Comparative Efficacy of GnRHa Monotherapy vs Combination Therapy for Central Precocious Puberty

GH combination therapy enhances growth outcomes in children with CPP compared to GnRHa alone. Stanozolol, oxandrolone, and estrogen show promise but require further research. Personalized combination regimens and additional long-term RCTs are needed, particularly involving male patients and non-GH adjunctive therapies.

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Publication Details

Journal
The Journal of Clinical Endocrinology & Metabolism
Published
2025-11-11
DOI
https://doi.org/10.1210/clinem/dgaf617
Primary Topic
Hypothalamic control of reproductive hormones
Type
article
Field-Weighted Citation Impact
0.00
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article

Comparative Efficacy of GnRHa Monotherapy vs Combination Therapy for Central Precocious Puberty

Meng‐Che Tsai, Hsien‐Yu Fan, Yang‐Ching Chen, Chia-Hsuan Tsai et al.
The Journal of Clinical Endocrinology & Metabolism
Hypothalamic control of reproductive hormones
article

Comparative Efficacy of GnRHa Monotherapy vs Combination Therapy for Central Precocious Puberty

Meng‐Che Tsai, Hsien‐Yu Fan, Yang‐Ching Chen, Chia-Hsuan Tsai, Hsin-Yuan Chang, Jia-Woei Hou, Chen Yang, Chien‐Ming Lin
article en

Abstract

GH combination therapy enhances growth outcomes in children with CPP compared to GnRHa alone. Stanozolol, oxandrolone, and estrogen show promise but require further research. Personalized combination regimens and additional long-term RCTs are needed, particularly involving male patients and non-GH adjunctive therapies.

The Journal of Clinical Endocrinology & MetabolismVol. 111(2)
Fu Jen Catholic University (TW), Tri-Service General Hospital (TW), Taipei Medical University Hospital (TW), Cathay General Hospital (TW), Wan Fang Hospital (TW), Children's Healthcare of Atlanta (US), Taipei Medical University-Shuang Ho Hospital (TW), National Cheng Kung University Hospital (TW), Taipei Medical University (TW), National Defense Medical Center (TW)
Openalex Percentile: Top 56%
Hypothalamic control of reproductive hormones
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