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.

Full Report