Evidence map›Paper›PMID 31087185›Full record

Trial reportJournal of bone and mineral metabolism2019

Eldecalcitol increases bone mineral density in Chinese osteoporotic patients without vitamin D or calcium supplementation.

Yan Jiang, Hai Tang, Xinlong Ma, Qun Cheng, Hua Lin, Xiaolan Jin, Zhenlin Zhang, Wei Yu, Shuli He, Tsuyoshi Kobayashi and 3 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of bone and mineral metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
–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.

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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  14. Article
  15. Pharmacological Therapies for Osteoporosis: A Bayesian Network Meta-Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  16. Article
  17. Inhibition of vitamin D analog eldecalcitol on hepatomaOpen medicine (Warsaw, Poland) · 2020
    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

13 authors.

Yan JiangDepartment of Endocrinology, Peking Union Medical College Hospital, Beijing, China.
Hai TangBeijing Friendship Hospital Capital Medical University, Beijing, China.
Xinlong MaTianjin Hospital, Tianjin, China.
Qun ChengHuadong Hospital affiliated to Fudan University, Shanghai, China.
Hua LinNanjing Drum Tower Hospital Affiliated of Nanjing University Medical School, Nanjing, China.
Xiaolan JinChengdu Military General Hospital, Chengdu, China.
Zhenlin ZhangShanghai Sixth People Hospital, Shanghai, China.
Wei YuDepartment of Radiology, Peking Union Medical College Hospital, Beijing, China.
Shuli HeDepartment of Nutrition, Peking Union Medical College Hospital, Beijing, China.
Tsuyoshi KobayashiChugai Pharmaceutical Co., Ltd., Tokyo, Japan.
Satomi UeharaChugai Pharmaceutical Co., Ltd., Tokyo, Japan.
Toshio MatsumotoFujii Memorial Institute of Medical Sciences, Tokushima University, Tokushima, Japan. toshio.matsumoto@tokushima-u.ac.jp.
Weibo XiaDepartment of Endocrinology, Peking Union Medical College Hospital, Beijing, China. xiaweibo8301@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eldecalcitol increased bone mineral density (BMD) and prevented vertebral fractures in vitamin D-sufficient osteoporotic subjects. However, the effect of eldecalcitol on BMD under vitamin D insufficiency is unknown. We examined the effect of eldecalcitol on BMD compared with alfacalcidol in osteoporotic patients without vitamin D or calcium supplementation. This is a randomized, double-blind, active comparator trial. 265 Chinese osteoporotic patients were randomly assigned to receive 0.75 μg eldecalcitol or 1.0 μg alfacalcidol for 12 months without vitamin D or calcium supplementation. Baseline calcium intakes were less than 550 mg/day and mean serum 25-hydroxyvitamin D [25(OH)D] was below 43 nmol/L in both groups. Baseline BMD tended to be lower in patients with lower calcium intake and serum 25(OH)D. Lumbar BMD increased by 2.05% higher in eldecalcitol than alfacalcidol group at 12 months. Total hip and femoral neck BMD also increased by 1.33 and 1.78%, respectively, in the eldecalcitol than the alfacalcidol group. The effect of eldecalcitol on BMD was not affected by serum 25(OH)D or calcium intake. The incidence of adverse events was not different between the two groups. Incidence of hypercalcemia in the edecalcitol group was not affected by serum 25(OH)D. In conclusion, baseline BMD tended to be lower in patients with low calcium intake and serum 25(OH)D. Eldecalcitol increased lumbar and hip BMD more than alfacalcidol regardless of serum 25(OH)D or calcium intake without vitamin D or calcium supplementation. These results suggest that eldecalcitol is effective in increasing the BMD of osteoporotic patients regardless of vitamin D status or calcium intake.Clinical Trial Registration number JAPIC CTI 152904.

Indexed as

Dietary SupplementsAgedBiomarkersBone DensityBone Density Conservation AgentsBone RemodelingCalciumDouble-Blind MethodFemaleFemur NeckHipHumansLumbar VertebraeMaleMiddle AgedOsteoporosisBiomarkersBone Density Conservation AgentsCalciumeldecalcitolVitamin DBone mineral densityCalciumEldecalcitolOsteoporosisVitamin D

Identifiers

What OpenQuestion holds

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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.