# Denosumab Combined With PARP Inhibitors and Chemoradiotherapy for Treating Triple Negative Breast Cancer With Bone Metastasis: A Case Report

**Authors:** Li Liu, Lan Yu, Yu Wang, Hongmei Zhang, Xiaotao Zhang

PMC · DOI: 10.1002/cnr2.70463 · 2026-03-06

## TL;DR

A patient with triple-negative breast cancer and bone metastasis showed improved outcomes with a combination of denosumab, PARP inhibitors, and chemoradiotherapy.

## Contribution

This case report presents a novel combination therapy for TNBC with bone metastasis.

## Key findings

- The treatment led to effective disease control and symptom improvement.
- Imaging showed stabilization of bone lesions with no severe side effects.

## Abstract

Triple‐negative breast cancer (TNBC) with bone metastasis is associated with poor prognosis and limited treatment options. Denosumab has shown efficacy in preventing skeletal‐related events, while PARP inhibitors have demonstrated promising activity in patients with homologous recombination deficiency.

We report a patient with TNBC and bone metastasis who received a combination treatment including denosumab, PARP inhibitors, and chemoradiotherapy. The treatment resulted in effective disease control and improvement of clinical symptoms. Imaging evaluation showed stabilization of bone lesions, and the patient tolerated the treatment well without severe adverse events.

This case suggests that the combination of denosumab with PARP inhibitors and chemoradiotherapy may provide a potential therapeutic strategy for TNBC patients with bone metastasis. Further studies are warranted to validate the efficacy and safety of this combined treatment approach.

## Linked entities

- **Diseases:** triple-negative breast cancer (MONDO:0005494)

## Full-text entities

- **Genes:** PGR (progesterone receptor) [NCBI Gene 5241] {aka NR3C3, PR}, CEACAM3 (CEA cell adhesion molecule 3) [NCBI Gene 1084] {aka CD66D, CEA, CGM1, CGM1a, W264, W282}, EREG (epiregulin) [NCBI Gene 2069] {aka EPR, ER, Ep}, PGP (phosphoglycolate phosphatase) [NCBI Gene 283871] {aka AUM, G3PP, PGPase}, ALPP (alkaline phosphatase, placental) [NCBI Gene 250] {aka ALP, PALP, PLAP, PLAP-1}, ERBB2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 2064] {aka CD340, HER-2, HER-2/neu, HER2, MLN 19, MLN-19}, COL11A2 (collagen type XI alpha 2 chain) [NCBI Gene 1302] {aka DFNA13, DFNB53, FBCG2, HKE5, OSMEDA, OSMEDB}, GPT (glutamic--pyruvic transaminase) [NCBI Gene 2875] {aka AAT1, ALT, ALT1, GPT1, SGPT}, SLC17A5 (solute carrier family 17 member 5) [NCBI Gene 26503] {aka AST, ISSD, NSD, SD, SIALIN, SIASD}, MUC16 (mucin 16, cell surface associated) [NCBI Gene 94025] {aka CA125}, ABCB1 (ATP binding cassette subfamily B member 1) [NCBI Gene 5243] {aka ABC20, CD243, CLCS, ENPAT, GP170, MDR1}
- **Diseases:** BRCAness tumors (MESH:D009369), DCIS (MESH:D002285), pain (MESH:D010146), spinal cord compression (MESH:D013117), osteolytic (MESH:D030981), sternal pain (MESH:C537489), HRD (MESH:C535296), SREs (MESH:D002318), bone lesions (MESH:D001847), Bone Metastasis (MESH:D009362), anemia (MESH:D000740), neutropenia (MESH:D009503), osteolytic destruction (MESH:D008105), Breast Cancer (MESH:D001943), renal adverse (MESH:D007674), TNBC (MESH:D064726), mediastinal lymph node metastasis (MESH:D008207), IDC (MESH:D044584), pathological fractures (MESH:D005598)
- **Chemicals:** AC (MESH:D000186), Cyclophosphamide (MESH:D003520), zoledronate (MESH:D000077211), capecitabine (MESH:D000069287), Pamiparib (MESH:C000707927), Adriamycin (MESH:D004317), Denosumab (MESH:D000069448), creatinine (MESH:D003404)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12966346/full.md

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Source: https://tomesphere.com/paper/PMC12966346