- |||||||||| Prolia (denosumab) / Amgen
RANKL-INHIBITION FOR GIANT CELL LESIONS OF THE JAW: A RETROSPECTIVE COHORT ANALYSIS () - Nov 9, 2024 - Abstract #CTOS2024CTOS_283; High-dose denosumab is effective and safe in achieving a complete response in GCLJ within 12 months, but there is a significant risk of progression after treatment discontinuation. Therefore, using RANKL-inhibition according to the described protocol is only justified for cases where other treatments have failed, or disease may lead to disfiguring mutilating surgery.
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CURRENT INDICATIONS OF OPEN SURGERY IN PRIMARY APPENDICULAR/ PELVIC ANEURYSMAL BONE CYSTS () - Nov 9, 2024 - Abstract #CTOS2024CTOS_273; Percutaneous sclerotherapy alone is successful in 87% of primary ABCs in this series. We recommend extended curettage surgery, in large uncontained defects, pathologic fracture or risk of fracture in high stress high risk zones or cases with partial healing or in cases with rapid progression.
- |||||||||| Prolia (denosumab) / Amgen, CMAB807 (denosumab biosimilar) / 3SBio
Trial completion: Study of CMAB807 Post-change in Manufacturing Site and Prolia in Healthy Volunteers (clinicaltrials.gov) - Nov 7, 2024 P1, N=128, Completed, We recommend extended curettage surgery, in large uncontained defects, pathologic fracture or risk of fracture in high stress high risk zones or cases with partial healing or in cases with rapid progression. Recruiting --> Completed
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Retrospective data, Journal: High-dose denosumab (Xgeva (Pubmed Central) - Nov 5, 2024 However, further prospective research with larger cohort and longer follow-up period will confirm these results and refine treatment guidelines. This study confirmed a significant MRONJ incidence of 2.66% among high-dose denosumab recipients, highlighting the importance of careful patient selection, monitoring, and education, particularly in older and long-term treatment patients, to mitigate the risk of MRONJ.
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Journal: Dental Hygienists' Awareness of Medication-Related Osteonecrosis of the Jaw in Private Dental Clinics in Japan. (Pubmed Central) - Nov 4, 2024 Purpose: Medication-related osteonecrosis of the jaw (MRONJ) caused by bisphosphonates (BPs) and denosumab (Dmab) is still a major oral adverse event caused by cancer treatment and may be under-recognized by private dental services...In addition, few private clinic DHs were aware of MRONJ cases refractory to antibiotic treatment alone (p?=?.012). These findings suggest that private clinic DHs have less knowledge of MRONJ than those in cancer base hospitals.
- |||||||||| Prolia (denosumab) / Amgen
Trial completion: Denosumab Safety Assessment in Multiple Observational Databases (clinicaltrials.gov) - Nov 3, 2024 P=N/A, N=517991, Completed, Trial completion date: Oct 2024 --> Oct 2025 | Trial primary completion date: Oct 2024 --> Oct 2025 Active, not recruiting --> Completed
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Journal: Parathyroid Carcinoma Complicated by Parathyromatosis and Refractory Hypercalcemia. (Pubmed Central) - Oct 31, 2024 Despite treatment with cinacalcet and zoledronic acid, her hypercalcemia persisted until denosumab produced a dramatic response (serum calcium dropping from 16.7 to 7.9 mg/dL; PTH 1,168 pg/mL). However, she remains at risk for progressive local disease and potential distant metastases.
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Review, Journal: Osteoarthritis year in review 2024: Epidemiology and therapy. (Pubmed Central) - Oct 27, 2024 Notably, the authors were particularly interested in recent high-quality methodology randomised controlled trials focusing on hand (methotrexate, denosumab, colchicine, topical bethamethasone) and knee OA with conflicting results about stem cells injection. These findings collectively contribute to show the growing burden of OA, but also to help the understanding of OA pathophysiology and inform ongoing efforts to enhance management for people with OA.
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Journal: Evaluation of Osteogenic Phenotype in Postmenopausal Women receiving Anabolic and Antiresorptive Osteoporosis Therapies. (Pubmed Central) - Oct 24, 2024 Since concomitant therapy with denosumab and teriparatide has shown promise in this respect, investigations were undertaken to explore whether the changes in osteogenic phenotype could provide insight into the cellular and molecular mechanism of this effect...This was associated with an increased in bone marrow stromal cell expression of LGR6 (Leucine Rich Repeat Containing G Protein-Coupled Receptor 6), a stem cell marker and activator of the canonical Wnt signaling pathway. These data suggest that enhancement of canonical Wnt signaling contributes to the increase in osteoprogenitors and consequently an increase in bone density in postmenopausal women receiving combination therapy for osteoporosis.
