Evidence map›Paper›PMID 42182073›Full record

ArticleJournal of orthopaedic translation2026

Efficacy of once-weekly teriparatide versus alendronate in Chinese postmenopausal osteoporosis: a randomised, open-label, active-controlled, 48-week, multicentre phase III study.

Jiemei Gu, Aijun Chao, Yanan Huo, Yawei Zhang, Zhong Yuan, Jun Zhang, Zhifeng Cheng, Li Mao, Yukun Li, Qingyun Xue and 32 more

Abstract read
In one paragraph

Article in Journal of orthopaedic translation, 2026. 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. Article
  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

42 authors.

Jiemei GuDepartment of Osteoporosis and Bone Diseases, Shanghai Clinical Research Center of Bone Disease, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200233, PR China.
Aijun ChaoTianjin Hospital, PR China.
Yanan HuoJiangxi Provincial People's Hospital, PR China.
Yawei ZhangPingxiang People's Hospital, PR China.
Zhong YuanNanchang Hongdu Hospital of Traditional Chinese Medicine, PR China.
Jun ZhangZhejiang Provincial People's Hospital, PR China.
Zhifeng ChengThe Fourth Affiliated Hospital of Harbin Medical University, PR China.
Li MaoThe Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, PR China.
Yukun LiHebei Medical University Third Hospital, PR China.
Qingyun XueBeijing Hospital, PR China.
Feng LiuGuangzhou First People's Hospital, PR China.
Yuhong ZengXi'an Honghui Hospital, PR China.
Yikun ZhuThe Second Hospital of Shanxi Medical University, PR China.
Mengmeng ZhangJilin Province FAW General Hospital, PR China.
Liping LiThe First Affiliated Hospital of Henan University of Science & Technology, PR China.
Lijun LiuYiyang Central Hospital, PR China.
Fei GaoThe First Hospital of Shanxi Medical University, PR China.
Qun ChengHuadong Hospital Affiliated to Fudan University, PR China.
Xieyuan JiangBeijing Jishuitan Hospital, PR China.
Chen WangZhongda Hospital Southeast University, PR China.
Jinluo ChengChangzhou No 2 People's Hospital, PR China.
Ping JinThe Third Xiangya Hospital of Central South University, PR China.
Chunyi XuThe First Hospital of Qiqihar, PR China.
Yan YangSichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, PR China.
Fei HuaThe First People's Hospital of Changzhou, PR China.
Hanqing CaiThe Second Norman Bethune Hospital of Jilin University, PR China.
Ying ZhangThe Third Affiliated Hospital of Guangzhou Medical University, PR China.
Xiaojiang XiongChongqing University Three Gorges Hospital, PR China.
Ji HuThe Second Affiliated Hospital of Soochow University, PR China.
Yujiang BaiThe Third Affiliated Hospital of Qiqihar Medical University, PR China.
Li ChenQilu Hospital of Shandong University, PR China.
Wenyi LiHebei General Hospital, PR China.
Lili ZhengThe First Affiliated Hospital of Zhengzhou University, PR China.
Zhongliang DengThe Second Affiliated Hospital of Chongqing Medical University, PR China.
Chunli SongPeking University Third Hospital, PR China.
Liling TanThe First Affiliated Hospital of Hainan Medical University, PR China.
Yue DingSun Yat-sen Memorial Hospital, Sun Yat-sen University, PR China.
Shengmei MuShenzhen Salubris Pharmaceuticals Co., LTD, PR China.
Jiawen LiuShenzhen Salubris Pharmaceuticals Co., LTD, PR China.
Xiaojuan LianShenzhen Salubris Pharmaceuticals Co., LTD, PR China.
Qi ZhaoShenzhen Salubris Pharmaceuticals Co., LTD, PR China.
Zhenlin ZhangDepartment of Osteoporosis and Bone Diseases, Shanghai Clinical Research Center of Bone Disease, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200233, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This randomised controlled trial assessed the effectiveness and safety of weekly 56.5 μg teriparatide (SAL056) compared to alendronate in postmenopausal women in China with osteoporosis at high risk of fractures over 48 weeks. Methods: This phase 3, multicentre, randomised, open-label, active-controlled, parallel-group, non-inferiority trial enrolled postmenopausal women aged 45-80 years with osteoporosis at 37 centres in China. Participants were randomised (1:1) to receive either subcutaneous teriparatide 56.5 μg weekly or 70 mg oral alendronate weekly for 48 weeks, with the primary efficacy assessment at Week 48. Results: Between November 2021 and September 2023, 493 patients were enrolled (243 in the teriparatide group and 250 in the alendronate group). The primary endpoint, lumbar spine bone mineral density (BMD) at L1-L4, showed a significantly greater increase in the teriparatide group compared to the alendronate group at Week 48 (5.01% vs. 4.20%, mean difference 0.80%, Conclusions: Teriparatide (56.5 μg once weekly) was more effective than alendronate in treating postmenopausal osteoporosis with a high fracture risk, significantly increasing L1-L4 BMD over 48 weeks. It was safe, well tolerated, and had a safety profile similar to that of Teribone®. The translational potential of this article: This study demonstrates that once-weekly teriparatide significantly improves bone mineral density and reduces fracture risk in postmenopausal osteoporosis patients. As a patient-friendly alternative to daily injections, it may enhance adherence and inform clinical guidelines, representing a promising strategy for patients and healthcare systems.

Indexed as

AlendronateBone mineral densityFracturesOnce-weekly injectionPostmenopausal osteoporosisTeriparatide

Identifiers

PMID42182073
PMCPMC13194164

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.