- |||||||||| Prolia (denosumab) / Amgen, Daiichi Sankyo
Journal: Role of bone-modifying agents in advanced cancer. (Pubmed Central) - May 15, 2021 In order to reduce the risk of these complications, the supportive treatment of patients with bone lesions from advanced cancer typically includes the use of bone-modifying agents (BMAs), specifically bisphosphonates and denosumab. The choice of specific agent, dosing schedule and duration of therapy should be individualized by taking into account disease characteristics, medication side-effect profiles and patient preferences.
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Review, Journal: Effect of antiresorptive and bone forming treatments in bone erosions in rheumatoid arthritis. (Pubmed Central) - May 15, 2021 Some studies have indicated that concomitant treatment with antiresorptives, such as bisphosphonates or denosumab, could prevent erosive lesions in this process, and it has even been suggested that treatment with a bone forming agent, such as teriparatide, could revert previously established erosive lesions. In this article we review the evidence available on the efficacy of treatment with antiresorptives and bone forming agents in the prevention and/or treatment of bone erosions associated with RA.
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Clinical, Journal: Effects of follow-on therapy after denosumab discontinuation in patients with postmenopausal osteoporosis. (Pubmed Central) - May 15, 2021 In this article we review the evidence available on the efficacy of treatment with antiresorptives and bone forming agents in the prevention and/or treatment of bone erosions associated with RA. These results may contribute to the selection of adequate follow-on therapy after DMAb discontinuation, although further investigations are required.
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Journal: Oral cinacalcet responsiveness in non-parathyroid hormone mediated hypercalcemia of malignancy. (Pubmed Central) - May 15, 2021 Furthermore, we hypothesize that this effect is primarily mediated by cinacalcet's interaction with the calcium-sensing receptor in the intestine with lesser effects at bone and kidney. Lastly, the role of 1,25-dihydroxyvitamin D in hypercalcemia malignancy may be underappreciated in solid tumors.
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Review, Journal: Optimising the management of osteoporosis. (Pubmed Central) - May 15, 2021 Oral bisphosphonates remain the most cost-effective first line of treatment. Better methods of identifying patients with high fracture risk is needed as there is adequate effective treatment for osteoporosis.
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Clinical, Journal: Effects of denosumab treatment in chronic liver disease patients with osteoporosis. (Pubmed Central) - May 15, 2021 Better methods of identifying patients with high fracture risk is needed as there is adequate effective treatment for osteoporosis. Denosumab treatment was safe and increased BMD, suppressed bone turnover, and improved bone quality marker levels in CLD patients with osteoporosis, irrespective of differences in baseline characteristics.
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Clinical, Journal: A bedridden young lady with hypophosphatemic rickets treated with denosumab: a case report. (Pubmed Central) - May 15, 2021 Denosumab is an effective treatment for osteoporosis, we used it in our patient in addition to calcitriol because she had severe osteoporosis due to long standing hypophosphatemic rickets that had not been treated properly, the patient improved markedly and regained the ability to walk again after being bedridden for 4 years. It may be a drug to consider in such cases although further studies need to be done to confirm this.
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Review, Journal: Molecular Targeted Therapy for the Bone Loss Secondary to Pyogenic Spondylodiscitis Using Medications for Osteoporosis: A Literature Review. (Pubmed Central) - May 15, 2021 Bone loss due to infections involves the suppression of osteoblastogenesis by osteoblast apoptosis, which is induced by the nuclear factor-κB and mitogen-activated protein kinase pathways, and osteoclastogenesis with the receptor activator of the nuclear factor-κB ligand-receptor combination and subsequent activation of the nuclear factor of activated T cells cytoplasmic 1 and c-Fos. In this study, we review and discuss the molecular mechanisms of bone loss secondary to infection and analyze the efficacy of the medications for osteoporosis, focusing on romosozumab, teriparatide, denosumab, and bisphosphonates, in treating this pathological condition.
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Clinical, Review, Journal: Progress in Targeted Alpha-Particle-Emitting Radiopharmaceuticals as Treatments for Prostate Cancer Patients with Bone Metastases. (Pubmed Central) - May 14, 2021 This success has renewed interest in targeted alpha-particle therapy development for visceral and bone metastasis. This review will discuss (i) the biology of bone metastasis, especially focusing on the vicious cycle of bone metastasis, (ii) how bone remodeling has been exploited to administer systemic radiotherapies, and (iii) targeted radiotherapy development and progress in the development of targeted alpha-particle therapy for the treatment of prostate cancer bone metastasis.
- |||||||||| Prolia (denosumab) / Amgen, Daiichi Sankyo, Evenity (romosozumab) / Astellas, Amgen, UCB
Clinical, Journal, Adverse events, Real-world evidence: Real-world effects and adverse events of romosozumab in Japanese osteoporotic patients: A prospective cohort study. (Pubmed Central) - May 14, 2021 Sixty-four (27.8%) of 230 patients experienced an adverse event, and 7 (3.0%) new fractures were recorded. In sum, romosozumab treatment for 12 months significantly improved lumbar spine, total hip, and femoral neck BMD according to real-world data.
