The development of denosumab for the treatment of diseases of bone loss and cancer-induced bone destruction

Ann N Y Acad Sci. 2012 Aug:1263:29-40. doi: 10.1111/j.1749-6632.2012.06674.x. Epub 2012 Jul 25.

Abstract

Denosumab is a fully human monoclonal antibody against RANK ligand (RANKL), an essential cytokine for the formation, function, and survival of osteoclasts. The role of excessive RANKL as a contributor to conditions characterized by bone loss or bone destruction has been well studied. With its novel mechanism of action, denosumab offers a significant advance in the treatment of postmenopausal osteoporosis; bone loss associated with hormone ablation therapy in women with breast cancer and men with prostate cancer; and the prevention of skeletal-related events in patients with bone metastases from solid tumors by offering clinical benefit to these patients in need.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antibodies, Monoclonal, Humanized / therapeutic use*
  • Antineoplastic Agents, Hormonal / adverse effects
  • Bone Neoplasms / drug therapy*
  • Bone Neoplasms / epidemiology
  • Bone Neoplasms / immunology
  • Bone Resorption / epidemiology
  • Bone Resorption / etiology
  • Bone Resorption / immunology
  • Denosumab
  • Drug Discovery*
  • Humans
  • Osteoporosis / epidemiology
  • Osteoporosis / etiology
  • Osteoporosis / immunology
  • RANK Ligand / adverse effects
  • RANK Ligand / antagonists & inhibitors*
  • Treatment Outcome

Substances

  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents, Hormonal
  • RANK Ligand
  • Denosumab