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DRUG CLASS:

Osteoclast inhibitor

24d
An anoikis-based risk model predicts outcomes and is associated with the immune microenvironment in adrenocortical carcinoma. (PubMed, Front Mol Biosci)
High-risk patients showed increased sensitivity to chemotherapeutic agents including Gallibiscoquinazole, Cisplatin, Axitinib, and Zoledronate. The anoikis-based risk model may serve as a useful prognostic tool for ACC. ARGs may contribute to ACC progression and are associated with immune microenvironment features, providing a potential basis for further mechanistic and translational studies.
Journal
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TP53 (Tumor protein P53) • BIRC5 (Baculoviral IAP repeat containing 5) • CASP9 (Caspase 9) • CDK1 (Cyclin-dependent kinase 1) • SKP2 (S-phase kinase-associated protein 2)
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TP53 mutation
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cisplatin • axitinib • zoledronic acid
25d
New P2 trial
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zoledronic acid
25d
The Effects of Bisphosphonates Used in Osteoporosis Treatment on Breast Cancer: Analysis with Integrative Bioinformatics Methods, DFT, ADMET and Molecular Docking Analysis. (PubMed, Biology (Basel))
This study evaluated the structural, electronic, pharmacokinetic, and receptor-binding properties of three bisphosphonate derivatives, alendronate, risedronate, and zoledronate, to investigate their therapeutic relevance in osteoporosis and breast cancer. Network analyses highlighted pathways related to mevalonate metabolism, hormone signaling, angiogenesis, extracellular matrix remodeling, and the RANK/RANKL/OPG axis. These findings support the potential repurposing of bisphosphonates, particularly zoledronate, for breast cancer-associated bone disease.
Journal • BRCA Biomarker
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ER (Estrogen receptor) • BRCA2 (Breast cancer 2, early onset) • KDR (Kinase insert domain receptor) • MMP9 (Matrix metallopeptidase 9) • FDPS (Farnesyl Diphosphate Synthase) • TNFSF11 (TNF Superfamily Member 11)
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zoledronic acid
25d
Neutrophil-hitchhiking and bone-targeting ultrasound-responsive nanomodulators for synergistic immunogenic tumor inhibition and bone repair of bone metastasis. (PubMed, Biomaterials)
Herein, we engineered a multifunctional ultrasound (US)-responsive nanomodulator (SPNacs) through the co-assembly of a semiconducting polymer sonosensitizer (PF8DPP) and curcumin (Cur) with a reactive oxygen species (ROS)-cleavable polymer shell containing both bone and neutrophil dual-targeting ligands (alendronate and sialic acid)...Consequently, a synergistic effect was achieved to simultaneously suppressed tumor progression and fostered bone tissue regeneration. Collectively, this study presents a promising therapeutic strategy that addresses both tumor eradication and skeletal repair within metastatic bone lesions.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1)
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PD-L1 expression
25d
TOPAZ: Trial of Parkinson's And Zoledronic Acid (clinicaltrials.gov)
P4, N=2721, Completed, California Pacific Medical Center Research Institute | Active, not recruiting --> Completed | Trial completion date: Oct 2025 --> Feb 2026 | Trial primary completion date: Oct 2025 --> Feb 2026
Trial completion • Trial completion date • Trial primary completion date
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zoledronic acid
1m
Bisphosphonate zoledronic acid blocks secretory autophagy and inhibits bone resorptive functions in osteoclasts. (PubMed, Autophagy)
In vivo studies showed that osteoclast-specific rab7 conditional knockout mice exhibited osteopetrotic phenotypes. These findings provide insights into how BPs disrupt osteoclast function by blocking autophagy and suggest that targeting autophagy in osteoclasts could be a potential therapeutic approach for bone-related diseases.
Journal
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MMP9 (Matrix metallopeptidase 9) • CTSK (Cathepsin K)
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zoledronic acid
1m
Trial completion
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zoledronic acid
1m
BEACON: Bone, Exercise, Alendronate, and Caloric Restriction (clinicaltrials.gov)
P4, N=900, Recruiting, Wake Forest University Health Sciences | Trial completion date: Sep 2027 --> Jan 2028 | Trial primary completion date: Sep 2027 --> Jan 2028
Trial completion date • Trial primary completion date
2ms
Study to Assess Bone after Risedronate in ESKDnSABREn: Do bisphosphonate medications improve bone health in patients on dialysis (ACTRN12620000321943)
P3, N=114, Active, not recruiting, Westmead Hospital Research and Education Network | Not yet recruiting --> Active, not recruiting
Enrollment closed
2ms
Assessing the Risk of Drug-Induced Influenza-Like Illness: A Disproportionality Analysis of Two Decades of FAERS Data (2004-2025). (PubMed, Curr Drug Saf)
This first comprehensive FAERS study identifies key drugs associated with ILI, including interferon β-1a, evolocumab, ofatumumab, interferon β-1b, and zoledronic acid. Clinical monitoring for drug-induced ILI is essential to enhance medication safety.
Journal
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IFNB1 (Interferon Beta 1)
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Arzerra (ofatumumab) • zoledronic acid • Repatha (evolocumab)
2ms
Adult-Onset Multisystem Langerhans Cell Histiocytosis: Atypical Skeletal and Endocrine Manifestations. (PubMed, Cureus)
The patient was treated with vinblastine and prednisolone, along with desmopressin and somatotropin replacement. Zoledronic acid was added for osseous disease...This case highlights an unusual presentation of adult LCH with distal lower-extremity and tarsal bone involvement, as well as hypothalamic-pituitary disease preceding osseous diagnosis by two years. It underscores the importance of considering LCH in adults with unexplained multifocal lytic bone lesions and endocrine dysfunction, and it demonstrates that durable disease control can be achieved with systemic therapy.
Journal
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BRAF (B-raf proto-oncogene)
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BRAF V600E
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zoledronic acid • vinblastine