Evidence map›Paper›PMID 20964867›Full record

Trial reportArthritis research & therapy2010

Ibandronate increases cortical bone density in patients with systemic lupus erythematosus on long-term glucocorticoid.

Edmund K Li, Tracy Y Zhu, Vivian Y Hung, Anthony W Kwok, Vivian W Lee, Kenneth K Lee, James F Griffith, Martin Li, Kong Chiu Wong, Ping Chung Leung and 2 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis research & therapy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00668330 (Steroid Induced Osteoporosis in Patients With Systemic Lupus Erythematosus-Prevalence,Risk Factors and Treatment), which is not on this map. Cited by 15 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 5 pooled it
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00668330 phase4completednot on this map

Steroid Induced Osteoporosis in Patients With Systemic Lupus Erythematosus-Prevalence,Risk Factors and Treatment

TypeinterventionalSponsorChinese University of Hong KongRan2007 to 2009Enrolled40ConditionsSystemic Lupus ErythematosusArmsIbandronate+alfacalcidol+calcium, placebo ibandronate+alfacalcidol+calcium
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 5 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Bisphosphonates for steroid-induced osteoporosis.The Cochrane database of systematic reviews · 2016
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Effect of whole body vibration (WBV) therapy on bone density and bone quality in osteopenic girls with adolescent idiopathic scoliosis: a randomized, controlled trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013
    Trial
  7. Review
  8. Article
  9. The clinical application of high-resolution peripheral computed tomography (HR-pQCT) in adults: state of the art and future directions.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Review
  10. Review
  11. Review
  12. Article
  13. Alterations of bone geometry, density, microarchitecture, and biomechanical properties in systemic lupus erythematosus on long-term glucocorticoid: a case-control study using HR-pQCT.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013
    Article
  14. Review
  15. Noninvasive imaging of bone microarchitecture.Annals of the New York Academy of Sciences · 2011
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Edmund K LiDepartment of Medicine, The Chinese University of Hong Kong, Prince Wales Hospital, 30-32 Ngan Shing Street, Sha Tin, NT, Hong Kong, PR China. edmundli@cuhk.edu.hk
Tracy Y Zhu
Vivian Y Hung
Anthony W Kwok
Vivian W Lee
Kenneth K Lee
James F Griffith
Martin Li
Kong Chiu Wong
Ping Chung Leung
Ling Qin
Lai Shan Tam
Chinese University of Hong Kong · CNPrince of Wales Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe purpose of this research is to assess the effects of oral ibandronate on bone microarchitecture by using high-resolution peripheral quantitative computed tomography (HR-pQCT) in patients with systemic lupus erythematosus (SLE) taking a long-term glucocorticoid.

methodsIn this double-blind placebo-controlled study, 40 Chinese female SLE patients taking prednisolone were randomly assigned to receive either monthly oral ibandronate (150 mg) or placebo with daily 1-hydroxycholecalciferol (Alfacalcidol; 1 μg) and calcium supplement for 12 months. Assessments of bone microarchitecture by using HR-pQCT and area bone mineral density (aBMD) of the lumbar spine and hip with dual-energy x-ray absorptiometry (DXA) were performed at baseline and 12 months.

resultsNo differences in baseline characteristics were found between the two groups. After 12 months, no statistical differences were noted in any of the bone densities, microarchitectural parameters, or percentage changes of these parameters, as measured with HR-pQCT or DXA between the two groups. However, within the active group, the percentage improvement was significant in cortical bone density (P = 0.023) which was absent in the placebo group. Improvement was also seen in the aBMD of both the lumbar spine (P < 0.0001) and the hip (P < 0.005). In the placebo group, the percentage increase in trabecular separation was significant (P = 0.04), and the percentage improvement in aBMD in the spine also was significant (P = 0.049).

conclusionsOral ibandronate treatment improves microarchitecture in SLE patients taking long-term glucocorticoid assessed with HR-pQCT, and this new technology may have a role in assessing bony changes in future longitudinal studies in SLE patients.

trial registrationClinicalTrials.gov identifier: NCT00668330.

Indexed as

Absorptiometry, PhotonAdultBone DensityBone Density Conservation AgentsDiphosphonatesDouble-Blind MethodFemaleFractures, BoneGlucocorticoidsHumansHydroxycholecalciferolsIbandronic AcidLupus Erythematosus, SystemicMiddle AgedOsteoporosisPrednisolonealfacalcidolBone Density Conservation AgentsDiphosphonatesGlucocorticoidsHydroxycholecalciferolsIbandronic AcidPrednisolone

Identifiers

PMID20964867
PMCPMC2991035
OpenAlexW2130882318

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.