Efficacy and Safety of Weekly Alendronate Plus Vitamin D3 5600 IU versus Weekly Alendronate Alone in Korean Osteoporotic Women: 16-Week Randomized Trial.
10.3349/ymj.2014.55.3.715
- Author:
Kwang Joon KIM
1
;
Yong Ki MIN
;
Jung Min KOH
;
Yoon Sok CHUNG
;
Kyoung Min KIM
;
Dong Won BYUN
;
In Joo KIM
;
Mikyung KIM
;
Sung Soo KIM
;
Kyung Wan MIN
;
Ki Ok HAN
;
Hyoung Moo PARK
;
Chan Soo SHIN
;
Sung Hee CHOI
;
Jong Suk PARK
;
Dong Jin CHUNG
;
Ji Oh MOK
;
Hong Sun BAEK
;
Seong Hwan MOON
;
Yong Soo KIM
;
Sung Kil LIM
Author Information
1. Division of Endocrinology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. lsk@yuhs.ac
- Publication Type:Original Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
- Keywords:
Alendronate;
vitamin-D;
vitamin-D insufficiency;
osteoporosis;
parathyroid hormone
- MeSH:
Adult;
Aged;
Alendronate/adverse effects/*therapeutic use;
Cholecalciferol/adverse effects/deficiency/*therapeutic use;
Female;
Humans;
Middle Aged;
Osteoporosis, Postmenopausal/*drug therapy;
Vitamin D Deficiency/*drug therapy
- From:Yonsei Medical Journal
2014;55(3):715-724
- CountryRepublic of Korea
- Language:English
-
Abstract:
Vitamin D (vit-D) is essential for bone health, although many osteoporosis patients have low levels of 25-hydroxy-vit-D [25(OH)D]. This randomized, open-label study compared the effects of once weekly alendronate 70 mg containing 5600 IU vit-D3 (ALN/D5600) to alendronate 70 mg without additional vit-D (ALN) on the percent of patients with vit-D insufficiency [25(OH)D <15 ng/mL, primary endpoint] and serum parathyroid hormone (PTH, secondary endpoint) levels in postmenopausal, osteoporotic Korean women. Neuromuscular function was also measured. A total of 268 subjects were randomized. Overall, 35% of patients had vit-D insufficiency at baseline. After 16-weeks, there were fewer patients with vit-D insufficiency in the ALN/D5600 group (1.47%) than in the ALN group (41.67%) (p<0.001). Patients receiving ALN/D5600 compared with ALN were at a significantly decreased risk of vit-D insufficiency [odds ratio=0.02, 95% confidence interval (CI) 0.00-0.08]. In the ALN/D5600 group, significant increases in serum 25(OH)D were observed at weeks 8 (9.60 ng/mL) and 16 (11.41 ng/mL), where as a significant decrease was recorded in the ALN group at week 16 (-1.61 ng/mL). By multiple regression analysis, major determinants of increases in serum 25(OH)D were ALN/D5600 administration, seasonal variation, and baseline 25(OH)D. The least squares mean percent change from baseline in serum PTH in the ALN/D5600 group (8.17%) was lower than that in the ALN group (29.98%) (p=0.0091). There was no significant difference between treatment groups in neuromuscular function. Overall safety was similar between groups. In conclusion, the administration of 5600 IU vit-D in the ALN/D5600 group improved vit-D status and reduced the magnitude of PTH increase without significant side-effects after 16 weeks in Korean osteoporotic patients.
