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Table 2 Changes of urinary deoxypyridinoline excretion during denosumab treatment

From: Two years’ experience with denosumab for children with Osteogenesis imperfecta type VI

 

Urinary deoxypyridinoline/creatinine ratio (age related normal range)

Patient 1

Patient 2

Patient 3

Patient 4

Days after injection

1 st Cycle

1 st Cycle

1 st Cycle

1 st Cycle

Day 1

44 (6.5-26.5 nM/mM)

32 (6.5-26.5 nM/mM)

82 (6.5-26.5 nM/mM)

41 (0.0-17.8 nM/mM)

Day 14

14 (6.5-26.5 nM/mM)

25 (6.5-26.5 nM/mM)

26 (6.5-26.5 nM/mM)

20 (0.0-17.8 nM/mM)

Day 28

25 (6.5-26.5 nM/mM)

13 (6.5-26.5 nM/mM)

25 (6.5-26.5 nM/mM)

17 (0.0-17.8 nM/mM)

 

3 rd Cycle

4 th Cycle

8 th Cycle

8 th Cycle

Day 1

48 (6.5-26.5 nM/mM)

78 (6.5-26.5 nM/mM)

620 (110–450 μg/g)

83 (10–50 μg/g)

Day 14

10 (6.5-26.5 nM/mM)

24 (6.5-26.5 nM/mM)

133 (110–450 μg/g)

50 (10–50 μg/g)

Day 28

32 (6.5-26.5 nM/mM)

19 (6.5-26.5 nM/mM)

431* (110–450 μg/g)

23 (10–50 μg/g)

 

7 th Cycle

10 th Cycle

-

-

Day 1

42 (6.5-26.5 nM/mM)

477 (110–450 μg/g)

-

-

Day 14

28 (6.5-26.5 nM/mM)

110 (110–450 μg/g)

-

-

Day 28

19 (6.5-26.5 nM/mM)

197 (110–450 μg/g)

-

-

  1. Changes of urinary deoxypyridinoline levels (urinary deoxypyridinoline/creatinine ratio) presented exemplarily for different treatment cycles in all patients. Based on a change of the method reference ranges differed over the period and for clarity every reference range (as provided by the laboratories) are shown after every measured DPD level. The results of the first cycle and of previous bisphosphonate therapy have already been described in part [12].
  2. *→ Value 3 days after elective surgery of right femur due to dislocation of intramedullary rod.