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Systemic treatments prevents bone events

Reduce skeletal related events (SREs)

Fracture, surgical intervention, need for radiotherapy, SCC

- Increase bone mass / strength

- No effect on pain

Porta- Sales et al, Pall Med 2016

Bisphosphonates

- Oral

- IV

RANK-L inhibitors

- Denosumab sc 1 per month

Peddi et al, Canc Treat Rev 2013

Ra 223

- Phase 3 ALSYMPCA study, prostate cancer, n= 921

- Outcome 33% SRE vs. 38%

- Time to first SRE 15,6 vs. 9,8 months

Sartor et al, Lancet Oncol 2014

15-sep-16

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