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Denosumab

Generic Name
Denosumab
Brand Names
Prolia, Xgeva, Wyost, Jubbonti
Drug Type
Biotech
CAS Number
615258-40-7
Unique Ingredient Identifier
4EQZ6YO2HI
Background

Denosumab is a novel, fully human IgG2 monoclonal antibody specific to receptor activator of nuclear factor kappa-B ligand (RANKL), suppresses bone resorption markers in patients with a variety of metastatic tumors and is being investigated in multiple clinical trials for the prevention and treatment of bone metastases. Chemically, it consists of 2 heavy and 2 light chains. Each light chain consists of 215 amino acids. Each heavy chain consists of 448 amino acids with 4 intramolecular disulfides. FDA approved on June 1, 2010.

Indication

Prolia is indicated for the treatment of postmenopausal women with osteoporosis at high risk for fracture. It reduces the incidence of vertebral, nonvertebral, and hip fractures. Prolia is also indicated as a treatment to increase bone mass in women at high risk for fracture receiving adjuvant aromatase inhibitor therapy for breast cancer. It can also be used in men with osteoporosis at high risk for fracture or in men receiving androgen deprivation therapy for nonmetastatic prostate cancer to increase bone mass. Xgeva is indicated for the prevention of skeletal-related events in patients with bone metastases from solid tumors.

Associated Conditions
Bone Fractures, Bone Giant Cell Tumor, Bone Loss, Bone pain, Spinal Cord Compression, Bone destruction, High risk of fracture Osteoporosis, Refractory Hypercalcemia of malignancy

An Open-label, Single-arm Extension Study to Evaluate the Long-term Safety of Denosumab Administration in Postmenopausal Women With Low Bone Mineral Density

Phase 3
Completed
Conditions
Low Bone Mineral Density
Interventions
First Posted Date
2006-05-12
Last Posted Date
2017-08-01
Lead Sponsor
Amgen
Target Recruit Count
200
Registration Number
NCT00325468

A Multicenter, Randomized Placebo Controlled Pilot MicroCT Study to Estimate the Effect of Treatment With Denosumab (AMG 162) and Alendronate Sodium in Postmenopausal Women With Low Bone Mineral Density

Phase 2
Completed
Conditions
Postmenopausal Osteoporosis
Interventions
First Posted Date
2006-02-20
Last Posted Date
2014-07-25
Lead Sponsor
Amgen
Target Recruit Count
247
Registration Number
NCT00293813

Open-Label, Phase 2, Proof of Concept Study in Multiple Myeloma - Denosumab

Phase 2
Completed
Conditions
Relapsed or Plateau-Phase Multiple Myeloma
Interventions
First Posted Date
2005-12-01
Last Posted Date
2017-03-15
Lead Sponsor
Amgen
Target Recruit Count
96
Registration Number
NCT00259740

Efficacy, Safety and Tolerability of Denosumab in the Treatment of Rheumatoid Arthritis

Phase 2
Completed
Conditions
Rheumatoid Arthritis
Interventions
Drug: placebo
First Posted Date
2004-11-08
Last Posted Date
2021-10-25
Lead Sponsor
Amgen
Target Recruit Count
227
Registration Number
NCT00095498

Study to Evaluate AMG 162 in the Prevention of Postmenopausal Osteoporosis

Phase 3
Completed
Conditions
Postmenopausal Osteoporosis
Interventions
Drug: Placebo
First Posted Date
2004-09-21
Last Posted Date
2010-12-31
Lead Sponsor
Amgen
Target Recruit Count
332
Registration Number
NCT00091793

A Study to Evaluate Denosumab in the Treatment of Postmenopausal Osteoporosis

Phase 3
Completed
Conditions
Osteoporosis
Interventions
Drug: placebo
First Posted Date
2004-08-16
Last Posted Date
2022-11-08
Lead Sponsor
Amgen
Target Recruit Count
7808
Registration Number
NCT00089791

AMG 162 in the Treatment of Bone Loss in Subjects Undergoing Androgen-Deprivation Therapy for Non-metastatic Prostate Cancer

Phase 3
Completed
Conditions
Prostate Cancer
Interventions
Drug: Placebo
First Posted Date
2004-08-11
Last Posted Date
2018-10-17
Lead Sponsor
Amgen
Target Recruit Count
1468
Registration Number
NCT00089674

Determine the Efficacy, Safety and Tolerability of Denosumab (AMG 162) in the Treatment of Postmenopausal Women With Low Bone Mineral Density

Phase 2
Completed
Conditions
Low Bone Mineral Density
Interventions
First Posted Date
2002-08-07
Last Posted Date
2013-09-18
Lead Sponsor
Amgen
Target Recruit Count
412
Registration Number
NCT00043186
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