GnRH Agonists: Utilisation analysis
Page last updated: 1 November 2019
Drug utilisation sub-committee (DUSC)
June 2019
Abstract
Purpose
To review the utilisation of gonadotrophin-releasing hormone (GnRH) agonists for the treatment of carcinoma of the prostate, central precocious puberty, breast cancer, endometriosis, and anticipated premature ovarian failure.
Date of listing on PBS
Leuprorelin:    1 August 1986
                           Goserelin:        1 April 1989
                           Nafarelin:        1 October 1994
                           Triptorelin:      1 February 2009
                        
Data Source / methodology
The analysis used Pharmaceutical Benefits Scheme (PBS) prescription data for prescriptions supplied from 1 January 2014 to 31 December 2018.
Key Findings
- The total number of prescriptions dispensed for GnRH agonists is growing. However, due to a price decrease that applied to products containing goserelin and leuprorelin on 1 June 2018, the cost to government in 2018 was less than in 2017.
 - Majority of prescriptions (70% in 2018) were supplied to male patients.
 - There were 46,739 patients treated with GnRH agonists in 2018, approximately 80% of patients treated in 2018 were male.
 - Length of treatment analysis showed approximately 80% of patients identified as being treated for endometriosis are treated for no more than six months.
 
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