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논문 기본 정보

자료유형
학술저널
저자정보
Mikio Kamimura (Center for Osteoporosis and Spinal Disorders Kamimura Orthopedic Clinic Nagano Japan) Yukio Nakamura (Department of Orthopaedic Surgery Shinshu University School of Medicine Nagano Japan) Shota Ikegami (Department of Orthopaedic Surgery Shinshu University School of Medicine Nagano Japan) Masatoshi Komatsu (Department of Orthopaedic Surgery Shinshu University School of Medicine Nagano Japan)
저널정보
대한골다공증학회 Osteoporosis and Sarcopenia Osteoporosis and Sarcopenia Vol.2 No.3
발행연도
2016.1
수록면
170 - 174 (5page)

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As a bisphosphonate, minodronate (MIN) is one of the strongest inhibitors of bone resorption. However, there have been no reports directly comparing the antiresorptive effects of monthly MIN with those of monthly risedronate (RIS). We enrolled 30 cases of osteoporosis (OP; 16 in the MIN group [mean age: 68.2 years] and 14 in the RIS group [mean age: 68.1 years]) to investigate the early effects of treatment by monthly MIN or RIS over a 4-month period using bone turnover marker values. Only female patients were enrolled to avoid gender bias. Urinary crosslinked N-telopeptide of type I collagen (NTX) before treatment and at 1, 2, and 4 months of therapy, as well as serum bone alkaline phosphatase and alkaline phosphatase before treatment and at 4 months afterwards, were evaluated. All bone turnover marker values were significantly decreased at 4 months in both groups. The changes in urinary NTX at the study end point for RIS and MIN were 30.1% and 63.1%, respectively. From 2 months of treatment, the antiresorptive effects on urinary NTX by MIN were significantly higher than those by RIS, indicating that MIN more immediately and strongly inhibited bone absorption. Thus, monthly MIN seems to suppress bone resorption faster and more strongly than RIS in OP treatment.

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