Osteoporosis, bone & mineral

Efficacy of Denosumab for Treatment of Pain in Fibrous Dysplasia and McCune‐Albright Syndrome: A Systematic Review

Clin Endocrinol (Oxf)Published Systematic review

Authors' conclusion

In patients with FD/MAS undergoing treatment with denosumab, pain improved in 81.8% of patients, and analgesic requirement decreased in greater than half of patients.

Study context

Population
Patients with fibrous dysplasia (FD), with or without McCune-Albright syndrome (MAS), treated with denosumab
Participants
88 patients16 studies
Outcome
Change in pain score (quantitative pain scales), proportion of pain responders (≥ 2-point reduction or overall subjective improvement in pain), and change in analgesic requirement
Methodological detailsPRISMA guidelines
  • PRISMA guidelines

Pooled result

As reported in the abstract

Pain

Mean pain score decrease (points on a 10-point scale)

3.51

Pain responders

81.8%

Reduction or cessation of analgesic use

51.7%

Safety

Adverse events related to denosumab

Any adverse event
55.8%
Hypocalcemia
11.6%
Hypophosphatemia
8.1%
Rebound hypercalcemia after denosumab discontinuation
8 patients (9.3%)
Severe rebound hypercalcemia
4

Original publication

Efficacy of Denosumab for Treatment of Pain in Fibrous Dysplasia and McCune‐Albright Syndrome: A Systematic Review. Clin Endocrinol (Oxf). Published 19 March 2026. doi:10.1111/cen.70133

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