Bone metastasis in prostate cancer

被引:0
作者
Moltzahn, F. [1 ]
Thalmann, G. N. [1 ]
机构
[1] Inselspital Bern, Urol Univ Klin, CH-3010 Bern, Switzerland
来源
UROLOGE | 2012年 / 51卷 / 01期
关键词
Prostate cancer; Bone metastases; castration resistant; Bisphosphonates; Denosumab; ADVANCED BREAST-CANCER; LONG-TERM EFFICACY; ZOLEDRONIC ACID; SKELETAL COMPLICATIONS; DOUBLE-BLIND; PHASE-II; CELLS; BISPHOSPHONATES; PAMIDRONATE; SURVIVAL;
D O I
10.1007/s00120-011-2741-1
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Bone metastasis and skeletal complications have a devastating impact on the quality of life and are a major cause of morbidity in prostate cancer patients. In addition to established bone-targeted therapies, new drugs such as endothelin A receptor antagonists, MET and VEGFR-2 antagonists or radiophar-maceuticals are in the focus of development. The standard care in prostate cancer patients with bone metastases to prevent skeletal-related events (SRE) are bisphosphonates. Denosumab, a human monoclonal antibody against RANKL, appeared to be superior to zoledronic acid for prevention of SRE and has been shown to prolong bone metastases-free survival. In contrast to zoledronic acid, denosumab clearance is not dependent on kidney function and can be administered subcutaneously. Similar rates of toxicity were observed for both substances; however, long-term data for denosumab are limited.
引用
收藏
页码:20 / +
页数:6
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