Effect of Denosumab on Bone Mineral Density and Markers of Bone Turnover among Postmenopausal Women with Osteoporosis

被引:9
|
作者
Sanchez, A. [1 ]
Brun, L. R. [2 ]
Salerni, H. [3 ]
Costanzo, P. R. [3 ]
Gonzalez, D. [4 ]
Bagur, A. [4 ]
Oliveri, B. [4 ,5 ]
Zanchetta, M. B. [6 ]
Farias, V. [6 ]
Maffei, L. [7 ]
Premrou, V. [7 ]
Mansur, J. L. [8 ]
Larroude, M. S. [9 ]
Sarli, M. A. [6 ]
Rey, P. [6 ]
Ulla, M. R. [10 ]
Pavlove, M. M. [11 ]
Karlsbrum, S. [11 ]
Brance, M. L. [12 ]
机构
[1] Ctr Endocrinol, Rosario, Argentina
[2] Univ Nacl Rosario, Fac Ciencias Med, Lab Biol Osea, Rosario, Argentina
[3] CICEMO, Buenos Aires, DF, Argentina
[4] Mautalen Salud & Invest, Buenos Aires, DF, Argentina
[5] UBA CONICET, La Osteoporosis & Enfermedades Metab Oseas, INIGEM, Hosp Clin, Buenos Aires, DF, Argentina
[6] Univ Salvador, Inst Diagnost & Invest Metab IDIM, Catedra Osteol & Metab Mineral, Buenos Aires, DF, Argentina
[7] Consultorios Asociados Endocrinol Dra Laura Maffe, Buenos Aires, DF, Argentina
[8] Ctr Endocrinol & Osteoporosis, La Plata, Buenos Aires, Argentina
[9] Hosp Milstein, Buenos Aires, DF, Argentina
[10] Ctr Endocrinol & Osteopatias Med, Cordoba, Argentina
[11] Hosp Durand, Buenos Aires, DF, Argentina
[12] Ctr Reumatol, Rosario, Argentina
关键词
D O I
10.1155/2016/8738959
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The aim of this study was to evaluate the effect of denosumab (Dmab) on bone mineral density (BMD) and bone turnover markers after 1 year of treatment. Additionally, the effect of Dmab in bisphosphonate-naive patients (BP-naive) compared to patients previously treated with bisphosphonates (BP-prior) was analyzed. This retrospective study included 425 postmenopausal women treated with Dmab for 1 year in clinical practice conditions in specialized centers from Argentina. Participants were also divided according to previous bisphosphonate treatment into BP-naive and BP-prior. A control group of patients treated with BP not switched to Dmab matched by sex, age, and body mass index was used. Data are expressed as mean +/- SEM. After 1 year of treatment with Dmab the bone formation markers total alkaline phosphatase and osteocalcin were significantly decreased (23.36% and 43.97%, resp.), as was the bone resorption marker s-CTX (69.61%). Significant increases in BMD were observed at the lumbar spine, femoral neck, and total hip without differences between BP-naive and BP-prior. A better BMD response was found in BP-prior group compared with BP treated patients not switched to Dmab. Conclusion. Dmab treatment increased BMD and decreased bone turnover markers in the whole group, with similar response in BP-naive and BP-prior patients. A better BMD response in BP-prior patients versus BP treated patients not switched to Dmab was observed.
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页数:6
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