The effects of risedronate administered in combination with a proton pump inhibitor for the treatment of osteoporosis

This study was performed to investigate the effects of the co-administration of proton pump inhibitor (PPI) on the efficacy of bisphosphonate (BP) treatment for osteoporosis. A total of 180 women with low bone mineral density were randomly divided into four groups, one in which sodium risedronate wa...

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Veröffentlicht in:Journal of bone and mineral metabolism 2013-03, Vol.31 (2), p.206-211
Hauptverfasser: Itoh, Soichiro, Sekino, Yohichi, Shinomiya, Ken-ichi, Takeda, Shu
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container_end_page 211
container_issue 2
container_start_page 206
container_title Journal of bone and mineral metabolism
container_volume 31
creator Itoh, Soichiro
Sekino, Yohichi
Shinomiya, Ken-ichi
Takeda, Shu
description This study was performed to investigate the effects of the co-administration of proton pump inhibitor (PPI) on the efficacy of bisphosphonate (BP) treatment for osteoporosis. A total of 180 women with low bone mineral density were randomly divided into four groups, one in which sodium risedronate was administered with sodium rabeprazole and one in which only risedronate was administered (BP + PPI and BP groups, respectively). The biomarkers were measured at the baseline and every 3 months, inlcuding: N-terminal telopeptide of type I collagen corrected for creatinine, bone-specific alkaline phosphatase (BAP), parathyroid hormone, bone mineral density (BMD) of the lumbar spine and physical parameters evaluated according to the SF-36v2™ Health Survey. Statistical comparisons of these parameters were performed after 9 months. Data were available for a total of 137 patients (62 in the BP group and 75 in the BP + PPI group). The Δ % value of increase in BMD and improvement of physical functioning in the BP + PPI group were significantly larger, and its decrease in BAP in the BP + PPI group was significantly smaller than that in the BP group. It is expected that risedronate administration in combination with a PPI may be more effective not only for treating osteoporosis but also improving physical fitness than treatment with risedronate alone.
doi_str_mv 10.1007/s00774-012-0406-9
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A total of 180 women with low bone mineral density were randomly divided into four groups, one in which sodium risedronate was administered with sodium rabeprazole and one in which only risedronate was administered (BP + PPI and BP groups, respectively). The biomarkers were measured at the baseline and every 3 months, inlcuding: N-terminal telopeptide of type I collagen corrected for creatinine, bone-specific alkaline phosphatase (BAP), parathyroid hormone, bone mineral density (BMD) of the lumbar spine and physical parameters evaluated according to the SF-36v2™ Health Survey. Statistical comparisons of these parameters were performed after 9 months. Data were available for a total of 137 patients (62 in the BP group and 75 in the BP + PPI group). The Δ % value of increase in BMD and improvement of physical functioning in the BP + PPI group were significantly larger, and its decrease in BAP in the BP + PPI group was significantly smaller than that in the BP group. It is expected that risedronate administration in combination with a PPI may be more effective not only for treating osteoporosis but also improving physical fitness than treatment with risedronate alone.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>23138352</pmid><doi>10.1007/s00774-012-0406-9</doi><tpages>6</tpages></addata></record>
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subjects Alkaline phosphatase
biomarkers
Bisphosphonates
Bone Density Conservation Agents - administration & dosage
Bone Density Conservation Agents - adverse effects
Bone Density Conservation Agents - therapeutic use
Bone mineral density
Collagen (type I)
Creatinine
Data processing
Drug Therapy, Combination
Etidronic Acid - administration & dosage
Etidronic Acid - adverse effects
Etidronic Acid - analogs & derivatives
Etidronic Acid - therapeutic use
Female
Fitness
Humans
Medicine
Medicine & Public Health
Metabolic Diseases
Middle Aged
Original Article
Orthopedics
Osteoporosis
Osteoporosis - complications
Osteoporosis - drug therapy
Osteoporotic Fractures - complications
Osteoporotic Fractures - drug therapy
Parathyroid hormone
Proton Pump Inhibitors - administration & dosage
Proton Pump Inhibitors - adverse effects
Proton Pump Inhibitors - therapeutic use
Protons
Risedronate Sodium
Risedronic acid
Sodium
Spine (lumbar)
Statistics
title The effects of risedronate administered in combination with a proton pump inhibitor for the treatment of osteoporosis
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