Evidence map›Paper›PMID 35242510›Full record

ReviewJournal of bone oncology2022

Experience with denosumab (XGEVA®) for prevention of skeletal-related events in the 10 years after approval.

Benoit Cadieux, Robert Coleman, Pegah Jafarinasabian, Allan Lipton, Robert Z Orlowski, Fred Saad, Giorgio V Scagliotti, Kazuyuki Shimizu, Alison Stopeck

Open access · goldAbstract readReview
In one paragraph

Review in Journal of bone oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
6.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 61 citations in OpenAlex.

  1. No overshoot of bone turnover after withdrawal of denosumab treatment of adults with Langerhans cell histiocytosis: a prospective clinical trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 4 countries.

Benoit CadieuxAmgen Inc., Thousand Oaks, CA, USA.
Robert ColemanDepartment of Oncology and Metabolism, University of Sheffield, Sheffield, UK.
Pegah JafarinasabianAmgen Inc., Thousand Oaks, CA, USA.
Allan LiptonMilton S. Hershey Medical Center, The Pennsylvania State University, Hershey, PA, USA.
Robert Z OrlowskiDepartments of Lymphoma/Myeloma and Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Fred SaadCentre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.
Giorgio V ScagliottiUniversity of Torino, Department of Oncology at San Luigi Hospital, Orbassano (Torino), Italy.
Kazuyuki ShimizuHigashi Nagoya National Hospital, Nagoya, Aichi, Japan.
Alison StopeckDepartment of Medicine, Stony Brook University, Stony Brook, NY, USA.
Amgen (United States) · USCentre Hospitalier de l’Université de Montréal · CAHigashi Nagoya National Hospital · JPPennsylvania State University · USStony Brook University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Skeletal-related events (SREs) are complications of bone metastases and carry a significant patient and economic burden. Denosumab is a receptor activator of nuclear factor-κB ligand (RANKL) inhibitor approved for SRE prevention in patients with multiple myeloma and patients with bone metastases from solid tumors. In phase 3 trials, denosumab showed superiority to the bisphosphonate zoledronate in reducing the risk of first on-study SRE by 17% (median time to first on-study SRE delayed by 8.2 months) and the risk of first and subsequent on-study SREs by 18% across multiple solid tumor types, including some patients with multiple myeloma. Denosumab also improved pain outcomes and reduced the need for strong opioids. Additionally, a phase 3 trial showed denosumab was noninferior to zoledronate in delaying time to first SRE in patients with newly diagnosed multiple myeloma. Denosumab has a convenient 120 mg every 4 weeks recommended dosing schedule with subcutaneous administration. Rare but serious toxicities associated with denosumab include osteonecrosis of the jaw, hypocalcemia, and atypical femoral fracture events, with multiple vertebral fractures reported following treatment discontinuation. After a decade of real-world clinical experience with denosumab, we are still learning about the optimal use and dosing for denosumab. Despite the emergence of novel and effective antitumor therapies, there remains a strong rationale for the clinical utility of antiresorptive therapy for SRE prevention. Ongoing studies aim to optimize clinical management of patients using denosumab for SRE prevention while maintaining safety and efficacy.

Indexed as

AFF, Atypical femoral fractureBM, Bone metastasisBMFS, BM-free survivalBone metastasisBP, BisphosphonateBTA, Bone-targeting agentCI, Confidence intervalDenosumabEfficacyHR, Hazard ratioHRQoL, Health-related quality of lifeIMWG, International Myeloma Working GroupMM, Multiple myelomaMVF, Multiple vertebral fractureNSCLC, Non–small-cell lung cancerONJ, Osteonecrosis of the jawOPG, OsteoprotegerinOS, Overall survivalPFS, Progression-free survivalQ12W, Every 12 weeksQ4W, Every 4 weeksRANKL, Receptor activator of nuclear factor-κB ligandSafetySC, SubcutaneousSkeletal-related eventsSRE, Skeletal-related eventuNTx/Cr, Urinary N-telopeptide normalized to urinary creatinine

Identifiers

PMID35242510
PMCPMC8857591
OpenAlexW4213176775

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.