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.
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.
Shanghai Sixth People's Hospital, Shanghai, Shanghai, China
ShenzhenPH, Shenzhen, Guangdong, China
Massachusetts General Hospital, Boston, Massachusetts, United States
The Third Xiangya Hospital of Central South University, Changsha, Hunan, China
Huazhong University of Science and Technoogy, Wuhan, Hubei, China
Medical Center Medconsult Pleven, Pleven, Bulgaria
Hepatology Clinic Hepa, Tbilisi, Georgia
Tbilisi Heart And Vascular Clinic Ltd, Tbilisi, Georgia
The Alfred Hospital - Alfred Health, Melbourne, Victoria, Australia
Wollongong Hospital, Wollongong, New South Wales, Australia
Barts Cancer Institute - Haemato-Oncology, London, United Kingdom
Providence Medical Foundation, Santa Rosa, California, United States
UT MD Anderson Cancer Center, Houston, Texas, United States
Community Health Network Cancer Center North - Community Hospital Network, Indianapolis, Indiana, United States
The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China
Fifth Medical Center of PLA General Hospital, Beijing, Beijing, China
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