Evidence map›Paper›PMID 31977817›Full record

Trial reportThe Journal of bone and joint surgery. American volume2020

A Randomized, Placebo-Controlled Study of Romosozumab for the Treatment of Hip Fractures.

Emil H Schemitsch, Theodore Miclau, Theofilos Karachalios, Lauren L Nowak, Parag Sancheti, Rudolf W Poolman, John Caminis, Nadia Daizadeh, Ricardo E Dent-Acosta, Ogo Egbuna and 4 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in The Journal of bone and joint surgery. American volume, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01081678 (A Multi-center, Randomized, Double-blind, Placebo-controlled Study to Determine the Efficacy, Safety, and Tolerability of AMG 785 in Adults With a Fresh Unilateral Hip Fracture, Status Post Surgical Fixation), which is not on this map. Cited by 56 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 3 pooled it
10.6field-weighted citation impact, top 1% 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.

NCT01081678 phase2completednot on this map

A Multi-center, Randomized, Double-blind, Placebo-controlled Study to Determine the Efficacy, Safety, and Tolerability of AMG 785 in Adults With a Fresh Unilateral Hip Fracture, Status Post Surgical Fixation

TypeinterventionalSponsorAmgenRan2010 to 2013Enrolled332ConditionsFracture HealingArmsPlacebo, Romosozumab
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 3 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A systematic review and meta-analysis of efficacy and safety of Romosozumab in postmenopausal osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Pooled it
  4. Romosozumab in patients who experienced an on-study fracture: post hoc analyses of the FRAME and ARCH phase 3 trials.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Trial
  5. Review
  6. Bone reports · 2026
    Article
  7. Abaloparatide and pelvic fracture healing: a phase 2 randomized placebo-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 · 2026
    Article
  8. [Adjunctive therapies in geriatric ankle fracture patients].Unfallchirurgie (Heidelberg, Germany) · 2026
    Review
  9. Anabolics in Cancer Patients: To Use or Not to Use?Endocrinology and metabolism (Seoul, Korea) · 2026
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Contrast-Enhanced Ultrasound (CEUS) Reveals Perfusion of Human Bone in Acute Fracture Healing: A Pilot Study.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  15. Review
  16. Article
  17. Rethinking Osteoporosis Drugs: Can We Simultaneously Address Sarcopenia?International journal of molecular sciences · 2025
    Review
  18. Article
  19. Role of Sclerostin in Cardiovascular System.International journal of molecular sciences · 2025
    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

14 authors at 8 institutions in 5 countries.

Emil H SchemitschDepartment of Surgery, University of Western Ontario, London, Ontario, Canada.ORCID 0000-0002-6435-9069
Theodore MiclauDepartment of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California.ORCID 0000-0003-1975-2061
Theofilos KarachaliosOrthopaedic Department UGHL, School of Health Sciences, University of Thessalia, Larissa, Greece.ORCID 0000-0002-9043-0535
Lauren L NowakDepartment of Surgery, University of Western Ontario, London, Ontario, Canada.ORCID 0000-0002-4388-3128
Parag SanchetiSancheti Institute of Orthopaedics and Rehabilitation, Pune, India.ORCID 0000-0002-8903-1430
Rudolf W PoolmanJoint Research, OLVG, Amsterdam, the Netherlands.ORCID 0000-0003-3178-2247
John CaminisSanofi Genzyme, Bridgewater, New Jersey.ORCID 0000-0002-8734-7327
Nadia DaizadehAmgen, Inc., Thousand Oaks, California.ORCID 0000-0002-4136-4068
Ricardo E Dent-AcostaAmgen, Inc., Thousand Oaks, California.ORCID 0000-0003-3436-0031
Ogo EgbunaAmgen, Inc., Thousand Oaks, California.ORCID 0000-0003-0548-3809
Arkadi ChinesAmgen, Inc., Thousand Oaks, California.ORCID 0000-0003-3682-6798
Judy MaddoxAmgen, Inc., Thousand Oaks, California.ORCID 0000-0001-7214-0545
Andreas GrauerAmgen, Inc., Thousand Oaks, California.ORCID 0000-0001-5098-8262
Mohit BhandariMcMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-3556-9179
Amgen (United States) · USWestern University · CAJoint Research Centre · NLMcMaster University · CASancheti Institute For Orthopaedics & Rehabilitation · INSan Francisco General Hospital · USSanofi (United States) · USUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRomosozumab is a bone-forming antibody that increases bone formation and decreases bone resorption. We conducted a double-blinded, randomized, phase-2, dose-finding trial to evaluate the effect of romosozumab on the clinical outcomes of open reduction and internal fixation of intertrochanteric or femoral neck hip fractures.

methodsPatients (55 to 94 years old) were randomized 2:3:3:3 to receive 3 subcutaneous injections of romosozumab (70, 140, or 210 mg) or a placebo postoperatively on day 1 and weeks 2, 6, and 12. The primary end point was the difference in the mean timed "Up & Go" (TUG) score over weeks 6 to 20 for romosozumab versus placebo. Additional end points included the time to radiographic evidence of healing and the score on the Radiographic Union Scale for Hip (RUSH).

resultsA total of 332 patients were randomized: 243 to receive romosozumab (70 mg, n = 60; 140 mg, n = 93; and 210 mg, n = 90) and 89 to receive a placebo. Although TUG scores improved during the study, they did not differ significantly between the romosozumab and placebo groups over weeks 6 to 20 (p = 0.198). The median time to radiographic evidence of healing was 16.4 to 16.9 weeks across treatment groups. The RUSH scores improved over time across treatment groups but did not differ significantly between the romosozumab and placebo groups. The overall safety and tolerability profile of romosozumab was comparable with that of the placebo.

conclusionsRomosozumab did not improve the fracture-healing-related clinical and radiographic outcomes in the study population. LEVEL OF EVIDENCE: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

Indexed as

AgedAged, 80 and overAntibodies, MonoclonalBone Density Conservation AgentsDouble-Blind MethodFemaleHip FracturesHumansInjections, SubcutaneousMaleMiddle AgedAntibodies, MonoclonalBone Density Conservation Agentsromosozumab

Identifiers

PMID31977817
PMCPMC7508283
OpenAlexW3001701148

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LicenceCC BY-NC-ND
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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.