Treatment of glucocorticoid-induced osteoporosis with concurrent denosumab and romosozumab: a case report

IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Alice S. Zhao, Yi Liu, Joseph J. Mulvey, Beverly G. Tchang
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引用次数: 0

Abstract

Osteoporosis is a metabolic bone disorder for which treatment options include antiresorptive therapies (e.g., bisphosphonates, denosumab); anabolics (e.g., teriparatide, abaloparatide); and dual mechanisms (e.g., romosozumab). Management of osteoporosis with concurrent antiresorptive and anabolic agents may be superior to monotherapy, as demonstrated in the DATA trial with the combination of denosumab and teriparatide. However, there is limited experience with the combination of denosumab and romosozumab, which may be an alternative antiresorptive/anabolic regimen for individuals who are not candidates for PTH receptor agonists. In this case, we present a young man with glucocorticoid-induced osteoporosis who could not tolerate a daily injectable anabolic and who experienced improvement in bone mineral density with concurrent denosumab and off-label romosozumab administration.

Abstract Image

同时使用地诺单抗和罗莫索单抗治疗糖皮质激素诱发的骨质疏松症:病例报告
骨质疏松症是一种代谢性骨病,其治疗方法包括抗骨质吸收疗法(如双磷酸盐、地诺单抗)、同化疗法(如特立帕肽、阿巴帕肽)和双重机制疗法(如罗莫单抗)。同时使用抗骨质吸收剂和合成代谢剂治疗骨质疏松症可能优于单一疗法,DATA 试验中联合使用地诺单抗和特立帕肽就证明了这一点。然而,对于不适合使用 PTH 受体激动剂的患者来说,联合使用地诺单抗和罗莫索单抗可能是另一种抗骨质吸收/合成代谢疗法,但这方面的经验却很有限。在本病例中,我们介绍了一名患有糖皮质激素诱导的骨质疏松症的年轻人,他不能耐受每日注射的合成代谢药物,但同时服用地诺单抗和标签外的罗莫索单抗后,他的骨矿密度得到了改善。
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来源期刊
Osteoporosis International
Osteoporosis International 医学-内分泌学与代谢
CiteScore
8.10
自引率
10.00%
发文量
224
审稿时长
3 months
期刊介绍: An international multi-disciplinary journal which is a joint initiative between the International Osteoporosis Foundation and the National Osteoporosis Foundation of the USA, Osteoporosis International provides a forum for the communication and exchange of current ideas concerning the diagnosis, prevention, treatment and management of osteoporosis and other metabolic bone diseases. It publishes: original papers - reporting progress and results in all areas of osteoporosis and its related fields; review articles - reflecting the present state of knowledge in special areas of summarizing limited themes in which discussion has led to clearly defined conclusions; educational articles - giving information on the progress of a topic of particular interest; case reports - of uncommon or interesting presentations of the condition. While focusing on clinical research, the Journal will also accept submissions on more basic aspects of research, where they are considered by the editors to be relevant to the human disease spectrum.
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