Evidence map›Paper›PMID 39210429›Full record

SynthesisJournal of orthopaedic surgery and research2024

Efficacy and safety of odanacatib in the treatment of postmenopausal women with osteoporosis: a meta-analysis.

Jiaxuan Li, Qi Qiu, Shide Jiang, Jianfeng Sun, Volotovski Pavel, Yusheng Li

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Jiaxuan Li *Deparment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Qi Qiu *Deparment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Shide JiangThe Central Hospital of Yongzhou, Yongzhou, Hunan, 425000, China.
Jianfeng SunDeparment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Volotovski PavelRepublican Scientific and Practical Center of Traumatology and Orthopedics, Minsk, 220024, Belarus.
Yusheng LiDeparment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China. liyusheng@csu.edu.cn.ORCID http://orcid.org/0000-0002-3404-0807

Funding

Hunan Provincial Science Fund for Distinguished Young Scholars 2024JJ2089Hunan Young Talents of Science and Technology 2021RC3025National Clinical Research Center for Geriatric Disorders, Xiangya Hospital 2021KFJJ02National Key Research and Development Program of China 2023YFC3603404National Natural Science Foundation of China 82072506National Natural Science Foundation of Hunan Province 2023JJ30949Provincial Clinical Medical Technology Innovation Project of Hunan 2023SK2024
6 · The paper itself

Abstract

backgroundOsteoporosis, a systemic skeletal disease, seriously affects the quality of life in postmenopausal women. As one type of cathepsin K (CatK) inhibitor, odanacatib (ODN) is a fresh medication for osteoporosis. Considering the potential of ODN, we further examined the effect and safety of ODN for postmenopausal osteoporosis (PMOP) with a meta-analysis.

methodsPubMed, EMBASE, Cochrane Library, and Web of Science were searched for eligible studies from inception to December 29th, 2023. After that, we conducted a comprehensive meta-analysis following PRISMA guidelines. Risk of bias was meticulously investigated with the Cochrane Collaboration's tool. Efficacy was assessed with bone mineral density (BMD) at different sites (lumbar spine, trochanter, radius, femoral neck) and biomarkers of bone turnover (P1NP, uNTx/Cr, s-CTx, BSAP). Safety was evaluated by analyzing total, serious, other, and skin adverse events (AEs).

resultsFour random clinical trials (RCTs) were involved in our research. All trials were rated as having high quality and met the eligibility criteria. In the current research, ODN was found to elevate BMD at lumbar spine, femoral neck, total hip, trochanter and forearm, while it decreased the levels of serum C-telopeptides of type I collagen (s-CTx) as well as urinary N-telopeptide/creatinine ratio (uNTx/Cr). No significant differences were observed in AEs between the ODN group and the control group.

conclusionsODN is a promising alternative for the treatment of PMOP on account of its excellent efficacy and credible safety. Unclear links between ODN and cardiovascular AEs require further research to clarify.

Indexed as

Biphenyl CompoundsBone DensityOsteoporosis, PostmenopausalAgedBiomarkersBone Density Conservation AgentsBone RemodelingCathepsin KFemaleHumansMiddle AgedRandomized Controlled Trials as TopicTreatment OutcomeBiomarkersBiphenyl CompoundsBone Density Conservation AgentsCathepsin KodanacatibEfficacyOdanacatibPostmenopausal osteoporosisSafety

Identifiers

PMID39210429
PMCPMC11361187

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.