Effective and Rapid Osteoclast Inhibition by Denosumab, is Reflected in Serum C Telopeptide (CTX), Across Different Tumor Types
- Authors
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S. Tuyls
Depts. of Medical Oncology, Regional Hospital Sint Maria, Ziekenhuislaan 100, 1500 Halle, Belgium -
F. Geurs
Depts. of Medical Oncology, Regional Hospital Sint Maria, Ziekenhuislaan 100, 1500 Halle, Belgium -
Y. Deprest
Laboratory, Regional Hospital Sint Maria, Ziekenhuislaan 100, 1500 Halle, Belgium
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- Keywords:
- Bone metastases, denosumab, serum c telopeptide.
- Abstract
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Denosumab, a monoclonal antibody against RANKL has superior efficacy against bone metastases. Its in vivo activity can be measured recently by dosing of serum C telopeptide, produced by collagen destruction by the osteoclast. We report the first patient series, across several tumor types of the efficacy of denosumab in normalising serum CTX.
- References
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Vadhan-Raj S, von Moos R, Fallowfield LJ, Patrick DL, Goldwasser F, Cleeland CS, et al. Clinical benefit in patients with metastatic bone disease: results of a phase 3 study of denosumab versus zoledronic acid. Ann Oncol 2012; [Epub ahead of print]. http://dx.doi.org/10.1093/annonc/mds175
Smith MR, Saad F, Coleman R, Shore N, Fizazi K, Tombal B, et al. Denosumab and bone-metastasis-free survival in men with castration-resistant prostate cancer: results of a phase 3, randomised, placebo-controlled trial. Lancet 2012; 379(9810): 39-46. http://dx.doi.org/10.1016/S0140-6736(11)61226-9
Stopeck AT, Lipton A, Body JJ, Steger GG, Tonkin K, de Boer RH, et al. Denosumab compared with zoledronic acid for the treatment of bone metastases in patients with advanced breast cancer: a randomized, double-blind study. J Clin Oncol 2010; 28(35): 5132-39. http://dx.doi.org/10.1200/JCO.2010.29.7101
Body JJ, Facon T, Coleman RE, Lipton A, Geurs F, Fan M, et al. A study of the biological receptor activator of nuclear factor-kappaB ligand inhibitor, denosumab, in patients with multiple myeloma or bone metastases from breast cancer. Clin Cancer Res 2006; 12(4): 1221-28. http://dx.doi.org/10.1158/1078-0432.CCR-05-1933
Body JJ, Greipp P, Coleman RE, Facon T, Geurs F, Fermand JP, et al. A phase I study of AMGN-0007, a recombinant osteoprotegerin construct, in patients with multiple myeloma or breast carcinoma related bone metastases. Cancer 2003; 97 (3 Suppl): 887-92. http://dx.doi.org/10.1002/cncr.11138
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Brown JE, Cook RJ, Major P, Lipton A, Saad F, Smith M, et al. Bone turnover markers as predictors of skeletal complications in prostate cancer, lung cancer, and other solid tumors. J Natl Cancer Inst 2005; 97(1): 59-69. http://dx.doi.org/10.1093/jnci/dji002
Brown-Glaberman U, Stopeck AT. Role of denosumab in the management of skeletal complications in patients with bone metastases from solid tumors. Biologics 2012; 6: 89-99.
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- Downloads
- Published
- 2013-04-03
- Issue
- Vol. 2 No. 2 (2013)
- Section
- Articles
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