Evidence map›Paper›PMID 40900219›Full record

Trial reportJournal of bone and mineral metabolism2025

Randomized crossover comparison of two teriparatide self-injection regimens for primary osteoporosis: final report of the Japanese Osteoporosis Intervention Trial 06 (JOINT-06).

Sakae Tanaka, Yukari Uemura, Shiro Tanaka, Yasuhiro Takeuchi, Naoto Endo, Junichi Takada, Satoshi Ikeda, Jun Iwamoto, Nobukazu Okimoto, Satoshi Soen

Abstract readRandomized Controlled TrialMulticenter StudyComparative Study
In one paragraph

Trial report in Journal of bone and mineral metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sakae TanakaDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. tanakas-ort@h.u-tokyo.ac.jp.ORCID http://orcid.org/0000-0001-9210-9414
Yukari UemuraBiostatistics Section, Department of Data Science, Center for Clinical Sciences, Japan Institute for Health Security, Toyama, Shinjuku-ku, Tokyo, Japan.
Shiro TanakaDepartment of Clinical Biostatistics, Graduate School of Medicine, Kyoto University, Yoshida Konoe-cho, Sakyo-ku, Kyoto, Japan.
Yasuhiro TakeuchiToranomon Hospital Kajigaya, Takatsu-ku, Kawasaki, Japan.
Naoto EndoDepartment of Orthopedic Surgery, Saiseikai Niigata Kenoh Kikan Hospital, Kamisugoro, Sanjo, Niigata, Japan.
Junichi TakadaOsteoporosis Center, Sapporo Maruyama Orthopaedic Hospital, Chuo-ku, Sapporo, Hokkaido, Japan.
Satoshi IkedaDepartment of Orthopaedic Surgery, Ken-Ai Memorial Hospital, Oaza Kimori, Onga-cho, Onga-gun, Fukuoka, Japan.
Jun IwamotoBone and Joint Disease Center, Keiyu Orthopaedic Hospital, Akoudacho, Tatebayashi, Gunma, Japan.
Nobukazu OkimotoOkimoto Clinic, Kubi, Yutakamachi, Kure, Japan.
Satoshi SoenSoen Orthopaedics, Osteoporosis and Rheumatology Clinic, Okamoto, Higashinada-ku, Kobe, Hyogo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough bone anabolic agents such as teriparatide are effective for osteoporosis, satisfaction and adherence may vary by regimen. This multicenter study assessed long-term satisfaction, persistence, efficacy, and safety in postmenopausal women with primary osteoporosis treated with alternating daily and twice-weekly teriparatide over 52 weeks, followed by a final free-choice treatment period. MATERIALS AND

methodsIn a randomized, open-label, crossover study, 358 postmenopausal women at high risk for fracture were assigned to receive once-daily (20 µg) or twice-weekly (28.2 µg) subcutaneous teriparatide for 26 weeks, then crossed over to the alternative regimen for another 26 weeks. Afterwards, 233 patients entered a 52-week free-choice period under their preferred regimen.

resultsAmong the 233 patients entering the free-choice period, 162 chose twice-weekly and 71 chose daily teriparatide. Persistence at 104 weeks was 90.1% for twice-weekly and 88.7% for daily groups (p = 0.749). Overall and treatment satisfaction between groups did not differ significantly at 104 weeks (p > 0.05). Fracture incidence was low and similar (2.8% vs. 1.2%, p = 0.758). Patients in both groups showed significant increases in bone mineral density at L2-L4 and the femoral neck (p < 0.05). Adverse events were infrequent and non-severe.

conclusionsPatient satisfaction and efficacy were maintained with both teriparatide regimens over 104 weeks, and persistence improved during the patient-choice phase. Supporting patient preference may improve adherence to osteoporosis medications. CLINICAL

trial registrationJapan Registry of Clinical Trials ID: jRCTs031210187.

Indexed as

Bone Density Conservation AgentsOsteoporosisOsteoporosis, PostmenopausalTeriparatideAgedCross-Over StudiesEast Asian PeopleFemaleHumansJapanMiddle AgedPatient SatisfactionBone Density Conservation AgentsTeriparatideCrossover comparisonOnce-daily vs. twice-weekly self-injectionOsteoporosisPatient satisfactionTeriparatide

Identifiers

PMID40900219
PMCPMC12701856

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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.