Clin Osteol 2020; 25(1): 45-49
Early non-responders in teriparatide therapy: retrospective analysisReview articles
- Národný ústav reumatických chorôb, Piešťany
Teriparatide (TPTD) is a potent osteoanabolic drug. A potential drawback associated with teriparatide treatment is a failure of effect. The incidence of non-responders depends on the definition of lack of response to treatment, baseline bone density, duration of treatment, prior antiresorptive therapy, and measurement accuracy. In our study, we analyzed "early non-responders" after 6 and 12 months of treatment in a group of 306 patients. We identified 36 (11.7 %) patients as early non-responders, of whom 18 after 6 months of treatment and 18 after one year of treatment. There were only 4 men and up to 32 women in the sample, but the percentage of non-responders among the sexes was approximately the same (men: 10.5 %, women: 11.9 %). Early non-responders in glucocorticoid osteoporosis were significantly more represented. Previous antiresorptive therapy, especially bisphosphonates, increased the risk of a lack of response to teriparatide therapy.
Keywords: teriparatide; non-responders
Received: March 19, 2020; Accepted: June 1, 2020; Published: June 11, 2020 Show citation
References
- Eriksen EF, Keaveny TM, Gallagher ER et al. Literature review: The effects of teriparatide therapy at the hip in patients with osteoporosis. Bone 2014; 67 : 246-256. Dostupné z DOI: <http://dx.doi.org/10.1016/j.bone.2014.07.014>.
Go to original source... - Dempster DW, Cosman F, Parisien M et al. Anabolic actions of parathyroid hormone on bone. Endocr Rev 1993; 14(6): 690-709. Dostupné z DOI: <http://dx.doi.org/10.1210/edrv-14-6-690>.
Go to original source... - Body JJ, Gaich GA, Scheele WH et al. A randomized double-blind trial to compare the efficacy of teriparatide [recombinant human parathyroid hormone (1-34)] with alendronate in postmenopausal women with osteoporosis. J Clin Endocrinol Metab 2000; 87(10): 4528-4535. Dostupné z DOI: <http://dx.doi.org/10.1210/jc.2002-020334>.
Go to original source... - Neer RM, Arnaud CD, Zanchetta JR et al. Effect of parathyroid hormone (1-34) on fractures and bone mineral density in postmenopausal women with osteoporosis. N Engl J Med 2001; 344(19): 1434-1441. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJM200105103441904>.
Go to original source... - Gallagher JC, Rosen CJ, Chen P et al. Response rate of bone mineral density to teriparatide in postmenopausal women with osteoporosis. Bone 2006; 39(6): 1268-1275. Dostupné z DOI: <http://dx.doi.org/10.1016/j.bone.2006.06.007>.
Go to original source... - Heaney RP, Watson P. Variability in the measured response of bone to teriparatide. Osteoporos Int 2011; 22(6): 1703-1708. Dostupné z DOI: <http://dx.doi.org/10.1007/s00198-010-1376-1>.
Go to original source... - Elraiyah T, Ahmed AH, Wang Z et al. Predictors of teriparatide treatment failure in patients with low bone mass. Bone Reports 2016; 4 : 17-22. Dostupné z DOI: <http://dx.doi.org/10.1016/j.bonr.2015.11.001>.
Go to original source... - Payer J, Tomková S, Jackuliak P et al. Teriparatid v liečbe ťažkej osteoporózy u starších pacientok: výsledky multicentrickej prospektívnej štúdie. Clin Osteol 2018; 23(3): 88-93.
- Payer J, Tomková S, Killinger Z et al. 18-mesačná liečba teriparatidom zlepšuje u pacientov s glukokortikoidmi indukovanou osteoporózou hodnoty hustoty kostného minerálu a trabekulárne kostné skóre: výsledky prospektívneho sledovania (register OSTEO.sk). Clin Osteol 2018; 23(4): 138-145.
- Minne H, Audran M, Maria E et al. Bone density after teriparatide in patients with or without prior antiresorptive treatment: one-year results from the EUROFORS study. Curr Med Res Opin 2008; 24(11): 3117-3128. Dostupné z DOI: <http://dx.doi.org/10.1185/03007990802466595>.
Go to original source... - Niimi R, Kono T, Nishihara TA et al. A retrospective analysis of nonresponse to daily teriparatide treatment. Osteoporos Int 2016; 27(9): 2845-2853. Dostupné z DOI: <http://dx.doi.org/10.1007/s00198-016-3581-z>. Erratum in Erratum to: A retrospective analysis of nonresponse to daily teriparatide treatment.
Go to original source... - Niimi R, Kono T, Nishihara A et al. Osteoporos Int 2016; 27(9): 2887-2888. Dostupné z DOI: <http://dx.doi.oerg/10.1007/s00198-016-3625-4>.
- Kim SY, Zhang M, Bockman R. Bone Mineral Density Response from Teriparatide in Patients with Osteoporosis. HSSJ 2017; 13(2): 171-177. Dostupné z DOI: <http://dx.doi.org/10.1007/s11420-016-9537-1>.
Go to original source... - Cohen A, Stein EM, Recker RR et al. Teriparatide for Idiopathic Osteoporosis in Premenopausal Women: A Pilot Study. J Clin Endocrinol Metab 2013; 98(5): 1971-1981. Dostupné z DOI: <http://dx.doi.org/10.1210/jc.2013-1172>.
Go to original source... - Ettinger B, San Martin J, Crans G et al. Differential effects of teriparatide on BMD after treatment with raloxifene or alendronate. J Bone Miner Res 2004; 19(5): 745-751. Dostupné z DOI: <http://dx.doi.org/10.1359/JBMR.040117>.
Go to original source... - Lindsay R, Zhou H, Cosman F et al. Effects of a one-month treatment with PTH(1-34) on bone formation on cancellous, endocortical, and periosteal surfaces of the human ilium. J Bone Miner Res 2007; 22(4): 495-502. Dostupné z DOI: <http://dx.doi.org/10.1359/jbmr.070104>.
Go to original source... - Borggrefe J, Graeff C, Nickelsen T N el al. Quantitative computed tomographic assessment of the effects of 24 months of teriparatide treatment on 3D femoral neck bone distribution, geometry, and bone strength: results from the EUROFORS study. J Bone Miner Res 2010; 25(3): 472-481. Dostupné z DOI: <http://dx.doi.org/10.1359/jbmr.090820>.
Go to original source...

