Evidence mapPaperPMID 39975513Full record

ReviewTherapeutic advances in medical oncology2025

Efficacy of goserelin in ovarian function suppression and preservation for pre- and perimenopausal breast cancer patients: a systematic review.

Nan Chen, Daniella Audi Blotta, Hee Jeong Kim, Salma Sayeed, Joan Cannon, Noran Osman, Rosa Macrito, Matteo Lambertini

Abstract readReview
In one paragraph

Review in Therapeutic advances in medical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Roles of Goserelin in Gynecological Disorders.Drug design, development and therapy · 2026
    Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nan ChenSection of Hematology/Oncology, Department of Internal Medicine, University of Chicago, Chicago, IL, USA.ORCID https://orcid.org/0000-0001-9938-9957
Daniella Audi BlottaBreast Medicine Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID https://orcid.org/0000-0001-6025-5775
Hee Jeong KimDepartment of Surgery, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, South Korea.ORCID https://orcid.org/0000-0002-1343-8138
Salma SayeedTerSera Therapeutics, LLC, 520 Lake Cook Road, Deerfield, IL 60015, USA.ORCID https://orcid.org/0009-0005-7431-885X
Joan CannonTerSera Therapeutics, LLC, Deerfield, IL, USA.ORCID https://orcid.org/0009-0009-2410-7295
Noran OsmanTerSera Therapeutics, LLC, Deerfield, IL, USA.ORCID https://orcid.org/0009-0000-5630-874X
Rosa MacritoTerSera Therapeutics, LLC, Deerfield, IL, USA.ORCID https://orcid.org/0009-0007-6897-5591
Matteo LambertiniDepartment of Internal Medicine and Medical Specialties (DIMI), School of Medicine, University of Genova, Genova, Italy.ORCID https://orcid.org/0000-0003-1797-5296

Funding

The Patient-Reported Outcomes, Community-Engagement and Language (PRO-CEL) CoreP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · 1985 to 2025
$88.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Background: Over the past few decades, the gonadotropin-releasing hormone agonist goserelin has been evaluated in ovarian function suppression (OFS) with adjuvant endocrine therapy and ovarian function preservation (OFP) during chemotherapy. Objective: The goal of this systematic literature review was to assess the efficacy of goserelin in OFS and OFP in combination with endocrine therapies and chemotherapy, respectively, in pre- and perimenopausal women with early-stage breast cancer. Design: This study is a systematic review. Data sources and methods: The literature search was conducted using PubMed. Prospective clinical studies evaluating the efficacy of goserelin in OFS or OFP in pre- or perimenopausal breast cancer were identified by four reviewers working in teams of two. Results: Twenty-nine studies were included in this systematic review. The addition of goserelin as OFS to adjuvant endocrine therapy generally resulted in significant benefits in disease-free survival. Studies have shown better OFP results among women 40 years or younger compared with older patients. Chemotherapy in association with goserelin for OFP resulted in a higher recovery rate of menses within 6-24 months, a shorter time for menstrual recovery, and significantly higher pregnancy rates when compared with cytotoxic therapy without goserelin. Hormonal recovery with higher anti-Müllerian hormone and estradiol levels, and lower follicle-stimulating hormone and luteinizing hormone levels occurred more frequently among women who received goserelin during chemotherapy as compared with those receiving cytotoxic therapy alone. The benefits of goserelin in OFP were more substantial among women 40 years or younger than in older patients. Conclusion: The findings of this systematic review highlight the benefits of adding goserelin to endocrine therapies for OFS and chemotherapy for OFP in early-stage breast cancer. Additionally, scientific data supporting OFS (including goserelin) in combination with newer agents such as cyclin-dependent kinase 4 and 6 inhibitors and bone-modifying agents are emerging.

Indexed as

bone-modifying agentsbreast cancerCDK4/6 inhibitorearly-stage breast cancerefficacyGnRH agonistgoserelinoncofertilityovarian function suppressionpremenopausal

Identifiers

PMID39975513
PMCPMC11837078

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.