Evidence map›Paper›PMID 40594305›Full record

Trial reportScientific reports2025

A randomized controlled trial comparing romosozumab and denosumab in elderly women with primary osteoporosis and knee osteoarthritis.

Yasumori Sobue, Hironobu Kosugiyama, Shuji Asai, Yoshikazu Ogawa, Minoru Yoneda, Koji Maruyama, Mariko Kaneko, Tomonori Kobayakawa, Kenya Terabe, Mochihito Suzuki and 8 more

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Denosumab-efficacy, safety, persistence and sequential strategies-a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
  3. Article
  4. Article
  5. Review
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

18 authors.

Yasumori SobueDepartment of Orthopedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa, Nagoya, 466- 8550, Aichi, Japan.ORCID https://orcid.org/0000-0002-8936-4278
Hironobu KosugiyamaDepartment of Orthopedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa, Nagoya, 466- 8550, Aichi, Japan.
Shuji AsaiDepartment of Orthopedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa, Nagoya, 466- 8550, Aichi, Japan. asai.syuji.i8@f.mail.nagoya-u.ac.jp.ORCID https://orcid.org/0000-0002-4030-8793
Yoshikazu OgawaDepartment of Orthopedic Surgery, Ama Municipal Hospital, 1 Azeta Jimokuji, Ama, 490-1111, Aichi, Japan.
Minoru YonedaDepartment of Orthopedic Surgery, Yoneda Hospital, 1-11-5 Biwajima, Nishi, Nagoya, 451-0053, Aichi, Japan.
Koji MaruyamaDepartment of Orthopedic Surgery, Nakatsugawa Municipal General Hospital, 1522-1 Komamba, Nakatsugawa, Gifu, 508-8502, Japan.
Mariko KanekoDepartment of Orthopedic Surgery, Tokai Hospital, 1-1-1 Chiyodabashi, Chikusa, Nagoya, 464-8512, Aichi, Japan.
Tomonori KobayakawaKobayakawa Orthopedic and Rheumatologic Clinic, 1969 Kunou, Fukuroi, 437-0061, Shizuoka, Japan.
Kenya TerabeDepartment of Orthopedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa, Nagoya, 466- 8550, Aichi, Japan.
Mochihito SuzukiDepartment of Orthopedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa, Nagoya, 466- 8550, Aichi, Japan.ORCID https://orcid.org/0000-0003-4895-5028
Ryo SatoDepartment of Orthopedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa, Nagoya, 466- 8550, Aichi, Japan.
Yusuke OhnoDepartment of Orthopedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa, Nagoya, 466- 8550, Aichi, Japan.
Junya HasegawaDepartment of Orthopedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa, Nagoya, 466- 8550, Aichi, Japan.
Takaya SugiuraDepartment of Orthopedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa, Nagoya, 466- 8550, Aichi, Japan.
Masahiko AndoDepartment of Advanced Medicine, Nagoya University Hospital, 65 Tsurumai-cho, Showa, Nagoya, 466-8550, Aichi, Japan.
Yachiyo KuwatsukaDepartment of Advanced Medicine, Nagoya University Hospital, 65 Tsurumai-cho, Showa, Nagoya, 466-8550, Aichi, Japan.
Naoki IshiguroAichi Developmental Disability Center, 713-8 Kagiya, Kasugai, 480- 0392, Aichi, Japan.
Shiro ImagamaDepartment of Orthopedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa, Nagoya, 466- 8550, Aichi, Japan.ORCID https://orcid.org/0000-0002-6951-8575

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We compared the efficacy of romosozumab and denosumab in elderly women with primary osteoporosis and knee osteoarthritis in a randomized controlled trial. A total of 112 participants aged 75-90 years were randomized equally into the romosozumab and denosumab groups. Among these, 49 and 52 participants, respectively, who received their initial dose were included in the analysis. The primary outcome was change in lumbar spine (LS)-bone mineral density (BMD) at 12 months in the romosozumab group versus the denosumab group. Secondary outcomes were changes in knee osteophyte development, patient-reported outcomes (PROs), and the incidence of serious adverse events. Mean age of participants was 80.9 years. There was no difference in baseline LS-BMD between the two groups, with a T-score of -2.6. The mean percentage change in LS-BMD at 12 months was significantly higher in the romosozumab group (13.7%) than in the denosumab group (8.5%; p = 0.0035). No significant differences were observed in knee osteophyte development and PROs between the two groups. Serious adverse events included a case of mitral regurgitation in the romosozumab group. These findings emphasize the need for refined treatment strategies in high-risk populations, highlighting romosozumab's benefits and the need to monitor cardiovascular risks.

Indexed as

Antibodies, MonoclonalBone Density Conservation AgentsDenosumabOsteoarthritis, KneeOsteoporosisAgedAged, 80 and overBone DensityFemaleHumansLumbar VertebraeTreatment OutcomeAntibodies, MonoclonalBone Density Conservation AgentsDenosumabromosozumabDenosumabKnee osteoarthritisOsteophyteOsteoporosisRomosozumab

Identifiers

PMID40594305
PMCPMC12214567

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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.