Clinical Edge Journal Scan

Glucocorticoid-induced osteoporosis: Teriparatide may be a good alternative to denosumab


 

Key clinical point : Teriparatide may have better therapeutic effects than denosumab in glucocorticoid-induced osteoporosis (GIO) patients previously treated with bisphosphonates.

Major finding : Teriparatide group showed a significantly greater improvement in the bone mineral density (BMD) of lumbar spine ( P less than .01) and femoral neck ( P less than .05) vs. denosumab group at 12 months, but not at 24 months. At 24 months, BMD of lumbar spine had significantly increased from baseline in both the groups, whereas BMD of femoral neck had increased only in the teriparatide group.

Study details : A prospective, open-label, nonrandomized, single-center study including 47 patients with GIO assigned to either teriparatide group (n = 23) or denosumab group (n = 24).

Disclosures: The study did not receive any specific funding. The authors declared no conflicts of interest.

Source: Hirooka Y et al. Bone Rep. 2020 Jul 4. doi: 10.1016/j.bonr.2020.100293 .

Recommended Reading

Reassuring rheumatic disease patients on value of bisphosphonates
MDedge Rheumatology
Asthma tied to increased risk of osteoporosis and fragility fractures
MDedge Rheumatology
Risk factors for osteosarcopenia in postmenopausal women with osteoporosis
MDedge Rheumatology
Pro-inflammatory diets tied to osteoporosis risk
MDedge Rheumatology
Postmenopausal osteoporosis: Factors influencing early treatment with romosozumab
MDedge Rheumatology
Association between serum magnesium concentration and postmenopausal osteoporosis
MDedge Rheumatology
Delayed denosumab injections raise vertebral fracture risks in osteoporosis
MDedge Rheumatology
Initiation of antiosteoporotic drugs in women starting glucocorticoid treatment
MDedge Rheumatology
Osteoporosis: Cardiovascular safety of abaloparatide in postmenopausal women
MDedge Rheumatology
Psoriatic arthritis, psoriasis, and osteoporosis: What is the association?
MDedge Rheumatology