Evidence map›Paper›PMID 34383100›Full record

Trial reportOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2022

Teriparatide and pelvic fracture healing: a phase 2 randomized controlled trial.

J W Nieves, F Cosman, D McMahon, M Redko, I Hentschel, R Bartolotta, M Loftus, J J Kazam, J Rotman, J Lane

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

Trial report in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02972424 (PTH), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.5field-weighted citation impact, top 10% 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.

NCT02972424 phase2completednot on this map

PTH(1-34) and Pelvic Fracture Healing - a Randomized Controlled Trial

TypeinterventionalSponsorHospital for Special Surgery, New YorkRan2017 to 2021Enrolled35ConditionsOsteoporotic FracturesArmsTeriparatide Prefilled Syringe, Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Observational
  3. 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
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. 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

10 authors at 4 institutions in 1 country.

J W NievesHospital for Special Surgery, New York, NY, USA. nievesje@hss.edu.ORCID http://orcid.org/0000-0001-8593-343X
F CosmanDepartment of Medicine, Columbia University, New York, NY, USA.
D McMahonHospital for Special Surgery, New York, NY, USA.
M RedkoHospital for Special Surgery, New York, NY, USA.
I HentschelHospital for Special Surgery, New York, NY, USA.
R BartolottaDepartment of Radiology, University of Colorado School of Medicine, Aurora, CO, USA.
M LoftusDepartment of Radiology, Weill Cornell Medicine, New York, NY, USA.
J J KazamDepartment of Radiology, Weill Cornell Medicine, New York, NY, USA.
J RotmanDepartment of Radiology, Weill Cornell Medicine, New York, NY, USA.
J LaneHospital for Special Surgery, New York, NY, USA.
Hospital for Special Surgery · USCornell University · USColumbia University · USUniversity of Colorado Denver · US

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
PTH (1-34) and Pelvic Fracture Healing: A Randomized Controlled TrialU01AR069869 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI NIEVES, JERI WANZOR · 2017 to 2021
$2.5M
NCATS NIH HHS UL1 TR002384NIAMS NIH HHS U01 AR069869NIH-NIAMS U01AR069869
6 · The paper itself

Abstract

Pelvic fracture patients were randomized to blinded daily subcutaneous teriparatide (TPTD) or placebo to assess healing and functional outcomes over 3 months. With TPTD, there was no evidence of improved healing by CT or pain reduction; however, physical performance improved with TPTD but not placebo (group difference p < 0.03).

introductionTo determine if teriparatide (20 μg/day; TPTD) results in improved radiologic healing, reduced pain, and improved functional outcome vs placebo over 3 months in pelvic fracture patients.

methodsThis randomized, placebo-controlled study enrolled 35 patients (women and men >50 years old) within 4 weeks of pelvic fracture and evaluated the effect of blinded TPTD vs placebo over 3 months on fracture healing. Fracture healing from CT images at 0 and 3 months was assessed as cortical bridging using a 5-point scale. The numeric rating scale (NRS) for pain was administered monthly. Physical performance was assessed monthly by Continuous Summary Physical Performance Score (based on 4 m walk speed, timed repeated chair stands, and balance) and the Timed Up and Go (TUG) test.

resultsThe mean age was 82, and >80% were female. The intention to treat analysis showed no group difference in cortical bridging score, and 50% of fractures in TPTD-treated and 53% of fractures in placebo-treated patients were healed at 3 months, unchanged after adjustment for age, sacral fracture, and fracture displacement. Median pain score dropped significantly in both groups with no group differences. Both CSPPS and TUG improved in the teriparatide group, whereas there was no improvement in the placebo group (group difference p < 0.03 for CSPPS at 2 and 3 months).

conclusionIn this small randomized, blinded study, there was no improvement in radiographic healing (CT at 3 months) or pain with TPTD vs placebo; however, there was improved physical performance in TPTD-treated subjects that was not evident in the placebo group.

Indexed as

Bone Density Conservation AgentsFractures, BoneSpinal FracturesAged, 80 and overFemaleFracture HealingHumansMaleMiddle AgedTeriparatideBone Density Conservation AgentsTeriparatideFracture healingPainPelvic fracturePhysical performancePlaceboTeriparatide

Identifiers

PMID34383100
PMCPMC8758515
OpenAlexW3191274280

What OpenQuestion holds

Textmetadata
LicenceTDM
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.