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Drug

Denosumab

Study design
RT–Drug Timing Window
Radiobiological rationale for RT–drug interaction
No radiosensitization mechanism; bone-protective with modest immunomodulation (Ahern et al., Nature Reviews Clinical Oncology, 2018; Chang et al., Cancer Immunology Research, 2024). No mechanistic basis for increased in-field radiation adverse events; the relevant class caution (osteonecrosis of the jaw, hypocalcemia) is independent of radiosensitization.
Data on this page refer exclusively to patients treated with Denosumab combined with SBRT, without concurrent use of drugs from other classes. Combination therapy data and pooled group-level evidence are available on the Anti-RANKL mAb group page.