Publications

Authors:

Orsolini, Giovanni; Gavioli, Irene; Tripi, Gaia; Viapiana, Ombretta; Gatti, Davide; Idolazzi, Luca; Zanotti, Roberta; Rossini, Maurizio

Title:

Denosumab for the Treatment of Mastocytosis-Related Osteoporosis: A Case Series

Year:

2017

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Referee:

No

Name of journal:

Calcified Tissue International

ISSN of journal:

0171-967X

N° Volume:

100

Number or Folder:

6

Page numbers:

595-598

Keyword:

Denosumab; Osteoporosis; RANKL; Systemic mastocytosis

Short description of contents:

The purpose of this study was to investigate the therapeutic effect of denosumab, an anti-RANKL monoclonal antibody for the treatment of bone loss in indolent systemic mastocytosis (ISM) patients intolerant to bisphosphonates. Four patients underwent upon informed consent a treatment with denosumab 60 mg administered subcutaneously every 6 months with the same regimen used for postmenopausal osteoporosis. Bone mineral density (BMD) was measured at lumbar and femoral sites at baseline and after 1 year. C-terminal telopeptide of collagen type I (CTX), bone alkaline phosphatase (bALP) and tryptase serum level were determined at baseline and after 12 months with fasting blood samples withdrawals. BMD increased significantly at both sites during the 12 months; all the patients had an important decrease of serum CTX and of lesser extent of bALP serum levels. After denosumab treatment, a decrease in serum tryptase level was observed in all the patients. No adverse events or new fractures occurred. Denosumab seems to be a valid alternative for the treatment of bone loss in ISM. RANKL might be of key importance in the pathogenesis of ISM bone involvement.

Product ID:

96260

Handle IRIS:

11562/958679

Last Modified:

December 2, 2022

Bibliographic citation:

Orsolini, Giovanni; Gavioli, Irene; Tripi, Gaia; Viapiana, Ombretta; Gatti, Davide; Idolazzi, Luca; Zanotti, Roberta; Rossini, Maurizio, Denosumab for the Treatment of Mastocytosis-Related Osteoporosis: A Case Series «Calcified Tissue International» , vol. 100 , n. 6 , 2017 , pp. 595-598

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