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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1994-7-21
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pubmed:abstractText |
Although the efficacy of pamidronate (APD) in Paget's disease is established, the optimal dose and regimen are not known. In this article, further findings using a single-day intravenous infusion are reported, comparing the responses of 114 subjects treated with doses of 20 mg (n = 35), 30 mg (n = 26), 45 mg (n = 29), and 60 mg (n = 24). Assessments of clinical and biochemical response were made at 2, 4, 8, 12, and 24 weeks. Patients with persistent disease activity were retreated after 24 weeks. The single-day infusion of APD was followed by a rapid and sustained biochemical response, but in only 24% of patients did alkaline phosphatase (AP) levels normalize. Of patients in whom the serum AP level normalized, 93% had initial values less than three times the upper limit of normal. Although there was no significant difference in response between the lower dosage groups, there was a greater response in patients treated with a higher dose of APD. The percentage decrease in AP from baseline was similar after the first and second infusions. These findings show that a single-day infusion of APD is effective in the treatment of Paget's disease and that a dose-response relationship exists.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0049-0172
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
23
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
276-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8009255-Adult,
pubmed-meshheading:8009255-Aged,
pubmed-meshheading:8009255-Aged, 80 and over,
pubmed-meshheading:8009255-Alkaline Phosphatase,
pubmed-meshheading:8009255-Diphosphonates,
pubmed-meshheading:8009255-Dose-Response Relationship, Drug,
pubmed-meshheading:8009255-Drug Administration Schedule,
pubmed-meshheading:8009255-Female,
pubmed-meshheading:8009255-Humans,
pubmed-meshheading:8009255-Infusions, Intravenous,
pubmed-meshheading:8009255-Male,
pubmed-meshheading:8009255-Middle Aged,
pubmed-meshheading:8009255-Osteitis Deformans
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pubmed:year |
1994
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pubmed:articleTitle |
Single-day intravenous pamidronate in Paget's disease.
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pubmed:affiliation |
Department of Endocrinology, Concord Hospital, NSW, Australia.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|