PMID- 24996529 OWN - NLM STAT- MEDLINE DCOM- 20160422 LR - 20211021 IS - 1435-5604 (Electronic) IS - 0914-8779 (Linking) VI - 33 IP - 4 DP - 2015 Jul TI - Efficacy and safety of odanacatib treatment for patients with osteoporosis: a meta-analysis. PG - 448-54 LID - 10.1007/s00774-014-0609-3 [doi] AB - The aim of this study was to evaluate the efficacy and safety of odanacatib (ODN) for the treatment of osteoporosis, using data in studies reported in the literature. We performed a literature search to compare the outcomes of applications of once-weekly ODN 50 mg and control. The outcomes of osteoporosis evaluated include primary outcome as bone mineral density (BMD) at different skeletal sites, and secondary outcomes, including adverse events (AEs), such as incidence of skin AEs, fracture, and serious adverse events (SAEs). Four trials were included. Mean difference (95% CI) of lumbar spine BMD was 3.41 (1.57-5.24) at 12 months and 4.89 (2.72-7.05) at 24 months; mean difference (95% CI) of femoral neck BMD was 1.90 (0.73-3.08) at 12 months and 3.85 (2.55-5.15) at 24 months; mean difference (95% CI) of total hip BMD was 2.65 (1.20-4.09) at 12 months and 3.70 (1.76-5.64) at 24 months; risk ratio (95% CI) of AEs was 0.98 (0.91-1.07); risk ratio (95% CI) of SAEs was 1.11 (0.72-1.72); risk ratio (95% CI) of skin AEs was 0.92 (0.63-1.35); and risk ratio (95% CI) of fracture was 0.34 (0.16-0.70). In this study, application of 50 mg ODN produced significantly greater BMD increases and lower fracture incidence than that of the control. In addition, ODN was generally well tolerated. FAU - Feng, Shi AU - Feng S AD - Department of Orthopaedic Surgery, Shengjing Hospital, China Medical University, 36 Sanhao Road, Shenyang, 110004, China. FAU - Luo, Zhicheng AU - Luo Z FAU - Liu, Da AU - Liu D LA - eng PT - Journal Article PT - Meta-Analysis PT - Review DEP - 20140705 PL - Japan TA - J Bone Miner Metab JT - Journal of bone and mineral metabolism JID - 9436705 RN - 0 (Biphenyl Compounds) RN - 0 (Bone Density Conservation Agents) RN - N673F6W2VH (odanacatib) SB - IM MH - Biphenyl Compounds/adverse effects/*therapeutic use MH - Bone Density/drug effects MH - Bone Density Conservation Agents/adverse effects/*therapeutic use MH - Femur Neck/drug effects MH - Humans MH - Lumbar Vertebrae/drug effects MH - Osteoporosis/*drug therapy MH - Pelvic Bones/drug effects MH - Risk MH - Treatment Outcome EDAT- 2014/07/06 06:00 MHDA- 2016/04/23 06:00 CRDT- 2014/07/06 06:00 PHST- 2014/02/27 00:00 [received] PHST- 2014/05/25 00:00 [accepted] PHST- 2014/07/06 06:00 [entrez] PHST- 2014/07/06 06:00 [pubmed] PHST- 2016/04/23 06:00 [medline] AID - 10.1007/s00774-014-0609-3 [doi] PST - ppublish SO - J Bone Miner Metab. 2015 Jul;33(4):448-54. doi: 10.1007/s00774-014-0609-3. Epub 2014 Jul 5.