| 
 | Denosumab (n = 48) | Zoledronic acid (n = 56) | ||
| 
 | 1~2 Grade | 3~4 Grade | 1~2 Grade | 3~4 Grade | 
| Nausea/vomiting | 11 (22.9%) | 2 (4.2%) | 14 (25%) | 3 (5.4%) | 
| Diarrhea | 3 (6.25%) | 2 (4.2%) | 5 (8.9%) | 1 (1.8%) | 
| Constipation | 10 (20.1%) | 0 | 11 (19.6%) | 1 (1.8%) | 
| Renal injury | 2 (4.2) | 0 | 4 (7.1%) | 1 (1.8%) | 
| Urinary tract infection | 3 (6.25%) | 0 | 4 (7.1%) | 0 | 
| Fever | 3 (6.25%) | 0 | 10 (17.9%) | 1 (1.8%) | 
| Flu-like symptoms | 2 (4.2%) | 0 | 12 (21.4%) | 0 | 
| Fatigue | 10 (20.8%) | 1 (2.1%) | 9 (16.1%) | 2 (3.6%) | 
| Hypocalcemia | 3 (6.25%) | 0 | 2 (3.6%) | 0 | 
| Anemia | 12 (25%) | 2 (4.2%) | 14 (25%) | 2 (3.6%) |