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Metabolic bone diseases

Translational research—preventing fractures with denosumab

In the late 1990s, bone cell biologists predicted inhibition of RANKL as an important therapeutic target for osteoporosis. The theory has now been confirmed by two studies showing that denosumab reduces fracture risk. This success for translational research should be tempered by awareness of the need for long-term monitoring for adverse effects.

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References

  1. McClung, M. R. et al. Denosumab in postmenopausal women with low bone mineral density. N. Engl. J. Med. 354, 821–831 (2006).

    Article  CAS  Google Scholar 

  2. Cummings, S. R. et al. Denosumab for prevention of fractures in postmenopausal women with osteoporosis. N. Engl. J. Med. 361, 756–765 (2009).

    Article  CAS  Google Scholar 

  3. Smith, M. R. et al. Denosumab in men receiving androgen-deprivation therapy for prostate cancer. N. Engl. J. Med. 361, 745–755 (2009).

    Article  CAS  Google Scholar 

  4. Black, D. M. et al. Once-yearly zoledronic acid for treatment of postmenopausal osteoporosis. N. Engl. J. Med. 356, 1809–1822 (2007).

    Article  CAS  Google Scholar 

  5. Wells, G. A. et al. Alendronate for the primary and secondary prevention of osteoporotic fractures in postmenopausal women. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD001155. doi:10.1002/14651858.CD001155.pub2 (2008).

    Google Scholar 

  6. Meunier, P. J. et al. The effects of strontium ranelate on the risk of vertebral fracture in women with postmenopausal osteoporosis. N. Engl. J. Med. 350, 459–468 (2004).

    Article  CAS  Google Scholar 

  7. Khosla, S. et al. Bisphosphonate-associated osteonecrosis of the jaw: report of a task force of the American Society for Bone and Mineral Research. J. Bone Miner. Res. 22, 1479–1491 (2007).

    Article  Google Scholar 

  8. Lenart, B. A., Lorich, D. G. & Lane, J. M. Atypical fractures of the femoral diaphysis in postmenopausal women taking alendronate. N. Engl. J. Med. 358, 1304–1306 (2008).

    Article  CAS  Google Scholar 

  9. Amgen press release, 3 August 2009. Amgen announces positive top-line results for denosumab in trial for delay of skeletal related events in bone metastases patients compared to Zometa® [online] (2009).

  10. Miller, P. D. et al. Effect of denosumab on bone density and turnover in postmenopausal women with low bone mass after long-term continued, discontinued, and restarting of therapy: a randomized blinded phase 2 clinical trial. Bone 43, 222–229 (2008).

    Article  CAS  Google Scholar 

Download references

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Correspondence to Peter R. Ebeling.

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The author declares that he has received research support from Amgen and Merck, and has participated in a speaker's bureau for Merck, Sanofi-Aventis and Eli-Lilly.

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Ebeling, P. Translational research—preventing fractures with denosumab. Nat Rev Rheumatol 5, 660–661 (2009). https://doi.org/10.1038/nrrheum.2009.234

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