Zometa in therapy for bone metastases of prostate cancer during androgenic deprivation (Results of Russian multicenter study)

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Abstract

Introduction: Hormonal therapy is the method of choice in treating disseminated prostate cancer. Chronic androgenic suppression causes a reduction in bone mineral density. The most common complications of bone metastases are pathological fractures, spinal cord compression, pain, etc.

Methods: A multicenter study (11 clinics of Russia) assessing the efficacy of Zometa in preventing skeletal complications of bone metastases was conducted in 2004—2005. Zometa was administered intravenously at a dose of 4 mg every 3Р4 weeks with androgenic deprivation. Its objective effect was evaluated in 70 patients. Changes in bone mineral density were evaluated by densitometry.

Results: Complete pain relief was achieved in 73% of the patients; after therapy 86% of the patients had 0—1 WHO activity status score, 97% of the patients had no bone complications. The level of bone resorption marker β-Cross-Laps decreased to the normal values in 51% of the patients.

Conclusion: The study has provided an evidence of the efficacy of Zometa and the necessity of using this drug in complex therapy for bone metastases of prostate cancer.

About the authors

O. B. Karyakin

Medical Radiology Research Center, Russian Academy of Medical Sciences

Author for correspondence.
Obninsk Russian Federation

B. P. Matveev

N.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences

Moscow Russian Federation

V. B. Matveev

N.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences

Moscow Russian Federation

I. G. Rusakov

P.A. Herzen Moscow Research Oncological Institute, Ministry of Health and Social Development of the Russian Federation

Moscow Russian Federation

O. B. Loran

Department of Urology and Surgical Andrology, Russian Medicаl Academy of Postgraduate Education

Moscow Russian Federation

Ye. I. Veliyev

Department of Urology and Surgical Andrology, Russian Medicаl Academy of
Postgraduate Education

Moscow Russian Federation

L. V. Shaplygin

N.N. Burdenko Main Military Clinical Hospital

Moscow Russian Federation

B. V. Bukharkin

N.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences

Moscow Russian Federation

V. A. Biryukov

Medical Radiology Research Center, Russian Academy of Medical Sciences

Obninsk Russian Federation

N. G. Minayeva

Medical Radiology Research Center, Russian Academy of Medical Sciences

Obninsk Russian Federation

A. A. Atayev

N.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences

Moscow Russian Federation

V. M. Shelepova

N.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences

Moscow Russian Federation

M. I. Karelin

Central Research Institute of Radiology, Ministry of Health and Social Development of the Russian Federation

Saint Petersburg Russian Federation

D. G. Prokhorov

Central Research Institute of Radiology, Ministry of Health and Social Development of the Russian Federation

Saint Petersburg Russian Federation

Yu. N. Khrizman

Bashkir Republican Cancer Dispensary

Ufa Russian Federation

V. K. Shakurov

Bashkir Republican Cancer Dispensary

Ufa Russian Federation

E. F. Abdrakhmanov

Kazan Cancer Dispensary

Kazan Russian Federation

V. N. Zhuravlev

Department of Urology, Urals State Medical Academy

Yekaterinburg Russian Federation

A. V. Zyryanov

Cancer Clinical Hospital No.1

Yekaterinburg Russian Federation

V. O. Mager

Sverdlovsk Regional Cancer Dispensary

Yekaterinburg Russian Federation

P. A. Karnaukh

Regional Cancer Dispensary

Chelyabinsk Russian Federation

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