Pharmacogenetic test anti-resorptive therapy-associated osteonecrosis of the jaw
View Patent ↗The present invention relates to methods and compositions for testing individuals to determine whether they are at increased risk of developing anti-resorptive therapy-associated osteonecrosis of the jaw.
1. A method of treating a human subject suffering from osteoporosis, comprising determining, from a nucleic acid sample from the subject, whether the subject carries single nucleotide polymorphism rs17024608 wherein A is substituted by G, where if the polymorphism is present, the subject is at increased risk for developing bisphosphonate-related osteonecrosis of the jaw relative to a subject that does not carry the polymorphism; and either (i) where the subject carries the polymorphism, treating the subject with an osteoporosis therapy that is an alternative to bisphosphonate treatment and not treating the subject with a bisphosphonate agent or (ii) where the subject does not carry the polymorphism, treating the subject with an osteoporosis therapy that is a bisphosphonate agent.
2. The method of claim 1 , where the osteoporosis therapy that is an alternative to bisphosphonate treatment is calcium supplementation.
3. The method of claim 1 where the bisphosphonate agent is selected from the group consisting of alendronate, etidronate, ibadronate, risedronate, pamidronate and zoledronic acid.
4. The method of claim 1 where the bisphosphonate agent is selected from the group consisting of pamidronate and zoledronic acid.
5. The method of claim 1 where the bisphosphonate agent is zoledronic acid.