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Clinical, Journal: Updates in epidemiology, pathophysiology and management strategies of glucocorticoid-induced osteoporosis. (Pubmed Central) - Aug 11, 2021 Moreover, there are no specific indications for the management of bone fragility in endogenous hypercortisolism. Notwithstanding the above limitations there is a general consensus to recommend an assessment of fracture risk in all individuals >40 years committed to receive (or continuing) high dose (>7.5 mg of prednisone equivalent) GCs for ≥3 months and in all patients with fragility fracture history.
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Clinical, Review, Journal: Role of (Neo)adjuvant Denosumab for Giant Cell Tumor of Bone. (Pubmed Central) - Aug 11, 2021 In all cases, multidisciplinary discussion with oncology, pathologist, radiologist, and surgeons is mandatory. Patient's comorbidities, dental conditions, and preferences, including family planning, should always be taken into account.
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Clinical, Journal: Treatment with zoledronate subsequent to denosumab in osteoporosis: a 2-year randomized study. (Pubmed Central) - Aug 11, 2021 P4 These data suggest that the DATA-HD Extension regimen may be an effective strategy in the long-term management of patients at high risk of fragility fracture. Treatment with ZOL subsequent to long-term denosumab, did not fully prevent increased bone turnover and bone loss during the first year, however, CTX remained with the reference range and BMD was maintained during the second year.
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Retrospective data, Journal: Bisphosphonates after Denosumab withdrawal reduce the vertebral fractures incidence. (Pubmed Central) - Aug 11, 2021 The Dmab withdrawal is associated with an increased risk of clinical but not morphometric VFx. Therapy with ALN or with a single ZOL treatment are partially effective in reducing the increased VFx risk after Dmab withdrawal.
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Review, Journal: Current strategies for the treatment of solitary and aneurysmal bone cysts: A review of the literature. (Pubmed Central) - Aug 10, 2021 With cytogenetic studies and the detection of specific translocations of the ubiquitin-specific protease (USP) 6 gene primary ABCs can be differentiated from secondary ABCs and other bone lesions. Among various modalities of treatment i.e. en bloc resection, intralesional curettage with adjuvants, embolization or the systemic application of denosumab, intralesional sclerotherapy using polidocanol is an effective and minimally invasive treatment of primary ABCs.
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Review, Journal: The role of bone-modifying agents in myeloma bone disease. (Pubmed Central) - Aug 10, 2021 Among various modalities of treatment i.e. en bloc resection, intralesional curettage with adjuvants, embolization or the systemic application of denosumab, intralesional sclerotherapy using polidocanol is an effective and minimally invasive treatment of primary ABCs. The mainstay of MBD prevention are antiresorptive agents, bisphosphonates and denosumab..
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Journal: Knowledge and Needs of Resident Physicians Regarding Osteoporosis: A Nationwide Survey of Residents. (Pubmed Central) - Aug 10, 2021 The mainstay of MBD prevention are antiresorptive agents, bisphosphonates and denosumab.. Fifteen percent of respondents correctly identified that denosumab and alendronate are associated with osteonecrosis of the jaw; and 40% of respondents correctly identified that decline in bone density is more rapid after discontinuation of denosumab than after discontinuation of bisphosphonates..
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Review, Journal: Current Concepts in the Treatment of Giant Cell Tumors of Bone. (Pubmed Central) - Aug 8, 2021 Local recurrence after 2 years or more should be indicative of malignant transformation. This review summarizes the treatment approaches for non-malignant and malignant GCTBs.
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Enrollment closed, Trial completion date, Trial initiation date, Trial primary completion date: Efficacy of Denosumab Treatment in Bisphosphonate Unresponsive Patients (clinicaltrials.gov) - Aug 5, 2021 P=N/A, N=73, Active, not recruiting, This review summarizes the treatment approaches for non-malignant and malignant GCTBs. Completed --> Active, not recruiting | Trial completion date: Feb 2021 --> Aug 2021 | Initiation date: Jan 2020 --> Jul 2020 | Trial primary completion date: Feb 2021 --> Aug 2021
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Clinical, Journal: Osteosarcopenia: epidemiology, diagnosis, and treatment-facts and numbers. (Pubmed Central) - Aug 4, 2021 It is anticipated that diagnosis and treatment for osteosarcopenia will become part of routine healthcare in the future. However, further work is required to identify biomarkers, which, in turn, may increase diagnosis, risk stratification, and targeted treatments to improve health outcomes.
