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Denosumab: the era of targeted therapies in bone metastatic diseases
D Santini1, M E Fratto, B Vincenzi
1Medical Oncology, University Campus Bio-Medico, Rome, Italy.
Abstract:
This system constituted of the Receptor Activator of nuclear Factor-kB Ligand (RANKL), the Receptor Activator of Nuclear Factor-kB (RANK) and by the decoy Receptor Osteoprotegerin (OPG) plays a central role in bone resorption. Denosumab (AMG 162) is an investigational fully human monoclonal antibody with a high affinity and specificity for RANKL.This review will critically describe and discuss the recent results of clinical trial investigating denosumab in different settings of medical oncology. In particular, we will report the recently published data of clinical trials investigating denosumab in prevention of cancer treatment induced bone loss (CTIBL), in prevention of skeletal related events (SREs) in bone metastatic patients and the ongoing studies in prevention of disease recurrence in the adjuvant setting of solid tumours. The clinical data that will be reported in this review represent the first step in a path that will conduct us to explore new horizons in the field of bone health care in cancer patients.
Insights
Denosumab, a RANKL inhibitor, shows promise in preventing bone loss and skeletal events in cancer patients. Ongoing studies explore its role in preventing disease recurrence in solid tumors, advancing bone health care.
Area of Science:
- Oncology
- Bone Metabolism
- Pharmacology
Background:
- The RANKL/RANK/OPG system is crucial for bone resorption.
- Denosumab is a monoclonal antibody targeting RANKL.
- Cancer treatments can negatively impact bone health.
Purpose of the Study:
- To review clinical trial data on denosumab in medical oncology.
- To discuss denosumab's efficacy in preventing cancer treatment-induced bone loss (CTIBL).
- To evaluate denosumab's role in preventing skeletal-related events (SREs) and disease recurrence.
Main Methods:
- Systematic review of clinical trial results.
- Analysis of data on denosumab's impact on bone health in cancer patients.
- Inclusion of studies on CTIBL, SREs, and adjuvant settings.
Main Results:
- Denosumab demonstrates potential in preventing CTIBL.
- Evidence suggests denosumab reduces SREs in bone metastatic patients.
- Ongoing trials investigate denosumab for disease recurrence prevention.
Conclusions:
- Denosumab is a significant therapeutic option for managing bone complications in cancer patients.
- Further research is warranted to fully elucidate denosumab's benefits in oncology.
- Clinical data supports denosumab's role in improving bone health outcomes for cancer survivors.
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