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Rapid elimination kinetics of free PSA or human kallikrein-related peptidase 2 after initiation of gonadotropin-releasing hormone-antagonist treatment of prostate cancer: potential for rapid monitoring of treatment responses

  • David Ulmert
  • , Andrew J Vickers
  • , Howard I Scher
  • , Charlotte Becker
  • , Peter Iversen
  • , David Frankel
  • , Jens Kristian Jehrbo Jensen
  • , Tine Kold Olesen
  • , Hans Lilja

    Research output: Contribution to journal › Journal article › Research › peer-review

    Abstract

    The utility of conventional prostate-specific antigen (PSA) measurements in blood for monitoring rapid responses to treatment for prostate cancer is limited because of its slow elimination rate. Prior studies have shown that free PSA (fPSA), intact PSA (iPSA) and human kallikrein-related peptidase 2 (hK2) are eliminated more rapidly after radical prostatectomy. In contrast, all three markers have similarly slow elimination rates after castration induced by gonadotropin-releasing hormone (GnRH) agonists, possibly due to the slow onset of castration. Therefore, we assessed elimination rates of tPSA, fPSA, iPSA and hK2 after rapid induction of castration with degarelix (Firmagon(®)), a novel GnRH antagonist.
    Original languageEnglish
    JournalClinical Chemistry and Laboratory Medicine
    Volume50
    Issue number11
    Pages (from-to)1993-8
    Number of pages6
    ISSN1434-6621
    DOIs
    Publication statusPublished - 2012

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