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Denosumab: A Potential Treatment Option for Aneurysmal Bone Cysts

Vetëm përdoruesit e regjistruar mund të përkthejnë artikuj
Identifikohuni Regjistrohu
Lidhja ruhet në kujtesën e fragmenteve
StatusiPërfunduar
Sponsorët
Peking University People's Hospital

Fjalë kyçe

Abstrakt

The efficacy of traditional therapeutic approaches for aneurysmal bone cysts (ABC), such as surgery, embolization, sclerotherapy and radiotherapy, are often compromised for lesions in axial skeletons and adolescents complicated with pathological fracture. Therefore, denosumab, a new drug that has been successfully used in giant cell tumor of bone but has seldom used in ABC, was used to treat ABC in this trial.

Përshkrim

Patients with primary ABC treated with perioperative denosumab in the Musculoskeletal Tumor Center of Peking University People's Hospital between January 2014 and December 2016 will be reported in this trial.Approved by the Ethics Committee of Peking University People's Hospital and with the full informed consent from the patients or their families, all patients received surgery and treatment with denosumab perioperatively. Denosumab 120 mg was given subcutaneously (abdomen wall or upper arms) every 4 weeks (Q4W), with a loading dose on both Day 8 and Day 15 of the first cycle. Meanwhile, all patients were suggested to take 800mg oral calcium supplement every day and avoid any dental or oral surgery (tooth extraction, tooth filling, etc.). Patients were followed once a month since the date of surgery. On follow-up visits, patient-reported adverse reactions, X-ray image of jawbone, serum calcium, alkaline phosphatase, renal and hepatic function, hemoglobin, white blood cell, and platelet count were collected, and histological examinations, radiological examinations (such as X-ray, computed tomography (CT), magnetic resonance image (MRI) and positron emission tomography-computed tomography (PET-CT) and postoperative functional status evaluations by MSTS(Musculoskeletal tumor society) score were conducted.

Datat

Verifikuar së fundmi: 12/31/2017
Paraqitur së pari: 01/09/2018
Regjistrimi i vlerësuar u dorëzua: 01/28/2018
Postuar së pari: 01/29/2018
Përditësimi i fundit i paraqitur: 01/28/2018
Përditësimi i fundit i postuar: 01/29/2018
Data e fillimit të studimit aktual: 12/31/2013
Data e vlerësuar e përfundimit primar: 12/30/2016
Data e vlerësimit të përfundimit të studimit: 12/30/2017

Gjendja ose sëmundja

Bone Cyst Aneurysmal
Pathological Fracture
Recurrent Disease
Refractory Tumor

Ndërhyrja / trajtimi

Drug: denosumab (Xgeva) treatment

Faza

Faza 1/Faza 2

Grupet e krahëve

KrahNdërhyrja / trajtimi
Experimental: denosumab (Xgeva) treatment
Patients with aneurismal bone cysts received perioperative denosumab(Xgeva).
Drug: denosumab (Xgeva) treatment
Denosumab (Xgeva) 120 mg was given subcutaneously (abdomen wall or upper arms) every 4 weeks (Q4W), with a loading dose on both Day 8 and Day15 of the first cycle, perioperatively.

Kriteret e pranimit

Moshat e pranueshme për studim 12 Years Për të 12 Years
Gjinitë e pranueshme për studimAll
Pranon Vullnetarë të Shëndetshëmpo
Kriteret

Inclusion Criteria:

1. pathologically diagnosed with primary aneurysmal bone cyst

2. lesions in axial skeletons (i.e. spine, pelvis) which are difficult to reach a satisfactory surgical margin, and surgery can lead to very high incidence of complications.

3. pathological fracture

4. recurrence cases

Exclusion Criteria:

1. metastases or multi-focal lesions

2. malignancy

Rezultati

Masat Kryesore të Rezultateve

1. Objective Response Rate (ORR) [at least 1-year]

the number of participats (complete response+ partial response according to RECIST 1.1)/ total participants number.

2. local control rate [at least 1-year]

CT or MR proof that the tumor relapse in the primary site by at least two radiologist.

Masat dytësore të rezultateve

1. Number of participants with abnormal laboratory values and/or adverse events that are related to the use of Denosumab(Xgeva) [at least 1-year]

include patient-reported adverse reactions, X-ray image of jawbone, serum calcium, alkaline phosphatase, renal and hepatic function, hemoglobin, white blood cell, and platelet count were collected in follow-up every 3-month.

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