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Xgeva Approved to Avoid Fractures in Those with MM

Amgen news release; 2018 Jan 5

The FDA has approved Xgeva (denosumab) to prevent fractures in patients with multiple myeloma.

Indications: Xgeva is a RANK ligand inhibitor indicated for prevention of skeletal-related events in patients with multiple myeloma and in patients with bone metastases from solid tumors.

Dosage and administration: Administer 120 mg every 4 weeks as a subcutaneous injection in the upper arm, upper thigh, or abdomen.

Efficacy and safety: Approval is based on results of a phase 3, randomized, double-blind, multicenter trial demonstrating Xgeva’s non-inferiority to zoledronic acid in delaying the time to first on-study skeletal-related event in patients with multiple myeloma.

Side effects/risks: The most common adverse reactions are diarrhea, nausea, anemia, back pain, thrombocytopenia, peripheral edema, hypocalcemia, upper respiratory tract infection, rash, and headache.

Citation:

FDA approves Xgeva (denosumab) for the prevention of skeletal-related events in patients with multiple myeloma. [news release]. Thousand Oaks, CA: Amgen. January 5, 2018. https://www.prnewswire.com/news-releases/fda-approves-xgeva-denosumab-for-the-prevention-of-skeletal-related-events-in-patients-with-multiple-myeloma-300578047.html. Accessed January 14, 2018.

Xgeva [package insert]. Thousand Oaks, CA: Amgen, 2018. http://pi.amgen.com/~/media/amgen/repositorysites/pi-amgen-com/xgeva/xgeva_pi.pdf. Accessed January 14, 2018.