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. 2023 Mar 6;12(3):470–486. doi: 10.21037/tp-22-276

Table 6. Summary of denosumab treatment in children and adolescents in the literature.

Disease Dose and interval of denosumab Preparation before start denosumab Supplements in therapy Monitoring in therapy Dose modifications Monitoring after end of therapy
ABC <45 kg 70 mg/m2 every month; ≥45 kg 120 mg every month Treat and prevent oral diseases; correct hypocalcemia and vitamin D deficiency Calcium 500 mg/day, vitamin D 400 IU/day Serum calcium ≥2 mmol/L and ≤2.9 mmol/L Hold denosumab when serum calcium <2 mmol/L or if denosumab-related grade 3 or 4 adverse events occur Monitoring calcium >6 months, if symptomatic hypercalcemia is observed, decrease doses every 3 months
GCTB
CGCG
FD 1–1.5 mg/kg every month
OI 1 mg/kg every 3 months

ABC, aneurysmal bone cyst; GCTB, giant cell tumor of bone; CGCG, central giant cell granuloma; FD, fibrous dysplasia; OI, osteogenesis imperfecta.