Evidence map›Paper›PMID 42634293›Full record

Observational studyYonsei medical journal2026

Impact of Prior Treatment and Predictive Factors in Sequential Romosozumab-Denosumab Therapy for Severe Osteoporosis.

Akira Kuwabara, Kazuhide Inage, Masaomi Yamashita, Sumihisa Orita, Yawara Eguchi, Yasuhiro Shiga, Masahiro Inoue, Miyako Suzuki-Narita, Takahisa Hishiya, Kohei Okuyama and 6 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Yonsei medical journal, 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

16 authors.

Akira KuwabaraDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0009-0004-9179-7525
Kazuhide InageDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0003-0540-4613
Masaomi YamashitaDepartment of Orthopaedic Surgery, JCHO Funabashi Central Hospital, Funabashi, Japan.ORCID https://orcid.org/0000-0002-6825-7182
Sumihisa OritaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0003-2676-5469
Yawara EguchiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0003-2247-5376
Yasuhiro ShigaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0003-4887-0008
Masahiro InoueDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0002-9518-9189
Miyako Suzuki-NaritaDepartment of Bioenvironmental Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0001-6427-3807
Takahisa HishiyaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0001-7049-8615
Kohei OkuyamaDepartment of Rehabilitation, JCHO Funabashi Central Hospital, Funabashi, Japan.ORCID https://orcid.org/0000-0001-7312-5670
Susumu TashiroDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0009-0006-8126-1289
Shuhei OhyamaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0002-2947-4870
Noritaka SuzukiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0002-5009-1786
Akihiro IidaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0002-9462-3203
Yu OtakeDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0009-0006-7251-394X
Seiji OhtoriDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.ORCID https://orcid.org/0000-0001-5738-6184

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSequential therapy with romosozumab followed by denosumab is used in patients with severe osteoporosis, but predictive factors for bone mineral density (BMD) response remain unclear. MATERIALS AND

methodsThis multicenter retrospective observational study included patients who received 12 monthly romosozumab injections followed by denosumab. Linear mixed-effects models were applied for longitudinal BMD analysis. Fracture incidence was assessed as a secondary endpoint. Both univariable and multivariable analyses were performed, and variance inflation factors were evaluated to ensure model reliability.

resultsBaseline BMD, prior osteoporosis treatment, and nutritional status (as reflected by total lymphocyte count) were identified as significant predictors of BMD response. Within the switched group, patients previously treated with bisphosphonates and those previously treated with denosumab showed heterogeneous responses. Eight fractures occurred during follow-up (one in the treatment-naïve group and seven in the switched group), although this difference did not reach statistical significance.

conclusionBaseline skeletal status, prior treatment history, and nutritional or metabolic status may influence the BMD response to sequential romosozumab-denosumab therapy. These findings may help inform more individualized treatment strategies in clinical practice.

Indexed as

Antibodies, MonoclonalBone Density Conservation AgentsDenosumabOsteoporosisAgedAged, 80 and overBone DensityFemaleHumansMaleMiddle AgedRetrospective StudiesAntibodies, MonoclonalBone Density Conservation AgentsDenosumabromosozumabbone densitydenosumabosteoporosisRomosozumab

Identifiers

PMID42634293
PMCPMC13526499

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.