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Celia L. Gregson

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date: 27 January 2021

Denosumab is a fully human monoclonal antibody to the receptor activator of nuclear factor κB ligand (RANKL) and acts as an anti-resorptive agent by inhibiting osteoclast function.

Denosumab (60 mg) is given by 6-monthly subcutaneous injection to treat post-menopausal osteoporosis.

The randomized controlled trial FREEDOM showed denosumab significantly reduced vertebral, non-vertebral, and hip fractures over 3 years in post-menopausal women.

Denosumab has been well tolerated in trials to date but carries a small increased risk of infections, e.g. cellulitis.

In renal failure, denosumab does not need a dose adjustment; however, it may increase the risk of hypocalcaemia.

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