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Enrollment open, Trial completion date, Trial primary completion date: Study of the Key Techniques of Prevention and Treatment of Osteoporotic Refracture (clinicaltrials.gov) - Oct 23, 2024 P=N/A, N=2478, Recruiting, Prospective clinical trials are warranted for deeper insights. Not yet recruiting --> Recruiting | Trial completion date: Dec 2025 --> Sep 2026 | Trial primary completion date: Dec 2025 --> Sep 2026
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Review, Journal: Extra-osseous Roles of the RANK-RANKL-OPG Axis with a Focus on Skeletal Muscle. (Pubmed Central) - Oct 23, 2024 Targeting RANKL may be a novel therapy in ameliorating loss of muscle mass and function. More research is warranted to determine the causality of the RANK-RANKL-OPG axis in extra-osseous tissues, especially those affected by aging.
- |||||||||| Prolia (denosumab) / Amgen, Evenity (romosozumab-aqqg) / Astellas, Amgen, UCB
Journal: Treatment of glucocorticoid-induced osteoporosis with concurrent denosumab and romosozumab: a case report. (Pubmed Central) - Oct 23, 2024 However, there is limited experience with the combination of denosumab and romosozumab, which may be an alternative antiresorptive/anabolic regimen for individuals who are not candidates for PTH receptor agonists. In this case, we present a young man with glucocorticoid-induced osteoporosis who could not tolerate a daily injectable anabolic and who experienced improvement in bone mineral density with concurrent denosumab and off-label romosozumab administration.
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Review, Journal: Bone complications of cancer treatment. (Pubmed Central) - Oct 17, 2024 (1)Cancer treatment-related osteonecrosis is primarily linked to the use of radiation therapy and certain chemicals, such as bisphosphonates, denosumab, antiangiogenic agents, and immunomodulators...These treatment-related bone disorders have a considerable adverse impact on the prognosis of cancer patients. Hence, it is imperative to prioritize the bone health of patients undergoing cancer treatment and give it further attention.
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Trial completion date, Trial initiation date, Trial primary completion date: Study to Compare the Efficacy, Pharmacokinetics, Pharmacodynamics, Safety, and Immunogenicity of MAB-22 Versus Prolia (clinicaltrials.gov) - Oct 16, 2024 P3, N=440, Not yet recruiting, Posttreatment hypocalcemia risk did not vary significantly between patients receiving ZOL or Dmab. Trial completion date: Oct 2026 --> Oct 2027 | Initiation date: Oct 2024 --> Oct 2025 | Trial primary completion date: Oct 2026 --> Oct 2027
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Journal: Denosumab - protection for bone and beyond? (Pubmed Central) - Oct 15, 2024 Trial completion date: Oct 2026 --> Oct 2027 | Initiation date: Oct 2024 --> Oct 2025 | Trial primary completion date: Oct 2026 --> Oct 2027 No abstract available
- |||||||||| Evenity (romosozumab-aqqg) / Astellas, Amgen, UCB
Clinical, Review, Journal: A practical approach for anabolic treatment of bone fragility with romosozumab. (Pubmed Central) - Oct 14, 2024 The reduction in P1NP level was also more prominent in the denosumab group. Based on the available evidence, romosozumab could be proposed as ideal drug in several clinical settings, such as non-fractured post-menopausal women at very-high risk of fractures, patients with recent hip fracture, patients non responder to bisphosphonates and short-term denosumab therapy.
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Journal: Dose-specific effects of denosumab on serum calcium levels in patients with osteoporosis and various renal functions. (Pubmed Central) - Oct 11, 2024 Based on the available evidence, romosozumab could be proposed as ideal drug in several clinical settings, such as non-fractured post-menopausal women at very-high risk of fractures, patients with recent hip fracture, patients non responder to bisphosphonates and short-term denosumab therapy. The magnitude of serum calcium decrease following subsequent dose(s) was smaller than that following the initial dose of denosumab among patients with osteoporosis and advanced CKD.
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Review, Journal: Diabetic Charcot neuroarthropathy: A threat to both limb and life. (Pubmed Central) - Oct 9, 2024 Denosumab is potentially an efficacious, if unproven, therapy to accelerate healing...Mortality is also increased with DCN, especially in the presence of a foot ulcer. To avoid the recurrence of DCN and especially to lower the risk of the recurrence of a foot ulcer recurrence reconstructive, surgery may be needed.
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