusion criteria. Mean (SD) follow‐up was 6.4 (1.8) years. In the propensity score‐matched population, exposure to ATT was associated with a minimal increase in NDD incidence (relative risk [RR], 1.07; 95% CI, 1.05–1.10; p < 0.001). However, GnRH agonists alone were associated with significantly increased NDD risk (RR, 1.47; 95% CI, 1.30–1.66; p <0.001). Abiraterone, commonly administered with GnRH agonists and low‐dose prednisone, was associated with a significantly decreased risk (RR, 0.77; 95% CI, 0.68–0.87; p < 0.001) of any NDD. Conclusions Among patients with prostate cancer, GnRH agonist exposure was associated with an increased NDD risk. Abiraterone acetate reduced the risks of Alzheimer's disease and Parkinson's disease conferred by GnRH agonists, whereas the risk for ALS was reduced by androgen receptor inhibitors. Outcomes of these analyses contribute to addressing controversies in the field and indicate that GnRH agonism may be a predictable instigator of risk for NDD with opportunities for risk mitigation in combination with another ATT. |
| first_indexed | 2024-12-12T14:27:33Z |
| format | Article |
| id | doaj.art-2f86eed833b0440e94f34ba97605113c |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2024-12-12T14:27:33Z |
| publishDate | 2022-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-2f86eed833b0440e94f34ba97605113c2022-12-22T00:21:38ZengWileyCancer Medicine2045-76342022-07-0111132687269810.1002/cam4.4650Androgen‐targeting therapeutics mitigate the adverse effect of GnRH agonist on the risk of neurodegenerative disease in men treated for prostate cancerGregory L. Branigan0Georgina Torrandell‐Haro1Maira Soto2Edward P. Gelmann3Francesca Vitali4Kathleen E. Rodgers5Roberta Diaz Brinton6Center for Innovation in Brain Science University of Arizona Tucson Arizona USACenter for Innovation in Brain Science University of Arizona Tucson Arizona USACenter for Innovation in Brain Science University of Arizona Tucson Arizona USADepartment of Medicine, Division of Hematology and Oncology University of Arizona College of Medicine and University of Arizona Cancer Center Tucson Arizona USACenter for Innovation in Brain Science University of Arizona Tucson Arizona USACenter for Innovation in Brain Science University of Arizona Tucson Arizona USACenter for Innovation in Brain Science University of Arizona Tucson Arizona USAAbstract Background Prostate cancer and multiple neurodegenerative diseases (NDD) share an age‐associated pattern of onset. Therapy of prostate cancer is known to impact cognitive function. The objective of this study was to determine the impact of multiple classes of androgen‐targeting therapeutics (ATT) on the risk of NDD. Methods A retrospective cohort study of men aged 45 and older with prostate within the US‐based Mariner claims data set between January 1 and 27, 2021. A propensity score approach was used to minimize measured and unmeasured selection bias. Disease risk was determined using Kaplan–Meier survival analyses. Results Of the 1,798,648 men with prostate cancer, 209,722 met inclusion criteria. Mean (SD) follow‐up was 6.4 (1.8) years. In the propensity score‐matched population, exposure to ATT was associated with a minimal increase in NDD incidence (relative risk [RR], 1.07; 95% CI, 1.05–1.10; p < 0.001). However, GnRH agonists alone were associated with significantly increased NDD risk (RR, 1.47; 95% CI, 1.30–1.66; p <0.001). Abiraterone, commonly administered with GnRH agonists and low‐dose prednisone, was associated with a significantly decreased risk (RR, 0.77; 95% CI, 0.68–0.87; p < 0.001) of any NDD. Conclusions Among patients with prostate cancer, GnRH agonist exposure was associated with an increased NDD risk. Abiraterone acetate reduced the risks of Alzheimer's disease and Parkinson's disease conferred by GnRH agonists, whereas the risk for ALS was reduced by androgen receptor inhibitors. Outcomes of these analyses contribute to addressing controversies in the field and indicate that GnRH agonism may be a predictable instigator of risk for NDD with opportunities for risk mitigation in combination with another ATT.https://doi.org/10.1002/cam4.4650abirateroneAlzheimer's diseaseandrogenmedical informaticsneurodegenerative diseaseprostate cancer |
| spellingShingle | Gregory L. Branigan Georgina Torrandell‐Haro Maira Soto Edward P. Gelmann Francesca Vitali Kathleen E. Rodgers Roberta Diaz Brinton Androgen‐targeting therapeutics mitigate the adverse effect of GnRH agonist on the risk of neurodegenerative disease in men treated for prostate cancer Cancer Medicine abiraterone Alzheimer's disease androgen medical informatics neurodegenerative disease prostate cancer |
| title | Androgen‐targeting therapeutics mitigate the adverse effect of GnRH agonist on the risk of neurodegenerative disease in men treated for prostate cancer |
| title_full | Androgen‐targeting therapeutics mitigate the adverse effect of GnRH agonist on the risk of neurodegenerative disease in men treated for prostate cancer |
| title_fullStr | Androgen‐targeting therapeutics mitigate the adverse effect of GnRH agonist on the risk of neurodegenerative disease in men treated for prostate cancer |
| title_full_unstemmed | Androgen‐targeting therapeutics mitigate the adverse effect of GnRH agonist on the risk of neurodegenerative disease in men treated for prostate cancer |
| title_short | Androgen‐targeting therapeutics mitigate the adverse effect of GnRH agonist on the risk of neurodegenerative disease in men treated for prostate cancer |
| title_sort | androgen targeting therapeutics mitigate the adverse effect of gnrh agonist on the risk of neurodegenerative disease in men treated for prostate cancer |
| topic | abiraterone Alzheimer's disease androgen medical informatics neurodegenerative disease prostate cancer |
| url | https://doi.org/10.1002/cam4.4650 |
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