Serveur d'exploration sur les relations entre la France et l'Australie

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Changes in Bone Turnover Marker Levels and Clinical Outcomes in Patients with Advanced Cancer and Bone Metastases Treated with Bone Antiresorptive Agents.

Identifieur interne : 001489 ( PubMed/Curation ); précédent : 001488; suivant : 001490

Changes in Bone Turnover Marker Levels and Clinical Outcomes in Patients with Advanced Cancer and Bone Metastases Treated with Bone Antiresorptive Agents.

Auteurs : Allan Lipton [États-Unis] ; Matthew R. Smith [États-Unis] ; Karim Fizazi [France] ; Alison T. Stopeck [États-Unis] ; David Henry [États-Unis] ; Janet E. Brown [Royaume-Uni] ; Neal D. Shore [États-Unis] ; Fred Saad [Canada] ; Andrew Spencer [Australie] ; Li Zhu [États-Unis] ; Douglas J. Warner [États-Unis]

Source :

RBID : pubmed:27140926

Abstract

Bone antiresorptive agents can significantly reduce bone turnover markers (BTM) in patients with advanced cancer. We evaluated association of changes in BTMs with overall survival (OS), disease progression (DP), and disease progression in bone (DPB) in patients with advanced cancer and bone metastases following denosumab or zoledronic acid treatment.

DOI: 10.1158/1078-0432.CCR-15-3086
PubMed: 27140926

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pubmed:27140926

Le document en format XML

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<name sortKey="Shore, Neal D" sort="Shore, Neal D" uniqKey="Shore N" first="Neal D" last="Shore">Neal D. Shore</name>
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<name sortKey="Saad, Fred" sort="Saad, Fred" uniqKey="Saad F" first="Fred" last="Saad">Fred Saad</name>
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<nlm:affiliation>Department of Surgery, University of Montreal Hospital Centers, Montreal, Quebec, Canada.</nlm:affiliation>
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<name sortKey="Spencer, Andrew" sort="Spencer, Andrew" uniqKey="Spencer A" first="Andrew" last="Spencer">Andrew Spencer</name>
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<nlm:affiliation>Department of Clinical Haematology, Monash University, Melbourne, Victoria, Australia.</nlm:affiliation>
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<name sortKey="Zhu, Li" sort="Zhu, Li" uniqKey="Zhu L" first="Li" last="Zhu">Li Zhu</name>
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<country xml:lang="fr">Royaume-Uni</country>
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<name sortKey="Shore, Neal D" sort="Shore, Neal D" uniqKey="Shore N" first="Neal D" last="Shore">Neal D. Shore</name>
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<name sortKey="Spencer, Andrew" sort="Spencer, Andrew" uniqKey="Spencer A" first="Andrew" last="Spencer">Andrew Spencer</name>
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<nlm:affiliation>Department of Clinical Haematology, Monash University, Melbourne, Victoria, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
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<name sortKey="Zhu, Li" sort="Zhu, Li" uniqKey="Zhu L" first="Li" last="Zhu">Li Zhu</name>
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<nlm:affiliation>Global Biostatistical Sciences, Amgen Inc., Thousand Oaks, California.</nlm:affiliation>
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<region type="state">Californie</region>
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<name sortKey="Warner, Douglas J" sort="Warner, Douglas J" uniqKey="Warner D" first="Douglas J" last="Warner">Douglas J. Warner</name>
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<div type="abstract" xml:lang="en">Bone antiresorptive agents can significantly reduce bone turnover markers (BTM) in patients with advanced cancer. We evaluated association of changes in BTMs with overall survival (OS), disease progression (DP), and disease progression in bone (DPB) in patients with advanced cancer and bone metastases following denosumab or zoledronic acid treatment.</div>
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<ArticleTitle>Changes in Bone Turnover Marker Levels and Clinical Outcomes in Patients with Advanced Cancer and Bone Metastases Treated with Bone Antiresorptive Agents.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Bone antiresorptive agents can significantly reduce bone turnover markers (BTM) in patients with advanced cancer. We evaluated association of changes in BTMs with overall survival (OS), disease progression (DP), and disease progression in bone (DPB) in patients with advanced cancer and bone metastases following denosumab or zoledronic acid treatment.</AbstractText>
<AbstractText Label="EXPERIMENTAL DESIGN" NlmCategory="METHODS">This is an integrated analysis of patient-level data from three identically designed, blinded, phase III trials with patients randomized to subcutaneous denosumab or intravenous zoledronic acid. Levels of the BTMs urinary N-telopeptide (uNTx) and serum bone-specific alkaline phosphatase (sBSAP) measured at study entry and month 3 were analyzed. OS, DP, and DPB were compared in patients with BTMs ≥ median versus < median based on month 3 assessments.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">uNTx levels ≥ the median of 10.0 nmol/mmol at month 3 were associated with significantly reduced OS compared with levels < median (HR for death, 1.85; P < 0.0001). sBSAP levels ≥ median of 12.6 ng/mL were associated with significantly reduced OS compared with levels < median (HR, 2.44; P < 0.0001). uNTx and sBSAP levels ≥ median at month 3 were associated with significantly greater risk of DP (HR, 1.31; P < 0.0001 and HR, 1.71; P < 0.0001, respectively) and DPB (HR, 1.11; P = 0.0407 and HR, 1.27; P < 0.0001, respectively).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">BTM levels ≥ median after 3 months of bone antiresorptive treatment were associated with reduced OS and increased risk of DP and DPB. Assessment of uNTx and sBSAP levels after bone antiresorptive therapy may add to identification of patients at risk for worse clinical outcomes. Clin Cancer Res; 22(23); 5713-21. ©2016 AACR.</AbstractText>
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