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Comparison of monthly ibandronate versus weekly risedronate in preference, convenience, and bone turnover markers in Korean postmenopausal osteoporotic women.

Authors
Chung, YS; Lim, SK; Chung, HY; Lee, IK; Park, IH; Kim, GS; Min, YK; Kang, MI; Chung, DJ; Kim, YK; Choi, WH; Shong, MH; Park, JH; Byun, DW; Yoon, HK; Shin, CS; Lee, YS; Kwon, NH
Citation
Calcified tissue international, 85(5):389-397, 2009
Journal Title
Calcified tissue international
ISSN
0171-967X1432-0827
Abstract
Patient preferences, convenience, and bone turnover markers were evaluated for the monthly ibandronate over the weekly risedronate regimen in Korean postmenopausal osteoporotic women. This was a 6-month, prospective, randomized, open-label, multicenter study with a two-period and two-sequence crossover treatment design. After a 30-day screening period, eligible participants with postmenopausal osteoporosis were randomized to receive either monthly oral ibandronate 150 mg for 3 months followed by weekly oral risedronate 35 mg for 12 weeks (sequence A) or the same regimen in reverse order (sequence B). Patient preference and convenience were evaluated by questionnaire. The changes in serum C-telopeptide after 3 months of treatment were analyzed. A total of 365 patients were enrolled in this study (sequence A 182, sequence B 183). Of patients expressing a preference (83.4%), 74.8% preferred the monthly ibandronate regimen over the weekly regimen (25.2%). More women stated that the monthly ibandronate regimen was more convenient (84.2%) than the weekly regimen (15.8%). There was no significant difference in the change in bone turnover marker between the two treatments. The two regimens were similarly tolerable. There were fewer adverse events in the monthly ibandronate group compared to the weekly risedronate group in terms of gastrointestinal side effects (nausea and abdominal distension). This study revealed a strong preference and convenience for monthly ibandronate over weekly risedronate in Korean postmenopausal osteoporotic women. There was no significant difference in change of bone turnover marker and safety profile between the two regimens.
MeSH terms
AgedBone Density Conservation Agents/administration & dosage*Bone Density Conservation Agents/therapeutic useBone and Bones/metabolismCollagen Type I/metabolismCross-Over StudiesDiphosphonates/administration & dosage*Diphosphonates/therapeutic useDrug Administration ScheduleEtidronic Acid/administration & dosageEtidronic Acid/analogs & derivatives*Etidronic Acid/therapeutic useFemaleHumansKoreaMiddle AgedOsteoporosis, Postmenopausal/drug therapy*Osteoporosis, Postmenopausal/epidemiologyOsteoporosis, Postmenopausal/metabolismPatient PreferencePeptides/metabolismProspective Studies
DOI
10.1007/s00223-009-9294-y
PMID
19816648
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Endocrinology & Metabolism
AJOU Authors
정윤석
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