Comparison of Efficacy of Teriparatide (Parathyroid Hormone 1-34) Alone and in Combination with Zoledronic Acid for Osteoporosis in Postmenopausal Women

被引:3
作者
Wei, Kang [1 ]
Qu, Yuxing [1 ]
Gao, Yi [1 ]
Ma, Yong [2 ]
机构
[1] Nanjing Univ Chinese Med, Changzhou Tradit Chinese Med Hosp, Dept Orthopad 1, Nanjing, Peoples R China
[2] Nanjing Univ Chinese Med, Clin Med Coll 1, Dept Orthoped & Traumatol, Nanjing 210023, Peoples R China
来源
JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN | 2021年 / 31卷 / 02期
关键词
Teriparatide ( parathyroid hormone 1-34; Zoledronic acid (ZA); Postmenopausal; Osteoporosis; Bone mineral density (BMD);
D O I
10.29271/jcpsp.2021.02.240
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The purpose of this study was to compare the efficacy of teriparatide (parathyroid hormone 1-34) alone and in combination with zoledronic acid (ZA) for the treatment of osteoporosis in postmenopausal women. Ninety-six patients were randomly equally divided into Groups A (n=48) and B (n=48). Group A was given parathyroid hormone 1-34 alone. Group B was treated with parathyroid hormone 1-34 plus ZA. Visual analogue scale (VAS) score, bone mineral density(BMD), serum osteopontin (OPN), and C-terminal cross-linking telopeptide of type I collagen (S-CTX) etc. were compared. After 6 months of treatment, VAS score, serum OPN and S-CTX levels in Group B were significantly lower than those in Group A (p=0.001, p<0.001 and p<0.001, respectively); and BMD values of lumbar vertebrae L2-4, femoral neck and total hip bone in Group B were higher than those of Group A (p=0.002, p=0.028 and p<0.001, respectively). In conclusion, parathyroid hormone 1-34 plus ZA is more effective than parathyroid hormone 1-34 alone in treating post postmenopausal osteoporosis.
引用
收藏
页码:240 / 242
页数:3
相关论文
共 6 条
[1]   Rapid protein kinase A-mediated activation of cyclic AMP-phosphodiesterase by parathyroid hormone in UMR-106 osteoblast-like cells [J].
Ahlstrom, M ;
Lamberg-Allardt, C .
JOURNAL OF BONE AND MINERAL RESEARCH, 1997, 12 (02) :172-178
[2]  
Fodor D, 2013, J INVEST MED, V61, P15, DOI 10.2310/JIM.0b013e3182761264
[3]  
Higuchi Tsuyoshi, 2003, Clin Calcium, V13, P1450
[4]   Commercial Laboratory Reproducibility of Serum CTX in Clinical Practice [J].
Hindi, Sahar M. ;
Vittinghoff, Eric ;
Schafer, Anne L. ;
Silverman, Stuart ;
Bauer, Douglas C. .
JBMR PLUS, 2019, 3 (10)
[5]  
Lecanda F., 1998, BONE, V23, pS149
[6]   Zoledronic acid and risedronate in the prevention and treatment of glucocorticoid-induced osteoporosis (HORIZON): a multicentre, double-blind, double-dummy, randomised controlled trial [J].
Reid, David M. ;
Devogelaer, Jean-Pierre ;
Saag, Kenneth ;
Roux, Christian ;
Lau, Chak-Sing ;
Reginster, Jean-Yves ;
Papanastasiou, Philemon ;
Ferreira, Alberto ;
Hartl, Florian ;
Fashola, Taiwo ;
Mesenbrink, Peter ;
Sambrook, Philip N. .
LANCET, 2009, 373 (9671) :1253-1263