Evidence map›Paper›PMID 41798722›Full record

Trial reportJBMR plus2026

Upper arm administration is associated with higher injection site pain with romosozumab: a randomized controlled trial and a self-controlled study.

Soji Tani, Tomoyuki Asada, Hiro Hasegawa, Peter Passias, Koki Tsuchiya, Mahoko Ishikawa, William Richardson, Yoshifumi Kudo, Benjamin Alman, Koji Ishikawa

Abstract readClinical Trial
In one paragraph

Trial report in JBMR plus, 2026. 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.

Soji TaniDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, 142-8666, Japan.
Tomoyuki AsadaDepartment of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY 10021, United States.
Hiro HasegawaDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, 142-8666, Japan.
Peter PassiasDepartment of Orthopaedic Surgery, Duke University, Durham, NC 27710, United States.
Koki TsuchiyaDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, 142-8666, Japan.
Mahoko IshikawaDepartment of Orthopaedic Surgery, Duke University, Durham, NC 27710, United States.
William RichardsonDepartment of Orthopaedic Surgery, Duke University, Durham, NC 27710, United States.
Yoshifumi KudoDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, 142-8666, Japan.
Benjamin AlmanDepartment of Orthopaedic Surgery, Duke University, Durham, NC 27710, United States.
Koji IshikawaDepartment of Orthopaedic Surgery, Showa Medical University, Tokyo, 142-8666, Japan.ORCID https://orcid.org/0000-0003-3689-5662

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

These 2 prospective studies investigated whether the injection site influences pain and local reactions with romosozumab treatment for osteoporosis. In Study 1, 169 patients were randomly assigned to receive monthly romosozumab 210 mg (2 vials) injections for 12 mo in either the abdomen (Abd group) or upper arm (Arm group). In Study 2, 55 patients received 105 mg (1 vial) injections in both sites to directly compare pain at each location. Pain was evaluated using a Visual Analog Scale (VAS, mm), and secondary outcomes included BMD, bone turnover markers (BTMs) (total P1NP and TRACP-5b), and injection site reactions (ISRs). In the randomized trial, 70 of 85 patients (82.4%) in the Abd group and 69 of 84 (82.1%) in the Arm group completed the study. The Arm group reported significantly greater pain than the Abd group, starting after the fifth injection (mean difference, 6.8 mm [95% CI, 0.7-12.8];

Indexed as

BMDbone turnover markersinjection siteosteoporosispainromosozumabsubcutaneous injection

Identifiers

PMID41798722
PMCPMC12965206

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.