Evidence map›Paper›PMID 38129674›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2024

Pre-treatment bone turnover does not influence the level of the response to alendronate in postmenopausal osteoporosis at the bone tissue level.

P Chavassieux, J P Roux, R Chapurlat

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Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors at 1 institution in 2 countries.

P ChavassieuxINSERM UMR 1033, UFR de Médecine Lyon-Est-Domaine Laennec, 7-11, Rue Guillaume Paradin, University de Lyon, 69372 Cedex 08, Lyon, France. pascale.chavassieux@univ-lyon1.fr.ORCID http://orcid.org/0000-0001-5128-7361
J P RouxINSERM UMR 1033, UFR de Médecine Lyon-Est-Domaine Laennec, 7-11, Rue Guillaume Paradin, University de Lyon, 69372 Cedex 08, Lyon, France.
R ChapurlatINSERM UMR 1033, UFR de Médecine Lyon-Est-Domaine Laennec, 7-11, Rue Guillaume Paradin, University de Lyon, 69372 Cedex 08, Lyon, France.
Université Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe main effect of anti-resorptive agents such as bisphosphonates is a reduction of bone resorption, with a consequent marked decrease of bone turnover. This post-hoc analysis investigated the changes of histomorphometric parameters of bone turnover after alendronate (ALN), according to the baseline turnover.

methodsNinety postmenopausal women underwent a transiliac bone biopsy before and after 6 (n = 44) or 12 (n = 46) months of treatment with ALN (70 mg/week). The dynamic parameters reflecting the bone formation and bone turnover were mineralizing surface (MS/BS; %), bone formation rate (BFR/BS; μm

resultsAt baseline, MS/BS and Ac.f were significantly different (p < 0.0001) among the BFR quartiles. sCTX and sP1NP were not significantly different among quartiles. After ALN treatment, MS/BS was not significantly different among quartiles but Ac.f remained significantly lower in the first quartile compared to the third and fourth ones (p < 0.03). The absolute value of the difference between pre- and post-treatment significantly correlated with the baseline BFR/BS but when expressed in percent of the baseline value, the magnitude of the diminutions of MS/BS, Ac.f, sCTX, and sP1NP was similar in the four baseline BFR quartiles.

conclusionThe percentage response to ALN appeared independent of the baseline level of bone turnover. After treatment, the bone turnover tended to be similar in all BFR quartiles. This analysis investigated the influence of baseline turnover measured by bone histomorphometry on the effect of alendronate. When expressed in percent of pre-treatment values, the decreases of histomorphometric parameters and biochemical markers of bone turnover were independent of the baseline turnover.

Indexed as

Bone Density Conservation AgentsOsteoporosis, PostmenopausalAlendronateBiomarkersBone and BonesBone DensityBone RemodelingFemaleHumansAlendronateBiomarkersBone Density Conservation AgentsBaseline bone turnoverPaired biopsyPostmenopausal osteoporosisResponse to alendronate

Identifiers

PMID38129674
OpenAlexW4390078438

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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.