Dr. Saag has received consulting and speaking fees from Novartis (more than $10,000) and from Eli Lilly, Merck, Amgen, Procter & Gamble, and Aventis (less than $10,000 each).
Osteoporosis
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Effects of teriparatide versus alendronate for treating glucocorticoid-induced osteoporosis: Thirty-six–month results of a randomized, double-blind, controlled trial†
Article first published online: 29 OCT 2009
DOI: 10.1002/art.24879
Copyright © 2009 by the American College of Rheumatology
Additional Information
How to Cite
Saag, K. G., Zanchetta, J. R., Devogelaer, J.-P., Adler, R. A., Eastell, R., See, K., Krege, J. H., Krohn, K. and Warner, M. R. (2009), Effects of teriparatide versus alendronate for treating glucocorticoid-induced osteoporosis: Thirty-six–month results of a randomized, double-blind, controlled trial. Arthritis & Rheumatism, 60: 3346–3355. doi: 10.1002/art.24879
- †
ClinicalTrials.gov identifier: NCT00051558.
Publication History
- Issue published online: 29 OCT 2009
- Article first published online: 29 OCT 2009
- Manuscript Accepted: 11 JUL 2009
- Manuscript Received: 12 DEC 2008
Funded by
- Eli Lilly and Company
REFERENCES
- 1American College of Rheumatology Ad Hoc Committee on Glucocorticoid-Induced Osteoporosis. Recommendations for the prevention and treatment of glucocorticoid-induced osteoporosis: 2001 update. Arthritis Rheum 2001; 44: 1496–503.Direct Link:
- 2. Glucocorticoid-induced osteoporosis. Endocrinol Metab Clin North Am 2003; 32: 135–57.
- 3, , , . Glucocorticoid-induced osteoporosis: pathophysiology and therapy. Osteoporos Int 2007; 18: 1319–28.
- 4, . Clinical review 151—the role of parathyroid hormone in the pathogenesis of glucocorticoid-induced osteoporosis: a re-examination of the evidence. J Clin Endocrinol Metab 2002; 87: 4033–41.
- 5, , , , . Use of oral corticosteroids and risk of fractures. J Bone Miner Res 2000; 15: 993–1000.Direct Link:
- 6, , , , , . Bone density threshold and other predictors of vertebral fracture in patients receiving oral glucocorticoid therapy. Arthritis Rheum 2003; 48: 3224–9.Direct Link:
- 7, , , , , , et al. A meta-analysis of prior corticosteroid use and fracture risk. J Bone Miner Res 2004; 19: 893–9.Direct Link:
- 8Royal College of Physicians. Glucocorticoid-induced osteoporosis: guidelines for prevention and treatment. URL: www.rcplondon.ac.uk/pubs/books/glucocorticoid/index.asp.
- 9, , , , , , et al. Evidence-based guidelines for the prevention and treatment of glucocorticoid-induced osteoporosis: a consensus document of the Belgian Bone Club. Osteoporos Int 2006; 17: 8–19.
- 10, , , , , , et al. Effect of parathyroid hormone (1–34) on fractures and bone mineral density in postmenopausal women with osteoporosis. N Engl J Med 2001; 344: 1434–41.
- 11, , , , , , et al. The effect of teriparatide [human parathyroid hormone (1–34)] therapy on bone density in men with osteoporosis. J Bone Miner Res 2003; 18: 9–17.Direct Link:
- 12, , , , , . Recombinant human parathyroid hormone (1–34) [teriparatide] improves both cortical and cancellous bone structure. J Bone Miner Res 2003; 18: 1932–41.Direct Link:
- 13, , . Mechanisms of anabolic therapies for osteoporosis. N Engl J Med 2007; 357: 905–16.
- 14, . Evidence that intermittent treatment with parathyroid hormone increases bone formation in adult rats by activation of bone lining cells. Endocrinology 1995; 136: 3632–8.
- 15, , , , , . Increased bone formation by prevention of osteoblast apoptosis with parathyroid hormone. J Clin Invest 1999; 104: 439–46.
- 16, , , , , . Parathyroid hormone treatment can reverse corticosteroid-induced osteoporosis: results of a randomized controlled clinical trial. J Clin Invest 1998; 102: 1627–33.
- 17, , , , . Daily treatment with parathyroid hormone is associated with an increase in vertebral cross-sectional area in postmenopausal women with glucocorticoid-induced osteoporosis. Osteoporos Int 2003; 14: 77–81.
- 18, , , , , , et al. Teriparatide or alendronate in glucocorticoid-induced osteoporosis. N Engl J Med 2007; 357: 2028–39.
- 19, , , . Vertebral fracture assessment using a semiquantitative technique. J Bone Miner Res 1993; 8: 1137–48.Direct Link:
- 20, . Optimally weighted, fixed sequence, and gatekeeping multiple testing procedures. J Stat Plan Inference 2001; 99: 25–40.
- 21, , , , , , et al. Risedronate therapy prevents corticosteroid-induced bone loss: a twelve month, multicenter, randomized, double-blind, placebo-controlled parallel-group study. Arthritis Rheum 1999; 42: 2309–18.Direct Link:
- 22, , , , , , et al. Alendronate for the prevention and treatment of glucocorticoid-induced osteoporosis. N Engl J Med 1998; 339: 292–9.
- 23, , , , , , et al. Two-year effects of alendronate on bone mineral density and vertebral fracture in patients receiving glucocorticoids: a randomized, double-blind, placebo-controlled extension trial. Arthritis Rheum 2001; 44: 202–11.Direct Link:
- 24, , , , , , et al. Efficacy and safety of daily risedronate in the treatment of corticosteroid-induced osteoporosis in men and women: a randomized trial. J Bone Miner Res 2000; 15: 1006–13.Direct Link:
- 25, , , , . Intermittent intravenous ibandronate injections reduce vertebral fracture risk in corticosteroid-induced osteoporosis: results from a long-term comparative study. Osteoporos Int 2003; 14: 801–7.
- 26, . Biochemical markers of bone turnover: potential use in the investigation and management of postmenopausal osteoporosis. Osteoporos Int 2008; 19: 1683–704.
- 27, , , , , , et al. Opposite bone remodeling effects of teriparatide and alendronate in increasing bone mass. Arch Intern Med 2005; 165: 1762–8.
- 28, . The anabolic effects of parathyroid hormone therapy. Clin Geriatr Med 2003; 19: 415–32.
- 29, , , , , , et al. Effects of daily treatment with parathyroid hormone on bone microarchitecture and turnover in patients with osteoporosis: a paired biopsy study. J Bone Miner Res 2001; 16: 1846–53.Direct Link:
- 30, , , , , , et al. Fracture risk reduction with alendronate in women with osteoporosis: the Fracture Intervention Trial. J Clin Endocrinol Metab 2000; 85: 4118–24.
- 31, , , , , , et al. Effect of oral alendronate on bone mineral density and the incidence of fractures in postmenopausal osteoporosis. N Engl J Med 1995; 333: 1437–43.
- 32, , . The epidemiology of glucocorticoid-associated adverse events. Curr Opin Rheumatol 2008; 20: 131–7.
- 33, . New developments in the pathogenesis and treatment of steroid-induced osteoporosis. J Bone Miner Res 1999; 14: 1061–6.Direct Link:

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