Evidence map›Paper›PMID 22767993›Full record

ArticleTherapeutics and clinical risk management2012

Long-term treatment of osteoporosis: safety and efficacy appraisal of denosumab.

Athanasios D Anastasilakis, Konstantinos A Toulis, Stergios A Polyzos, Chrysostomos D Anastasilakis, Polyzois Makras

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Therapeutics and clinical risk management, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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.

NCT03030196 phase2completednot on this mapstarted 2017, after this paper: background citation

Denosumab and Male Infertility: a Randomized Controlled Double-blinded Intervention Study

TypeinterventionalSponsorMartin Blomberg JensenRan2017 to 2023Enrolled95ConditionsInfertility, MaleArmsDenosumab
NCT06706414 phase1 / phase2active not recruitingnot on this mapstarted 2025, after this paper: background citation

Novel Treatment of Some Men With Non-Obstructive Azoospermia (NT-NOA): A Clinical Interventional Study

TypeinterventionalSponsorMartin Blomberg JensenRan2025 to 2026Enrolled16ConditionsInfertility, MaleArmsDenosumab (Prolia), Letrozole (Aromatase Inhibitors)
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Effectiveness of fracture liaison service in reducing the risk of secondary fragility fractures in adults aged 50 and older: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Nonspecificity fingerprints for clinical-stage antibodies in solution.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  8. Biologics: Teriparatide and Newer Anabolics.Indian journal of orthopaedics · 2023
    Review
  9. Review
  10. Denosumab-related osteonecrosis of the jaw after tooth extraction and the effects of a short drug holiday in cancer patients: a multicenter retrospective study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Article
  11. Article
  12. Article
  13. RANKL regulates male reproductive function.Nature communications · 2021
    Article
  14. Molecular Mechanisms and Emerging Therapeutics for Osteoporosis.International journal of molecular sciences · 2020
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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

5 authors at 1 institution in 1 country.

Athanasios D AnastasilakisDepartment of Endocrinology, 424 General Military Hospital, Thessaloniki.
Konstantinos A Toulis
Stergios A Polyzos
Chrysostomos D Anastasilakis
Polyzois Makras
424 General Military Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Denosumab is a fully human monoclonal antibody to the receptor activator of nuclear factor-κB ligand (RANKL), a member of the tumor necrosis factor receptor superfamily essential for osteoclastogenesis. Denosumab treatment is associated with a rapid, sustained, and reversible reduction in bone turnover markers, a continuous marked increase in bone mineral density at all sites, and a marked decrease in the risk of vertebral, hip, and nonvertebral fractures in women with postmenopausal osteoporosis. Therefore, it could be considered as an effective alternative to previous bisphosphonate treatment as well as first-line treatment of severe osteoporosis. Cost-effectiveness studies support this suggestion. In addition, denosumab seems to be the safest treatment option in patients with impaired renal function. Denosumab is characterized by reversibility of its effect after treatment discontinuation, in contrast with bisphosphonates. Large-scale clinical trials, including the extension of FREEDOM trial for up to 5 years, are reassuring for its safety. However, given its brief post-market period, vigilance regarding adverse events related to putative RANKL inhibition in tissues other than bone, as well as those related to bone turnover oversuppression, is advised.

Indexed as

adverse eventdenosumabefficacyfractureosteoporosissafety

Identifiers

PMID22767993
PMCPMC3387828
OpenAlexW1976792650

What OpenQuestion holds

Textmetadata
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.