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Clinical characteristics associated with bone mineral density improvement after 1-year alendronate/vitamin d(3) or calcitriol treatment Exploratory results from a phase 3, randomized, controlled trial on postmenopausal osteoporotic women in China 期刊论文

编号：

01365fb1-88f3-498a-bb18-a0f632f63d09
作者：

Liao, ErYuan^[1] Zhang, ZhenLin^[2] Xia, WeiBo^[3] Lin, Hua^[4] Cheng, Qun^[5] Wang, Li^[6] Hao, YongQiang^[7] Chen, DeCai^[8] Tang, Hai^[9] Peng, YongDe^[10] You, Li^[10] He, Liang^[11] Hu, ZhaoHeng^[12] Song, ChunLi^[13] Wei, Fang^[14] Wang, Jue^[14] Zhang, Lei^[14]
语种：

English
期刊：

MEDICINE ISSN：0025-7974 2018 年 97 卷 31 期 ; AUG
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关键词：

alendronate sodium bone mineral density bone turnover biomarker calcitriol post hoc analysis postmenopausal osteoporosis
摘要：

Baseline and on-treatment characteristics, including age, obesity, calcium intake, and bone turnover markers, may predict the bone mineral density (BMD) response in women with postmenopausal osteoporosis (PMO) to 1 to 2 years of antiresorptive therapy and/or vitamin D supplementation. This study aimed to explore clinical characteristics associated with 12-month BMD improvement in Chinese women with postmenopausal osteoporosis (PMO). In this post hoc analysis of a previous phase 3 multicenter, randomized controlled trial, Chinese PMO women who were treated with once weekly alendronate 70mg/vitamin D3 5600 IU (ALN/D5600) or once daily calcitriol 0.25mcg, and had measurements of 1-year lumbar spine BMD (LS-BMD) and on-treatment bone turnover markers (BTMs) were included in the analysis. In Chinese PMO patients on ALN/D5600, 1-year LS-BMD change was negatively correlated with age (beta= -0.00084, P < .01), dietary calcium (beta = -0.0017, P = .07), and procollagen type 1 N-terminal propeptide (P1NP) change at month 6 (beta = -0.000469, P = .0016), but positively with body mass index (BMI) (beta = 0.00128, P = .08); baseline P1NP above the median was associated with a significantly greater BMD percentage change at the lumbar spine (P = .02) and the total hip (P = .0001). In the calcitriol group, a significant 1-year LS-BMD increase was associated with BMI (beta = 0.0023, P = .02), baseline P1NP (beta = 0.00035, P = .0067), history of prior vertebral fracture(s) (beta = 0.034, P < .0001) and baseline serum 25(OH)D level (beta = -0.00083, P = .02). The presented findings from Chinese postmenopausal osteoporotic women suggested clinically meaningful baseline and on-treatment characteristics predicting BMD improvement after 1 year of ALN/D5600 treatment, which differed from calcitriol treatment with baseline identifiable associations. The study remained exploratory and further accumulation of evidence is needed.
推荐引用方式
GB/T 7714：

Liao Er-Yuan,Zhang Zhen-Lin,Xia Wei-Bo, et al. Clinical characteristics associated with bone mineral density improvement after 1-year alendronate/vitamin d(3) or calcitriol treatment Exploratory results from a phase 3, randomized, controlled trial on postmenopausal osteoporotic women in China [J].MEDICINE,2018,97(31).
APA：

Liao Er-Yuan,Zhang Zhen-Lin,Xia Wei-Bo,Lin Hua,&Zhang Lei.(2018).Clinical characteristics associated with bone mineral density improvement after 1-year alendronate/vitamin d(3) or calcitriol treatment Exploratory results from a phase 3, randomized, controlled trial on postmenopausal osteoporotic women in China .MEDICINE,97(31).
MLA：

Liao Er-Yuan, et al. "Clinical characteristics associated with bone mineral density improvement after 1-year alendronate/vitamin d(3) or calcitriol treatment Exploratory results from a phase 3, randomized, controlled trial on postmenopausal osteoporotic women in China" .MEDICINE 97,31(2018).

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