Evidence map›Paper›PMID 42076835›Full record

ArticleCancer control : journal of the Moffitt Cancer Center

Denosumab as Second-Line Treatment in Patients With Metastatic Breast Cancer: A Retrospective Descriptive Pilot Study From a Single Institution.

Briana To, Laura E Wright, Dureti Doto, Julie Stephans, Marilly Palettas, Kai C Johnson, Mathew Cherian, Daniel Stover, Ashley Davenport, Margaret Gatti-Mays and 6 more

Abstract read
In one paragraph

Article in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Briana ToDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.ORCID 0009-0001-5723-1809
Laura E WrightDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Dureti DotoDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Julie StephansDepartment of Biomedical Informatics, The Ohio State University, Columbus, OH, USA.
Marilly PalettasDepartment of Biomedical Informatics, The Ohio State University, Columbus, OH, USA.
Kai C JohnsonDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Mathew CherianDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Daniel StoverDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Ashley DavenportDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Margaret Gatti-MaysDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Robert WesolowskiDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Dionisia QuirogaDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.ORCID 0000-0003-3388-7069
Sagar SardesaiDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Gilbert BaderDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Bhuvaneswari RamaswamyDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Nicole WilliamsDivision of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IntroductionBone metastasis in breast cancer patients can lead to poor quality of life and cause significant morbidity. First-line treatments for bone metastases include bone modifying agents that inhibit osteoclast activity to reduce bone resorption. The most commonly used bone modifying agents include zoledronic acid and denosumab. It is currently unknown whether a therapy change from zoledronic acid to denosumab would result in greater symptom control or improved disease outcomes in breast cancer patients. In this single institution retrospective cohort study, we aimed to identify the reasons why patients transitioned from zoledronic acid to denosumab and to determine whether denosumab, as a second-line therapy, led to reduced narcotic use for metastatic bone pain.Materials and MethodsBreast cancer patients with bone metastases treated at The Ohio State University Comprehensive Cancer center from 2011-2018 with a bone modifying agent were examined. Nineteen patients who received second-line denosumab following previous exposure to zoledronic acid were identified and included in this study.ResultsThe two most common reasons patients switched from zoledronic acid to denosumab were related to side effect burden (28%) and bone metastasis progression (28%). No reduction in narcotic use due to bone pain was observed six months after starting denosumab. None of the patients developed new skeletal related events after switching to Denosumab.ConclusionOverall, denosumab as a second-line therapy appeared to be well-tolerated in our cohort, as we did not observe any treatment-related toxicity. Patients who switched to denosumab did not experience improved pain control.

Indexed as

Bone Density Conservation AgentsBone NeoplasmsBreast NeoplasmsDenosumabAdultAgedFemaleHumansMiddle AgedPilot ProjectsRetrospective StudiesZoledronic AcidBone Density Conservation AgentsDenosumabZoledronic Acidbone metastasisbreast cancerdenosumabskeletal related eventszoledronic acid

Identifiers

PMID42076835
PMCPMC13157578

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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.