Pediatric endocrinology

Efficacy of 24-weekly vs 12-weekly decapeptyl SR treatment in central precocious puberty: a UK multicentre retrospective cohort study

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

This UK multicenter study provides evidence that 24-weekly Decapeptyl SR is both efficacious and well-tolerated for the management of CPP, with comparable outcomes to the standard 12-weekly regimen.

Study context

Population
Children with central precocious puberty treated with gonadotropin-releasing hormone analog (GnRHa), 3 tertiary paediatric endocrinology centres in the UK, September 2008–December 2024164 analysed
Participants
247 children
Exposure
24-weekly vs 12-weekly Decapeptyl SR
  • 2 (24 weekly)n = 95
  • 1 (12 weekly)n = 69reference
Outcome
HPG axis suppression
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

  • Both regimens achieved effective hypothalamic-pituitary-gonadal (HPG) axis suppression, with no significant differences in LH, FSH or sex steroid concentrations

Observational data: associations, not effects.

Further findings

Clinical outcomes (height velocity, BMI, Tanner staging)

Comparable between regimens; 24-weekly showed equivalent suppression of pubertal progression

Patient preference

Among patients who expressed a preference, all favoured the 24-weekly schedule

Original publication

Efficacy of 24-weekly vs 12-weekly decapeptyl SR treatment in central precocious puberty: a UK multicentre retrospective cohort study. J Clin Endocrinol Metab. Published 6 March 2026. doi:10.1210/clinem/dgag096

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