Central precocious puberty: treatment with triptorelin 11.25 mg

ScientificWorldJournal. 2012:2012:583751. doi: 10.1100/2012/583751. Epub 2012 May 3.

Abstract

Background: Few data are available on quarterly 11.25 mg GnRH analog treatment in central precocious puberty (CPP).

Aim: To assess the efficacy of triptorelin 11.25 mg in children with CPP.

Patients: 17 patients (16 females) with CPP (7.9 ± 0.9 years) were treated with triptorelin 11.25 mg/90 days.

Methods: Gonadotropins, basal-, and GnRH-stimulated peak, gonadal steroids, and pubertal signs were assessed at preinclusion and at inclusion visit, 3 months, 6 months, and 12 months of treatment. Results. At 3, 6, and 12 months, all patients had suppressed LH peak (<3 IU/L after GnRH stimulation), as well as prepubertal oestradiol levels. Mean LH peak values after GnRH test significantly decreased from 25.7 ± 16.5 IU/L at baseline to 0.9 ± 0.5 IU/L at M3 (P < 0.0001); they did not significantly changed at M6 and M12.

Conclusions: Triptorelin 11.25 mg/90 days efficiently suppressed the pituitary-gonadal axis in children with CPP from first administration.

MeSH terms

  • Child
  • Estradiol / blood
  • Female
  • Follicle Stimulating Hormone / metabolism
  • Gonadotropin-Releasing Hormone / blood
  • Gonads / metabolism
  • Humans
  • Luteinizing Hormone / metabolism
  • Luteolytic Agents / blood
  • Luteolytic Agents / therapeutic use
  • Male
  • Pituitary Gland / metabolism
  • Puberty, Precocious / drug therapy*
  • Time Factors
  • Treatment Outcome
  • Triptorelin Pamoate / blood
  • Triptorelin Pamoate / therapeutic use*

Substances

  • Luteolytic Agents
  • Triptorelin Pamoate
  • Gonadotropin-Releasing Hormone
  • Estradiol
  • Luteinizing Hormone
  • Follicle Stimulating Hormone