- |||||||||| Prolia (denosumab) / Amgen, Daiichi Sankyo, Opdivo (nivolumab) / Ono Pharma, BMS
Review, Journal: Reciprocal interactions between osteoclasts and nociceptive sensory neurons in bone cancer pain. (Pubmed Central) - May 14, 2021 Furthermore, we highlight how this perturbed state of osteoclast overactivation contributes to bone cancer pain through (1) direct mechanisms, through their production of pronociceptive factors that act directly on sensory afferents; and (2) by indirect mechanisms, wherein osteoclasts drive bone resorption that weakens tumor-bearing bones and predisposes them to skeletal-related events, thereby driving bone cancer pain and functional impairment. Finally, we discuss some potential therapeutic agents, such as denosumab, bisphosphonates, and nivolumab, and discuss their respective effects on bone cancer pain, osteoclast overactivation, and tumor growth within the bone TME.
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Trial completion date, Trial primary completion date: Effects of Denosumab on Bone Mineral Density in Women With Anorexia Nervosa: A Pilot Study (clinicaltrials.gov) - May 13, 2021 P1, N=75, Active, not recruiting, Finally, we discuss some potential therapeutic agents, such as denosumab, bisphosphonates, and nivolumab, and discuss their respective effects on bone cancer pain, osteoclast overactivation, and tumor growth within the bone TME. Trial completion date: Oct 2021 --> Jul 2021 | Trial primary completion date: Oct 2020 --> Jul 2021
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Clinical, Journal, HEOR: Cost-effectiveness of denosumab for high-risk postmenopausal women with osteoporosis in Thailand. (Pubmed Central) - May 12, 2021 The fracture risk was not adjusted to reflect potential changes in risk after denosumab treatment discontinuation.Conclusions. In Thailand, denosumab offers a cost-effective osteoporosis treatment option versus no pharmacologic treatment in postmenopausal women at high risk of fracture.
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Clinical, Journal: Bone Mineral Density - Clinical Relevance and Quantitative Assessment. (Pubmed Central) - May 12, 2021 In the case of denosumab, it is now apparent that stopping therapy at any point can lead to an increase in multiple fracture risk. For patients who do not respond to antiosteoporosis pharmacologic therapy, with an improvement in BMD or an incident fragility fracture, other intervening issues, such as vitamin D deficiency, and/or compliance should be considered.
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Journal: RANKL regulates male reproductive function. (Pubmed Central) - May 11, 2021 In infertile men, one dose of Denosumab decreases RANKL seminal fluid concentration and increases serum Inhibin-B and anti-Müllerian-hormone levels, but semen quality only in a subgroup. This translational study suggests that RANKL is a regulator of male reproductive function, however, predictive biomarkers for treatment-outcome requires further investigation in placebo-controlled studies.
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Journal, IO biomarker: Immuno-PET Molecular Imaging of RANKL in Cancer. (Pubmed Central) - May 6, 2021 In RA patients treated with csDMARDs, new bone erosion predictors were seropositivity, elevated inflammatory markers, and baseline ES ≥3. [Zr]Zr-DFO-AMG162 can detect heterogeneous RANKL expression in the TME of human cancer xenografts, supporting further translation of RANKL immuno-PET to evaluate tumor RANKL distribution in patients.
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Clinical, Journal: Proposal for a preventive protocol for medication-related osteonecrosis of the jaw. (Pubmed Central) - May 5, 2021 Along with a team of well-educated and trained dentists, it is equally important to maintain contact with the medical team involved in the treatment of the underlying pathology, especially rheumatologists, oncologists, internists and gynaecologists. All the above requires a great staff learning and organization effort, continuous training and coordination of the whole team involved in the preventive management of these patients.
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Review, Journal: Management of glucocorticoid-induced osteoporosis. (Pubmed Central) - May 4, 2021 General measures include to prescribe the lowest dose of GC to control the underlying disease for the shortest possible time, maintain adequate vitamin D levels and calcium intake, maintain mobility, and prescribe a bone acting agent in patients at high risk of fracture. These agents include oral and intravenous bisphosphonates, denosumab, and teriparatide.
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Clinical, Journal: Hypophosphatemia and FGF23 tumor-induced osteomalacia in two cases of metastatic breast cancer. (Pubmed Central) - Apr 30, 2021 TIO in breast cancer poses a distinct diagnostic challenge due to the common adjunct oncologic management with bone protection therapy such as denosumab or bisphosphonates...Delay of diagnosis of TIO can result in worsening functional status, and early morbidity and mortality. To date, there has been one prior case report of TIO in breast cancer, and herein we describe two additional cases of TIO in this setting.
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