Systemic Anti-Cancer Therapy Regimen Library
Giant Cell tumour of bone - denosumab
Treatment Overview
Cycle 1 - 28 days
Consider oral supplementation of at least 500 mg elemental calcium daily and vitamin D equivalent to 400 units daily (e.g. colecalciferol 1.25 mg orally ONCE a month) for the duration of treatment.
Dental check-up recommended prior to starting, and at 6-monthly intervals during treatment. Patients should be encouraged to maintain good oral hygiene, and to report any adverse oral symptoms.
Cycle 2 (and all further cycles) - 28 days
Consider oral supplementation of at least 500 mg elemental calcium daily and vitamin D equivalent to 400 units daily (e.g. colecalciferol 1.25 mg orally ONCE a month) for the duration of treatment.
Dental check-up recommended prior to starting, and at 6-monthly intervals during treatment. Patients should be encouraged to maintain good oral hygiene, and to report any adverse oral symptoms.
Cycle details
Cycle 1 - 28 days
| Medication | Dose | Route | Days | Max Duration |
|---|---|---|---|---|
| denosumab | 120 mg | subcutaneous injection | 1, 8, 15 |
Consider oral supplementation of at least 500 mg elemental calcium daily and vitamin D equivalent to 400 units daily (e.g. colecalciferol 1.25 mg orally ONCE a month) for the duration of treatment.
Dental check-up recommended prior to starting, and at 6-monthly intervals during treatment. Patients should be encouraged to maintain good oral hygiene, and to report any adverse oral symptoms.
Cycle 2 (and all further cycles) - 28 days
| Medication | Dose | Route | Days | Max Duration |
|---|---|---|---|---|
| denosumab | 120 mg | subcutaneous injection | 1 |
Consider oral supplementation of at least 500 mg elemental calcium daily and vitamin D equivalent to 400 units daily (e.g. colecalciferol 1.25 mg orally ONCE a month) for the duration of treatment.
Dental check-up recommended prior to starting, and at 6-monthly intervals during treatment. Patients should be encouraged to maintain good oral hygiene, and to report any adverse oral symptoms.
Full details
Cycle 1 - 28 days
Day: 1
| Medication | Dose | Route | Max duration | Details |
|---|---|---|---|---|
| denosumab | 120 mg | subcutaneous injection |
Instructions:
Consider oral supplementation of at least 500 mg elemental calcium daily and vitamin D equivalent to 400 units daily (e.g. colecalciferol 1.25 mg orally ONCE a month) for the duration of treatment. Dental check-up recommended prior to starting, and at 6-monthly intervals during treatment. |
Day: 8
| Medication | Dose | Route | Max duration | Details |
|---|---|---|---|---|
| denosumab | 120 mg | subcutaneous injection |
Instructions:
Consider oral supplementation of at least 500 mg elemental calcium daily and vitamin D equivalent to 400 units daily (e.g. colecalciferol 1.25 mg orally ONCE a month) for the duration of treatment. Dental check-up recommended prior to starting, and at 6-monthly intervals during treatment. |
Day: 15
| Medication | Dose | Route | Max duration | Details |
|---|---|---|---|---|
| denosumab | 120 mg | subcutaneous injection |
Instructions:
Consider oral supplementation of at least 500 mg elemental calcium daily and vitamin D equivalent to 400 units daily (e.g. colecalciferol 1.25 mg orally ONCE a month) for the duration of treatment. Dental check-up recommended prior to starting, and at 6-monthly intervals during treatment. |
Cycle 2 (and all further cycles) - 28 days
Day: 1
| Medication | Dose | Route | Max duration | Details |
|---|---|---|---|---|
| denosumab | 120 mg | subcutaneous injection |
Instructions:
Consider oral supplementation of at least 500 mg elemental calcium daily and vitamin D equivalent to 400 units daily (e.g. colecalciferol 1.25 mg orally ONCE a month) for the duration of treatment. Dental check-up recommended prior to starting, and at 6-monthly intervals during treatment. |
Supportive Care Factors
| Factor | Value |
|---|---|
| Hypersensitivity / Infusion related reaction risk: | Low - routine premedication not recommended |
References
Amgen (New Zealand) Limited Xgeva New Zealand data sheet 12 October 2021 version 4.5 https://www.medsafe.govt.nz/profs/datasheet/x/xgevainj.pdf [accessed 10 November 2022].
* The medicines, doses, combinations, and schedule in this treatment regimen have been carefully reviewed against international best practice guidelines by specialists in medical oncology around New Zealand and this advice has been accepted for publication by Te Aho o Te Kahu (the Cancer Control Agency). Sometimes medicines that are used in routine clinical practice have not been through a formal review process by the NZ Medicines Regulator Medsafe and are therefore considered unapproved or off-label. These medicines are legally able to be prescribed through sections 25 and 29 of the Medicines Act and by obtaining informed consent from patients. All treatment regimens listed on this website have been through robust peer review and are considered an accepted standard of care, whether prescribed through sections 25 or 29 or carrying formal Medsafe Approval.
s29: This symbol indicates that some formulations of the associated medicine are legally only able to be prescribed under section 29 of the Medicines Act. You can see which formulations are section 29 by hovering over the s29 symbol. You can access full medication details from the New Zealand Formulary by clicking on the medication name. Each clinician retains full responsibility for ensuring they have complied with all relevant obligations and requirements of section 29 including obtaining informed patient consent prior to prescribing the applicable medicine.