Evidence map›Paper›PMID 36707436›Full record

Trial reportCalcified tissue international2023

Effect of Bone Resorption Inhibitors on Serum Cholesterol Level and Fracture Risk in Osteoporosis: Randomized Comparative Study Between Minodronic Acid and Raloxifene.

Hiroaki Ohta, Yukari Uemura, Teruki Sone, Shiro Tanaka, Satoshi Soen, Satoshi Mori, Hiroshi Hagino, Masao Fukunaga, Toshitaka Nakamura, Hajime Orimo and 2 more

Open access · hybridFull text readRandomized Controlled Trial
In one paragraph

Trial report in Calcified tissue international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Molecular and Cellular Mechanisms of Osteoporosis.International journal of molecular sciences · 2023
    Review
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

12 authors at 5 institutions in 1 country.

Hiroaki OhtaDepartment of Obstetrics and Gynecology 2, Kawasaki Medical School, Okayama, Japan.ORCID 0000-0003-2490-3442
Yukari UemuraBiostatistics Section, Department of Data Science, Center for Clinical Sciences, National Center for Global Health and Medicine, 1-21-1, Toyama, Shinjyuku-Ku, Tokyo, 162-8655, Japan. yuemura@hosp.ncgm.go.jp.ORCID 0000-0002-3013-7775
Teruki SoneDepartment of Nuclear Medicine, Kawasaki Medical School, Okayama, Japan.ORCID 0000-0002-3257-4063
Shiro TanakaDepartment of Clinical Biostatistics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0001-6817-5235
Satoshi SoenSoen Orthopaedics, Osteoporosis and Rheumatology Clinic, Hyogo, Japan.ORCID 0000-0002-0955-2747
Satoshi MoriBone and Joint Surgery, Seirei Hamamatu General Hospital, Shizuoka, Japan.ORCID 0000-0002-7660-5562
Hiroshi HaginoSchool of Health Science, Tottori University Faculty of Medicine, Tottori, Japan.ORCID 0000-0001-8053-1095
Masao FukunagaKawasaki Medical School, Okayama, Japan.ORCID 0000-0002-8700-4009
Toshitaka NakamuraTouto Sangenjaya Rehabilitation Hospital, Tokyo, Japan.
Hajime OrimoJapan Osteoporosis Foundation, Tokyo, Japan.
Masataka ShirakiDepartment of Internal Medicine, Research Institute and Practice for Involutional Diseases, Nagano, Japan.ORCID 0000-0001-6599-6185
Adequate Treatment of Osteoporosis (A-TOP) research group
Kawasaki Medical School · JPKyoto University · JPNational Center for Global Health and Medicine · JPSeirei Hamamatsu General Hospital · JPTottori University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The positive link between osteoporosis and hypercholesterolemia has been documented, and bone resorption inhibitors, such as nitrogen-containing bisphosphonates (N-BP) and selective estrogen receptor modulators (SERMs), are known to reduce serum cholesterol levels. However, the relationship between the baseline cholesterol level and incident fracture rate under the treatment using the bone resorption inhibitors has not been documented. We investigated the relation between vertebral fracture incident and the baseline cholesterol levels and cholesterol-lowering effect of N-BP and SERM in osteoporosis through a prospective randomized open-label study design. Patients with osteoporosis (n = 3986) were allocated into two groups based on the drug used for treatment: minodronic acid (MIN) (n = 1624) as an N-BP and raloxifene (RLX) as an SERM (n = 1623). Serum levels of cholesterol and incidence of vertebral fracture were monitored for 2 years. The vertebral fracture rates between the two groups were compared using the pre-specified stratification factors. The patients receiving MIN with baseline low-density lipoprotein (LDL)-cholesterol level of ≥ 140 mg/dL, high-density lipoprotein cholesterol level < 40 mg/dL, age group of ≥ 75 years, and T score of BMD ≥ -3 SD had significantly lower vertebral fracture rates than those receiving RLX (incidence rate ratios (IRR) 0.45 [95% confidence interval (CI) 0.30 0.75, p = 0.001], 0.25 [95% CI 0.09 0.65, p = 0.005], 0.71 [95% CI 0.56 0.91, p = 0.006], 0.47 [95% CI 0.30 0.75, p = 0.0012], respectively). The cholesterol-lowering effect was stronger in the RLX group than in the MIN group, regardless of prior statin use. These results indicated that MIN treatment was more effective in reducing fracture risk in patients with higher LDL cholesterol levels, although its cholesterol-lowering ability was lesser than the RLX treatment.Trial registration University Hospital Medical Information Network-Clinical Trials Registry (UMIN-CTR), No. UMIN000005433; date: April 13, 2011.

Indexed as

Bone Density Conservation AgentsFractures, BoneOsteoporosisOsteoporosis, PostmenopausalSpinal FracturesAgedBone DensityCholesterolFemaleHumansProspective StudiesRaloxifene HydrochlorideSelective Estrogen Receptor ModulatorsBone Density Conservation AgentsCholesterolRaloxifene HydrochlorideSelective Estrogen Receptor ModulatorsCholesterolFracturesNitrogen-containing bisphosphonatesOsteoporosisSelective estrogen receptor modulators

Identifiers

PMID36707436
PMCPMC10025188
OpenAlexW4318318151

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read64
Read underepoch 390

Registered trials

None linked

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 Socratic graph.