Evidence map›Paper›PMID 30919997›Full record

Trial reportJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2019

Relationship Between Bone Mineral Density T-Score and Nonvertebral Fracture Risk Over 10 Years of Denosumab Treatment.

S Ferrari, C Libanati, Celia Jow Fang Lin, J P Brown, F Cosman, E Czerwiński, L H de Gregόrio, J Malouf-Sierra, J-Y Reginster, A Wang and 2 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00523341 (An Open Label, Single Arm, Extension Study to Evaluate the Long Term Safety and Sustained Efficacy of Denosumab), which is not on this map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
–field-weighted citation impact
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.

NCT00523341 phase3completednot on this map

An Open Label, Single Arm, Extension Study to Evaluate the Long Term Safety and Sustained Efficacy of Denosumab (AMG162) in the Treatment of Postmenopausal Osteoporosis

TypeinterventionalSponsorAmgenRan2007 to 2015Enrolled4,550ConditionsOsteopenia, OsteoporosisArmsDenosumab
3 · Its place in the literature

Who cites it

52 citing papers in PubMed.

  1. Probability of achieving bone mineral density treatment goals with denosumab treatment in postmenopausal women with osteoporosis.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Trial
  2. Probability of achieving bone mineral density treatment targets with abaloparatide and teriparatide.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Trial
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Sequential and Long-term Therapy for Osteoporosis.Current osteoporosis reports · 2025
    Review
  11. Review
  12. Article
  13. Review
  14. Multidisciplinary team approach for CKD-associated osteoporosis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Article
  15. Goal-directed osteoporosis treatment: ASBMR/BHOF task force position statement 2024.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Management of bone loss due to endocrine therapy during cancer treatment.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    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.

S FerrariGeneva University Hospital, Geneva, Switzerland.
C LibanatiUCB Pharma, Brussels, Belgium.
Celia Jow Fang LinAmgen Inc., Thousand Oaks, CA, USA.
J P BrownLaval University and CHU de Québec Research Centre, Quebec City, QC, Canada.
F CosmanColumbia University, NY, USA.
E CzerwińskiKrakow Medical Center, Krakow, Poland.
L H de GregόrioCenter for Clinical and Basic Research - Brasil, Rio de Janeiro, Brazil.
J Malouf-SierraUniversitat Autònoma de Barcelona, Barcelona, Spain.
J-Y ReginsterUniversity of Liège, Liège, Belgium.
A WangAmgen Inc., Thousand Oaks, CA, USA.
R B WagmanAmgen Inc., Thousand Oaks, CA, USA.
E M LewieckiNew Mexico Clinical Research & Osteoporosis Center, Albuquerque, NM, USA.

Funding

Amgen Inc.
6 · The paper itself

Abstract

Although treat-to-target strategies are being discussed in osteoporosis, there is little evidence of what the target should be to reduce fracture risk maximally. We investigated the relationship between total hip BMD T-score and the incidence of nonvertebral fracture in women who received up to 10 years of continued denosumab therapy in the FREEDOM (3 years) study and its long-term Extension (up to 7 years) study. We report the percentages of women who achieved a range of T-scores at the total hip or femoral neck over 10 years of denosumab treatment (1343 women completed 10 years of treatment). The incidence of nonvertebral fractures was lower with higher total hip T-score. This relationship plateaued at a T-score between -2.0 and -1.5 and was independent of age and prevalent vertebral fractures, similar to observations in treatment-naïve subjects. Reaching a specific T-score during denosumab treatment was dependent on the baseline T-score, with higher T-scores at baseline more likely to result in higher T-scores at each time point during the study. Our findings highlight the importance of follow-up BMD measurements in patients receiving denosumab therapy because BMD remains a robust indicator of fracture risk. These data support the notion of a specific T-score threshold as a practical target for therapy in osteoporosis. © 2019 The Authors Journal of Bone and Mineral Research published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research (ASBMR).

Indexed as

Bone DensityAgedAged, 80 and overDenosumabFemaleFractures, BoneHipHumansRisk FactorsDenosumabANTIRESORPTIVESDXAFRACTURE RISK ASSESSMENTOSTEOPOROSISTREAT TO TARGET

Identifiers

PMID30919997
PMCPMC6852155

What OpenQuestion holds

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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.