Evidence map›Paper›PMID 36633611›Full record

ReviewCalcified tissue international2023

Biochemical Markers of Musculoskeletal Health and Aging to be Assessed in Clinical Trials of Drugs Aiming at the Treatment of Sarcopenia: Consensus Paper from an Expert Group Meeting Organized by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) and the Centre Académique de Recherche et d'Expérimentation en Santé (CARES SPRL), Under the Auspices of the World Health Organization Collaborating Center for the Epidemiology of Musculoskeletal Conditions and Aging.

Aurélie Ladang, Charlotte Beaudart, Jean-Yves Reginster, Nasser Al-Daghri, Olivier Bruyère, Nansa Burlet, Matteo Cesari, Antonio Cherubini, Mario Coelho da Silva, Cyrus Cooper and 11 more

Erratum issued 2 registry-linked trialsOpen access · hybridAbstract readReviewConsensus Statement
In one paragraph

Review in Calcified tissue international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
11.0field-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.

NCT07208916 narecruitingnot on this mapstarted 2025, after this paper: background citation

Evaluation of Grape Consumption to Improve Muscle Strength and Cognitive Function

TypeinterventionalSponsorWestern New England UniversityRan2025 to 2026Enrolled35ConditionsHealthyArmsGrape Powder
NCT07530029 recruitingnot on this mapstarted 2026, after this paper: background citation

Multimodal Approach to Sarcopenia and Its Prognostic Impact in Older Patients Hospitalized for Acute Heart Failure (MUSICA Study).

TypeobservationalSponsorFundacion para la Investigacion Biomedica del Hospital Universitario Ramon y CajalRan2026 to 2027Enrolled110ConditionsAcute Heart Failure (AHF), Sarcopenia, Heart Failure
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Circulating biomarkers in older adults with and without sarcopenia: a systematic review and meta-analysis.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 12 institutions in 12 countries.

Aurélie Ladang *Department of Clinical Chemistry, CHU de Liège, University of Liège, Liège, Belgium. aladang@chuliege.be.ORCID 0000-0002-5316-3108
Charlotte Beaudart *Division of Public Health, Epidemiology and Health Economics, WHO Collaborating Center for Public Health Aspects of Musculo-Skeletal Health and Ageing,, University of Liège, Liège, Belgium.ORCID 0000-0002-0827-5303
Jean-Yves ReginsterDivision of Public Health, Epidemiology and Health Economics, WHO Collaborating Center for Public Health Aspects of Musculo-Skeletal Health and Ageing,, University of Liège, Liège, Belgium.
Nasser Al-DaghriBiochemistry Department, College of Science, Chair for Biomarkers of Chronic Diseases, King Saud University, Riyadh, 11451, Saudi Arabia.
Olivier BruyèreDivision of Public Health, Epidemiology and Health Economics, WHO Collaborating Center for Public Health Aspects of Musculo-Skeletal Health and Ageing,, University of Liège, Liège, Belgium.
Nansa BurletDivision of Public Health, Epidemiology and Health Economics, WHO Collaborating Center for Public Health Aspects of Musculo-Skeletal Health and Ageing,, University of Liège, Liège, Belgium.
Matteo CesariDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Antonio CherubiniGeriatric Unit, IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy.
Mario Coelho da SilvaLaboratory of Clinical and Therapeutical Pharmacology, Lisbon, Portugal.
Cyrus CooperMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Alfonso J Cruz-JentoftServicio de Geriatría. Hospital Universitario Ramón Y Cajal (IRYCIS), Madrid, Spain.
Francesco LandiDepartment of Geriatrics, Neurosciences and Orthopedics, Catholic University of the Sacred Heart, Rome, Italy.
Andrea LaslopScientific Office, Federal Office for Safety in Health Care, Vienna, Austria.
Stefania MaggiCNR Aging Branch-IN, Padua, Italy.
Ali MobasheriDivision of Public Health, Epidemiology and Health Economics, WHO Collaborating Center for Public Health Aspects of Musculo-Skeletal Health and Ageing,, University of Liège, Liège, Belgium.
Sif OrmarsdottirLandspitali, University Hospital of Iceland, Reykjavik, Iceland.
Régis RadermeckerDepartment of Diabetes, Nutrition and Metabolic Disorders, Clinical Pharmacology, University of Liege, CHU de Liège, Liège, Belgium.
Marjolein VisserDepartment of Health Sciences, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Maria Concepcion Prieto YerroAgencia Española de Medicamentos Y Productos Sanitarios, Madrid, Spain.
René Rizzoli *Faculty of Medicine, Service of Bone Diseases, Geneva University Hospitals, Geneva, Switzerland.
Etienne Cavalier *Department of Clinical Chemistry, CHU de Liège, University of Liège, Liège, Belgium.
University of Liège · BEAgencia Española de Medicamentos y Productos Sanitarios · ESAustrian Agency for Health and Food Safety · ATInstituto Ramón y Cajal de Investigación Sanitaria · ESIstituti Clinici Scientifici Maugeri · ITKing Saud University · SAMRC Lifecourse Epidemiology Unit · GBNational University Hospital of Iceland · ISUniversità Cattolica del Sacro Cuore · ITUniversity Hospital of Geneva · CHUniversity of Milan · ITVrije Universiteit Amsterdam · NL

Funding

Medical Research Council G0400491Medical Research Council G0601019Medical Research Council MC_PC_21000Medical Research Council MC_PC_21001Medical Research Council MC_PC_21003Medical Research Council MC_PC_21022Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UP_A620_1015Medical Research Council MC_UU_12011/1Medical Research Council MC_UU_12011/2Medical Research Council MR/J000094/1
6 · The paper itself

Abstract

In clinical trials, biochemical markers provide useful information on the drug's mode of action, therapeutic response and side effect monitoring and can act as surrogate endpoints. In pharmacological intervention development for sarcopenia management, there is an urgent need to identify biomarkers to measure in clinical trials and that could be used in the future in clinical practice. The objective of the current consensus paper is to provide a clear list of biochemical markers of musculoskeletal health and aging that can be recommended to be measured in Phase II and Phase III clinical trials evaluating new chemical entities for sarcopenia treatment. A working group of the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) proposed classifying biochemical markers into 2 series: biochemical markers evaluating musculoskeletal status and biochemical markers evaluating causal factors. For series 1, the group agreed on 4 biochemical markers that should be assessed in Phase II or Phase III trials (i.e., Myostatin-Follistatin, Brain Derived Neurotrophic Factor, N-terminal Type III Procollagen and Serum Creatinine to Serum Cystatin C Ratio - or the Sarcopenia Index). For series 2, the group agreed on 6 biochemical markers that should be assessed in Phase II trials (i.e., the hormones insulin-like growth factor-1 (IGF-I), dehydroepiandrosterone sulphate, and cortisol, and the inflammatory markers C-reactive protein (CRP), interleukin-6 and tumor necrosis factor-α), and 2 in Phase III trials (i.e., IGF-I and CRP). The group also proposed optional biochemical markers that may provide insights into the mode of action of pharmacological therapies. Further research and development of new methods for biochemical marker assays may lead to the evolution of these recommendations.

Indexed as

Musculoskeletal DiseasesOsteoarthritisOsteoporosisSarcopeniaAgingBiomarkersGroup ProcessesHumansInsulin-Like Growth Factor IWorld Health OrganizationBiomarkersInsulin-Like Growth Factor IBiochemical markersBiomarkersClinical trialPharmacological drugsRecommendationsSarcopenia

Identifiers

PMID36633611
PMCPMC9859913
OpenAlexW4315706421

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.