Meta-analysis of the effects of denosumab and romosozumab on bone mineral density and turnover markers in patients with osteoporosis

被引:11
作者
Hu, Mingwei [1 ]
Zhang, Yifan [1 ]
Guo, Jianjun [1 ]
Guo, Cuicui [1 ]
Yang, Xue [1 ]
Ma, Xue [1 ]
Xu, Hao [1 ]
Xiang, Shuai [1 ]
机构
[1] Qingdao Univ, Affiliated Hosp, Dept Joint Surg, Qingdao, Peoples R China
关键词
osteoporosis; denosumab; romosozumab; bone mineral density; bone turnover marker; POSTMENOPAUSAL WOMEN; SCLEROSTIN; WNT; ANTIBODY; OSTEOPROTEGERIN; RESORPTION; LIGAND; RANKL; MASS;
D O I
10.3389/fendo.2023.1188969
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: To assess the alterations in bone mineral density and bone turnover marker concentrations following the administration of denosumab and romosozumab therapies in patients with osteoporosis.Methods: PubMed was searched for studies published until January 28, 2023, that investigated the clinical efficacy and bone turnover marker changes of denosumab and romosozumab in the treatment of osteoporosis, with a minimum follow-up of 3 months in each study. Studies were screened, and data on changes in bone mineral density (BMD), P1NP, and TRACP-5b levels after treatment were extracted and included in the analysis.Results: Six studies were analyzed. At 3 months after treatment, the romosozumab group showed greater changes in lumbar BMD and bone turnover markers. BMD of total hip and femoral neck was relatively delayed. Beginning at 6 to 12 months, romosozumab showed greater changes in bone mineral density and markers of bone turnover.Conclusion: Both romosozumab and denosumab have antiosteoporotic effects, with greater effects on BMD and bone turnover markers observed within 12 months of romosozumab treatment.
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页数:9
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