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Efficacy and safety of denosumab for the treatment of osteoporosis: A systematic review
被引:27
作者:
Diedhiou, Demba
[1
,2
]
Cuny, Thomas
[1
]
Sarr, Anna
[2
]
Diop, Said Norou
[2
]
Klein, Marc
[1
]
Weryha, Georges
[1
]
机构:
[1] Lorraine Univ, Univ Hosp Ctr Nancy, Dept Endocrinol, Vandoeuvre Les Nancy, France
[2] Cheikh Anta Diop Univ, Univ Hosp Ctr Dakar, Dept Internal Med 2, Dakar, Senegal
关键词:
Osteoporosis;
Denosumab;
Fracture risk;
Renal insufficiency;
Safety;
BONE-MINERAL DENSITY;
POSTMENOPAUSAL WOMEN;
BIOCHEMICAL MARKERS;
TURNOVER MARKERS;
RISK REDUCTION;
FRACTURE RISK;
ALENDRONATE;
THERAPY;
MASS;
PHASE-2;
D O I:
10.1016/j.ando.2015.10.009
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Denosumab is an anti-RANK ligand (RANKL) monoclonal antibody approved for the treatment of postmenopausal osteoporosis and prevention of skeletal metastasis complications. Administered subcutaneously every 6 months, it reduces the risk of vertebral fracture by 70% and of hip fracture by 40%. Its safety profile is acceptable. Denosumab may be used to treat patients with moderate to severe renal insufficiency. It has anti-fracture activity equivalent to that of zoledronic acid, but no residual effect, and no action at all beyond 6 months. In France, denosumab is reimbursed as a second-line treatment after a first attempt with bisphosphonate. (C) 2015 Elsevier Masson SAS. All rights reserved.
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页码:650 / 657
页数:8
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