Evidence map›Paper›PMID 41258613›Full record

ArticleArchives of osteoporosis2025

Clinical outcomes of twice-weekly teriparatide acetate administration in osteoporosis.

Ayako Tominaga, Hideyuki Maruki, Keiji Wada, Yasushi Terayama, Hideharu Nishi, Yoshiharu Kato, Ken Okazaki

Abstract read
In one paragraph

Article in Archives of osteoporosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Baseline serum PINP is associated with early lumbar spine bone mineral density gains during twice-weekly teriparatide treatment: the OASIS cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Observational
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

7 authors.

Ayako TominagaDepartment of Orthopedic Surgery, Tokyo Women's Medical University, Tokyo, Japan.ORCID 0000-0002-2280-9287
Hideyuki MarukiDepartment of Orthopaedic Surgery, Saitama Medical University, Saitama, Japan. maruki.hideyuki@1972.saitama-med.ac.jp.
Keiji WadaDepartment of Orthopedic Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Yasushi TerayamaHasuda Hospital, Saitama, Japan.
Hideharu NishiHasuda Hospital, Saitama, Japan.
Yoshiharu KatoKita Shinagawa 3rd Hospital, Tokyo, Japan.
Ken OkazakiDepartment of Orthopedic Surgery, Tokyo Women's Medical University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

W2TPD, a twice-weekly teriparatide administration regimen, was used on 163 patients. The continuation rate was 47%, with only one new fracture. Even after performing antiresorptive therapy, spine BMD increased significantly in the majority of groups. W2TPD demonstrated good efficacy and tolerability in a real-world sequential osteoporosis treatment model. PURPOSE: Teriparatide is the most commonly administered daily, but there are also once-weekly and twice-weekly regimens. The former demonstrated high efficacy in increasing bone mineral density (BMD) and preventing new fractures; however, the continuation rate was reported to be low due to a high incidence of side effects. As a result, the twice-weekly teriparatide administration schedule (W2TPD) was created. In this study, we conducted a real-world clinical evaluation of its efficacy as part of a sequential osteoporosis treatment regimen.

methodsThe study included 163 patients with osteoporosis who were treated with W2TPD. Patients treated with W2TPD were divided into five groups based on their prior medication use: treatment-naïve (N), post-denosumab (post-D), post-bisphosphonate (post-B), post-romosozumab (post-R), and post-SERM (post-S). We examined treatment continuation rates, adverse events, and changes in BMD.

resultsThe overall treatment continuation rate was 47.9%, with only one patient developing a new fracture during treatment. Gastrointestinal side effects, such as heartburn, nausea, and vomiting, were common. The percent changes in spine BMD were 10%, 5.2%, 5%, - 1.5%, and 12.3% in the N, post-D, post-B, post-R, and post-S groups, respectively. Meanwhile, hips were found in 3.1%, 0.4%, 1.5%, 0%, and 2.2%, respectively. In terms of spine BMD, all groups except post-R had responder rates greater than 50%.

conclusionThe continuation rate of W2TPD was 47% and resulted in particularly favorable BMD gains in the spine. It was also discovered to be effective in increasing BMD even when following bisphosphonate treatment.

Indexed as

Bone Density Conservation AgentsOsteoporosisTeriparatideAgedAged, 80 and overBone DensityDrug Administration ScheduleFemaleHumansMaleMiddle AgedOsteoporotic FracturesTreatment OutcomeBone Density Conservation AgentsTeriparatideBone mineral densityContinuation rateOsteoporosisSide effectsTeriparatide acetate

Identifiers

PMID41258613
PMCPMC12630221

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.