Should de-escalation of bone-targeting agents be standard of care?

Ann Oncol

Division of Medical Oncology, The Ottawa Hospital Cancer Centre, Ottawa; Ottawa Hospital Research Institute, Ottawa, Canada. Electronic address:

Published: May 2018

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http://dx.doi.org/10.1093/annonc/mdy068DOI Listing

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Background: We present the 2-year results of a randomised trial comparing 4- versus 12-weekly bone-targeting agents (BTAs) in patients with bone metastases from breast or castration-resistant prostate cancer (CRPC).

Patients And Methods: Patients with bone metastases from breast or CRPC, who were going to start or were already receiving BTAs, were randomised to 4- or 12-weekly BTA treatment for 2 years. The endpoints were: symptomatic skeletal events (SSE) rates, time to SSEs, toxicity and cost-effectiveness.

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Should de-escalation of bone-targeting agents be standard of care?

Ann Oncol

May 2018

Division of Medical Oncology, The Ottawa Hospital Cancer Centre, Ottawa; Ottawa Hospital Research Institute, Ottawa, Canada. Electronic address:

View Article and Find Full Text PDF

Should de-escalation of bone-targeting agents be standard of care for patients with bone metastases from breast cancer? A systematic review and meta-analysis.

Ann Oncol

November 2015

Department of Medicine and Division of Medical Oncology, The Ottawa Hospital Ottawa Hospital Research Institute and Department of Medicine, University of Ottawa

Background: De-escalation of bone-targeted agents, such as bisphosphonates and denosumab, from 4- to 12-weekly dosing is an increasingly used strategy in patients with bone metastases from breast cancer. It is unclear whether there is sufficient evidence to support de-escalation as a standard of care.

Methods: A systematic review of randomized trials comparing standard 4-weekly administration of bone-targeted agents with de-escalated (Q12-weekly) dosing in breast cancer patients was carried out.

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