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Clinical, Journal: Treatment of central giant cell granuloma in children with denosumab. (Pubmed Central) - Aug 4, 2021 Here, we describe our experience with the use of denosumab in the treatment of six children with CGCG. All patients had a favorable response with manageable side effects, which suggests that denosumab is an effective treatment option without increased morbidity.
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Journal: Inhibition of RANK signaling as a potential immunotherapy in breast cancer. (Pubmed Central) - Aug 4, 2021 RANK signaling in mouse mammary tumor cells exerts an immunosuppressive environment by promoting the infiltration of pro-tumorigenic neutrophils and preventing CD8 T cell recruitment. Single-agent denosumab led to an increased tumor immune infiltration by lymphocytes and CD8 + T cells in breast cancer patients, supporting the immunomodulatory role of RANK signaling.
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Enrollment open: The DENOCHARCOT Trial (clinicaltrials.gov) - Aug 2, 2021 P3, N=38, Recruiting, Single-agent denosumab led to an increased tumor immune infiltration by lymphocytes and CD8 + T cells in breast cancer patients, supporting the immunomodulatory role of RANK signaling. Not yet recruiting --> Recruiting
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Clinical, Journal: Secondary Fracture Prevention: Consensus Clinical Recommendations from a Multistakeholder Coalition. (Pubmed Central) - Jul 30, 2021 Patients should be strongly encouraged to avoid tobacco, consume alcohol in moderation at most, and engage in regular exercise and fall prevention strategies. Finally, referral to endocrinologists or other osteoporosis specialists may be warranted for individuals who experience repeated fracture or bone loss and those with complicating comorbidities (e.g., hyperparathyroidism, chronic kidney disease).
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Retrospective data, Journal: A Pooled Analysis of Fall Incidence From Placebo-controlled Trials of Denosumab. (Pubmed Central) - Jul 30, 2021 In conclusion, denosumab may reduce the risk of falls in addition to its established fracture risk reduction by reducing bone resorption and increasing bone mass. These observations require further exploration and confirmation in studies with muscle function or falls as the primary outcome.
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Journal: Effects of Combination Denosumab and High-Dose Teriparatide Administration on Bone Microarchitecture and Estimated Strength: the DATA-HD HR-pQCT Study. (Pubmed Central) - Jul 30, 2021 Improvements in trabecular microarchitecture at the distal tibia and estimated strength by micro-finite element analysis at both sites were numerically greater in the HD-group compared to SD-group, but not significantly so. Together, these findings suggest that short-term treatment combining denosumab with either high or standard-dose teriparatide improves HR-pQCT measures of bone density, microstructure, and estimated strength, with greater gains in total bone density observed in the HD-group, which may be of benefit in postmenopausal women with severe osteoporosis.
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Journal: Late Local Recurrence of Bone Giant Cell Tumors Associated with an Increased Risk for Malignant Transformation. (Pubmed Central) - Jul 28, 2021 Overall, 4 patients with primary malignant GCTB, 4 patients with missing data, 3 patients with a history of radiotherapy, 22 patients with a follow-up of less than 6 months, and 36 patients who received denosumab were excluded...The interval between the last surgery to local recurrence and malignant transformation was longer than that to local recurrence of benign GCTB, with a median of 15.2 years (interquartile range [IQR], 5.2-25.4) versus 1.3 months (IQR, 0.8-2.6), respectively (p < 0.001). Late local recurrence of GCTB is associated with a higher risk of malignant transformation.
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Journal: The Role of PINP in Diagnosis and Management of Metabolic Bone Disease. (Pubmed Central) - Jul 27, 2021 PINP as well as CTX may also be used in assessing offset of drug action following a pause in bisphosphonate therapy, to help decide when to re-instate therapy, or following cessation of denosumab therapy to assess efficacy of follow-on bisphosphonate therapy...Although BTM other than bone alkaline phosphatase are currently not recommended for use in metabolic bone disease of chronic kidney disease, PINP measured by assays specific to the intact molecule has potential in this condition. Further studies are needed to examine this area, as well as in malignant bone disease.
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Clinical, Journal: Oral risk factors associated with medication-related osteonecrosis of the jaw in patients with cancer. (Pubmed Central) - Jul 24, 2021 Our findings suggest that patients with alveolar bone loss involving more than half the root on panoramic radiographs and torus mandibularis carry a high risk of MRONJ development. Early dental intervention before BMA administration and oral management during the treatment are important for preventing MRONJ.
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