Evidence map›Paper›PMID 30697599›Full record

ArticleHealth science reports2019

Treatment with once-weekly alendronate oral jelly compared with once-weekly alendronate oral tablet for Japanese patients with primary osteoporosis: An open-label, prospective, observational study.

Nobukazu Okimoto, Yukari Uemura, Toru Yoshioka, Shinobu Arita, Hiroshi Tsurukami, Hajime Otomo, Satoshi Nishida, Takayuki Ogawa, Ken Hirao, Satoshi Ikeda and 6 more

Open access · goldAbstract read
In one paragraph

Article in Health science reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 33% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trial
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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

16 authors at 15 institutions in 2 countries.

Nobukazu OkimotoOkimoto Clinic Kure Japan.ORCID https://orcid.org/0000-0001-5323-0350
Yukari UemuraDepartment of Biostatistics, Clinical Research Support Center University of Tokyo Hospital Bunkyo-ku Tokyo Japan.
Toru YoshiokaDepartment of Orthopaedic Surgery Shimura Hospital Hiroshima Japan.
Shinobu AritaDepartment of Orthopaedic Surgery Obase Hospital Miyako-gun Fukuoka Japan.
Hiroshi TsurukamiTsurukami Clinic of Orthopaedics and Rheumatology Tamana Japan.
Hajime OtomoDepartment of Orthopaedic Surgery Moji Medical Center Kitakyushu Japan.
Satoshi NishidaDepartment of Orthopaedic Surgery Social Insurance Nogata Hospital Nogata Japan.
Takayuki OgawaDepartment of Orthopaedic Surgery Kaisei General Hospital Sakaide Japan.
Ken HiraoDepartment of Orthopaedic Surgery Hirao Clinic Hiroshima Japan.
Satoshi IkedaDepartment of Orthopedic Surgery Ken-Ai Memorial Hospital Onga-gun Fukuoka Japan.
Hidehiro MatsumotoDepartment of Orthopaedic Surgery Sanzai Hospital Saito Japan.
Yoriko TotenDepartment of Orthopaedic Surgery Chugoku-Rosai Hospital Kure Japan.
Yuji KataeDepartment of Orthopaedic Surgery Akaike Kyodo Clinic Tagawa-gun Fukuoka Japan.
Yuichi OkazakiDepartment of Orthopaedic Surgery Tobata General Hospital Kitakyushu Japan.
Tsuyoshi NakagawaDepartment of Orthopaedic Surgery Kure-Nakadori Hospital Kure Japan.
Akinori SakaiDepartment of Orthopaedic Surgery, School of Medicine University of Occupational and Environmental Health Kitakyushu Japan.
Fukuoka Kinen Hospital · JPAkebono Clinic · JPChugoku Rosai Hospital · JPHiroshima Prefectural Rehabilitation Center · JPKawamura Hospital · JPKitakyushu Municipal Medical Center · JPKure Kyosai Hospital · JPKyushu International University · JPOno Clinic · JPOsaka Kaisei Hospital · JPSatou Hospital · JPSocial Insurance Institute · GRTsurumi University · JPUniversity of Occupational and Environmental Health Japan · JPUniversity of Tokyo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsClinical data regarding alendronate jelly are limited. We compared the efficacy and safety of once-weekly alendronate oral jelly with once-weekly alendronate tablet formulations in the context of primary osteoporosis.

methodsIn this 6-month, open-label, prospective, observational study, Japanese patients aged ≥60 years with primary osteoporosis were included from 14 primary care centres in Japan. The effects of once-weekly alendronate oral jelly and tablet formulations on bone mineral density (BMD), bone turnover markers, and quality of life related to gastrointestinal symptoms were assessed at baseline and 6 months. Treatment was allocated by patient preference. This potentially confounding factor was adjusted for statistically.

resultsIn total, 170 patients were enrolled (jelly, n = 97; tablet, n = 73). Mean percent changes in radius, lumbar spine, femoral neck, and hip BMD were similar in both treatment groups at 6 months. Both formulations decreased tartrate-resistant acid phosphatase 5b (TRACP-5b) and procollagen 1 N-terminal peptide (P1NP) between baseline and 6 months (by about 50% and 60%, respectively); no significant differences in mean changes were noted in these markers between groups. At 6 months, no significant differences were noted in visual analogue scale or EuroQOL five-dimension questionnaire scores between groups. The jelly group had significantly lower scores than the tablet group in the Izumo scale domains of heartburn (-0.81,

conclusionsOnce-weekly alendronate oral jelly 35 mg may be a suitable alternative therapeutic agent for primary osteoporosis in Japan.

Indexed as

alendronatebone densitydrug administration routeselderlyJapaneseosteoporosis

Identifiers

PMID30697599
PMCPMC6346986
OpenAlexW2905011980

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Registered trials

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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.