Emerging treatments for postmenopausal osteoporosis – focus on denosumab

Piet GeusensDepartment of Internal Medicine, Subdivision of Rheumatology, Maastricht University Medical Center, Maastricht, The Netherlands and Biomedical Research Institute, University Hasselt, BelgiumAbstract: The pathway of the receptor activator of the nuclear factor κB ligand (RANKL),...

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Autor principal: Piet Geusens
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Publicado: Dove Medical Press 2009
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Acceso en línea:https://doaj.org/article/4cf8c096344043bb8ebe89a9ae1dbba8
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spelling oai:doaj.org-article:4cf8c096344043bb8ebe89a9ae1dbba82021-12-02T00:13:23ZEmerging treatments for postmenopausal osteoporosis – focus on denosumab1178-1998https://doaj.org/article/4cf8c096344043bb8ebe89a9ae1dbba82009-06-01T00:00:00Zhttps://www.dovepress.com/emerging-treatments-for-postmenopausal-osteoporosis-ndash-focus-on-den-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Piet GeusensDepartment of Internal Medicine, Subdivision of Rheumatology, Maastricht University Medical Center, Maastricht, The Netherlands and Biomedical Research Institute, University Hasselt, BelgiumAbstract: The pathway of the receptor activator of the nuclear factor κB ligand (RANKL), RANK and osteoprotegerin (OPG) plays a central role in coupling bone formation and resorption during normal bone turnover and in a wide spectrum of diseases characterized by disturbed bone remodeling, increased bone resorption and bone destruction (osteoporosis, Paget’s disease of bone, rheumatoid arthritis [RA], metastatic bone disease). Clinical trials indicate that denosumab, a RANKL-specific recombinant humanized monoclonal antibody, is effective in suppressing bone resorption, resulting in increase in bone mineral density (BMD) in postmenopausal women with low BMD, and has the potential to prevent progression of erosions in RA and of skeletal-related events in metastatic bone disease. The effects on fracture reduction in postmenopausal osteoporosis are awaited from the recently finished FREEDOM study. In clinical trials with denosumab, overall adverse events were similar to placebo or comparators, indicating a favorable safety profile in these diseases, which until now have been available up to 4 years, but data on long-term safety will be needed.Keywords: denosumab, postmenopausal osteoporosis, bone mineral densityPiet GeusensDove Medical PressarticleRANKL OPG Osteoporosis Rheumatoid arthritis Paget's disease of bone Metastatic bone diseasesGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 4, Pp 241-250 (2009)
institution DOAJ
collection DOAJ
language EN
topic RANKL OPG Osteoporosis Rheumatoid arthritis Paget's disease of bone Metastatic bone diseases
Geriatrics
RC952-954.6
spellingShingle RANKL OPG Osteoporosis Rheumatoid arthritis Paget's disease of bone Metastatic bone diseases
Geriatrics
RC952-954.6
Piet Geusens
Emerging treatments for postmenopausal osteoporosis – focus on denosumab
description Piet GeusensDepartment of Internal Medicine, Subdivision of Rheumatology, Maastricht University Medical Center, Maastricht, The Netherlands and Biomedical Research Institute, University Hasselt, BelgiumAbstract: The pathway of the receptor activator of the nuclear factor κB ligand (RANKL), RANK and osteoprotegerin (OPG) plays a central role in coupling bone formation and resorption during normal bone turnover and in a wide spectrum of diseases characterized by disturbed bone remodeling, increased bone resorption and bone destruction (osteoporosis, Paget’s disease of bone, rheumatoid arthritis [RA], metastatic bone disease). Clinical trials indicate that denosumab, a RANKL-specific recombinant humanized monoclonal antibody, is effective in suppressing bone resorption, resulting in increase in bone mineral density (BMD) in postmenopausal women with low BMD, and has the potential to prevent progression of erosions in RA and of skeletal-related events in metastatic bone disease. The effects on fracture reduction in postmenopausal osteoporosis are awaited from the recently finished FREEDOM study. In clinical trials with denosumab, overall adverse events were similar to placebo or comparators, indicating a favorable safety profile in these diseases, which until now have been available up to 4 years, but data on long-term safety will be needed.Keywords: denosumab, postmenopausal osteoporosis, bone mineral density
format article
author Piet Geusens
author_facet Piet Geusens
author_sort Piet Geusens
title Emerging treatments for postmenopausal osteoporosis – focus on denosumab
title_short Emerging treatments for postmenopausal osteoporosis – focus on denosumab
title_full Emerging treatments for postmenopausal osteoporosis – focus on denosumab
title_fullStr Emerging treatments for postmenopausal osteoporosis – focus on denosumab
title_full_unstemmed Emerging treatments for postmenopausal osteoporosis – focus on denosumab
title_sort emerging treatments for postmenopausal osteoporosis – focus on denosumab
publisher Dove Medical Press
publishDate 2009
url https://doaj.org/article/4cf8c096344043bb8ebe89a9ae1dbba8
work_keys_str_mv AT pietgeusens emergingtreatmentsforpostmenopausalosteoporosisndashfocusondenosumab
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