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Zoledronic acid sequential therapy could avoid disadvantages due to the discontinuation of less than 3-year denosumab treatment
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wasabi.inria.fr
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Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Zoledronic acid sequential therapy could avoid disadvantages due to the discontinuation of less than 3-year denosumab treatment
Creator
Akahoshi, Shojiro
Fuse, Yoshifumi
Katae, Yuji
Kawasaki, Makoto
Kondo, Hideomi
Ogawa, Takayuki
Okazaki, Yuichi
Okimoto, Nobukazu
Sakai, Akinori
Tsukamoto, Manabu
Yamanaka, Yoshiaki
Yoshioka, ยท
source
Medline; PMC
abstract
INTRODUCTION: Rapid descent in bone mineral density (BMD) and ascent in bone turnover marker (BTM) occur within the short period following denosumab (Dmab) discontinuation. In addition, the incidence of vertebral fracture also rises within the short period. The purpose of this study is to investigate the effects of sequential therapy using zoledronic acid (ZOL) on any adverse events after Dmab discontinuation. MATERIALS AND METHODS: This study was a multicenter retrospective observational study, and the subjects were osteoporosis patients who visited our institutions between 2013 and 2018. We performed sequential therapy using ZOL for 30 patients who had difficulty continuing Dmab, due to physical or social reasons, and investigated the fracture incidence and BMD/BTM changes at 4 time points (at the start of Dmab, the start of ZOL, 6 months after ZOL and 12 months after ZOL). RESULTS: No new vertebral/nonvertebral fractures were observed at each time point after switching from Dmab to ZOL in any of the 30 patients. The BMD/BTM changes were evaluated in 18 of the 30 cases, since all data of lumbar/femoral neck BMDs and TRACP-5b at 4 time points was only available in 18 cases. BMDs significantly increased at each time point compared with that at the start of Dmab. Serum TRACP-5b significantly decreased at each time point compared with that at the start of Dmab. CONCLUSION: It was suggested that sequential therapy using ZOL could suppress the decrease of BMD, and increase of BTM, if the period of Dmab administration was less than 3 years. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00774-020-01126-w) contains supplementary material, which is available to authorized users.
has issue date
2020-07-12
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xsd:dateTime
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bibo:doi
10.1007/s00774-020-01126-w
bibo:pmid
32656645
has license
no-cc
sha1sum (hex)
039418302972397d34d2b96597c472dcf844aa4c
schema:url
https://doi.org/10.1007/s00774-020-01126-w
resource representing a document's title
Zoledronic acid sequential therapy could avoid disadvantages due to the discontinuation of less than 3-year denosumab treatment
has PubMed Central identifier
PMC7354744
has PubMed identifier
32656645
schema:publication
J Bone Miner Metab
resource representing a document's body
covid:039418302972397d34d2b96597c472dcf844aa4c#body_text
is
schema:about
of
named entity 'fracture'
named entity 'investigate'
named entity 'osteoporosis'
named entity 'Metabolism'
named entity 'BONE MINERAL DENSITY'
named entity 'MONTHS'
named entity 'POINTS'
named entity 'SUBJECTS'
named entity 'REASONS'
named entity 'This'
named entity 'Dmab'
named entity 'Dmab'
named entity 'BMD'
named entity 'BMD'
named entity 'Dmab'
named entity 'NSAIDs'
named entity 'BMD'
named entity 'Dmab'
named entity 'short'
named entity 'vertebral fracture'
named entity 'short'
named entity 'bone mineral density'
named entity 'Dmab'
named entity 'bone turnover'
named entity 'Dmab'
named entity 'Drug holiday'
named entity 'BMD'
named entity 'Dmab'
named entity 'BMD'
named entity 'DXA'
named entity 'Dmab'
named entity 'Dmab'
named entity 'procollagen'
named entity 'Dmab'
named entity 'serum'
named entity 'serum'
named entity 'Dmab'
named entity 'Dmab'
named entity 'bone density'
named entity 'medical records'
named entity 'Dmab'
named entity 'Dmab'
named entity 'serum'
named entity 'Quality of Life'
named entity 'Dmab'
named entity 'Dmab'
named entity 'normal range'
named entity 'Dmab'
named entity 'DPX'
named entity 'Dmab'
named entity 'risedronate'
named entity 'fragility fracture'
named entity 'DXA'
named entity 'osteoporotic'
named entity 'Hologic'
named entity 'BMD'
named entity 'Dmab'
named entity 'SD 11'
named entity 'serum'
named entity 'drug holiday'
named entity 'Dmab'
named entity 'serum'
named entity 'serum'
named entity 'therapeutic agent'
named entity 'Dmab'
named entity 'ECTS'
named entity 'serum'
named entity 'Dmab'
named entity 'Dmab'
named entity 'Dmab'
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