PMID- 34194720 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210702 IS - 2090-8059 (Print) IS - 2042-0064 (Electronic) IS - 2042-0064 (Linking) VI - 2021 DP - 2021 TI - A Phase IV Study of the Safety and Efficacy of CinnoPar((R)) in Iranian Patients with Osteoporosis. PG - 7584308 LID - 10.1155/2021/7584308 [doi] LID - 7584308 AB - The safety of teriparatide has been studied in various phase III and phase IV trials. However, a postmarketing study of the biosimilar of teriparatide, CinnoPar((R)), has not been conducted on Iranian patients. This was a phase IV study conducted on osteoporotic patients who received an Iranian teriparatide biosimilar with a dose of 20 mug daily. The primary outcome of this study was to monitor for adverse events (AEs). Effectiveness as the secondary outcome was measured using the EQ-5D quality-of-life questionnaire and back pain Visual Analogue Scale (VAS) score. Among 193 analyzed patients between September 2015 and March 2019, the most common AEs were hypercalcemia (4%), nausea, and pain (3%). No deaths, serious AEs, or other significant AEs occurred in this study. The mean EQ-5D scores decreased after the course of the treatment from 2.3 +/- 0.66 at the baseline to 2 +/- 0.66. The mean back pain VAS scores also decreased from 4.9 +/- 3.6 at baseline to 1.8 +/- 2.1 at the end of the study. Both changes were statistically significant (p < 0.001). Consistent with the findings of previous studies and the drug monograph, no new safety concern was observed with this biosimilar teriparatide, and the drug was effective based on the VAS score and EQ-5D in osteoporotic patients. CI - Copyright (c) 2021 Ahmadreza Jamshidi et al. FAU - Jamshidi, Ahmadreza AU - Jamshidi A AUID- ORCID: 0000-0002-0464-8715 AD - Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran. FAU - Gharibdoost, Farhad AU - Gharibdoost F AUID- ORCID: 0000-0002-0324-2609 AD - Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran. FAU - Sedighi, Sima AU - Sedighi S AUID- ORCID: 0000-0002-0328-0728 AD - Bones, Joints, and Connective Tissue Research Center, Golestan University of Medical Sciences, Gorgan, Iran. FAU - Hajiabbasi, Asghar AU - Hajiabbasi A AUID- ORCID: 0000-0001-7892-7664 AD - Guilan Rheumatology Research Center, Department of Rheumatology, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. FAU - Salari, Amir-Hossein AU - Salari AH AD - Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran. FAU - Khabbazi, Alireza AU - Khabbazi A AUID- ORCID: 0000-0002-9482-6967 AD - Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Mottaghi, Peyman AU - Mottaghi P AUID- ORCID: 0000-0002-9810-4136 AD - Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Tahammoli Roudsari, Ahmad AU - Tahammoli Roudsari A AUID- ORCID: 0000-0002-5431-4836 AD - Department of Internal Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran. FAU - Aghaei, Mehrdad AU - Aghaei M AUID- ORCID: 0000-0002-0143-7306 AD - Golestan Rheumatology Research Center, Golestan University of Medical Sciences, Gorgan, Iran. FAU - Shenavar Masooleh, Irandokht AU - Shenavar Masooleh I AUID- ORCID: 0000-0002-3967-7022 AD - Guilan Rheumatology Research Center, Department of Rheumatology, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. FAU - Sabzvari, Araz AU - Sabzvari A AD - CinnaGen Medical Biotechnology Research Center, Alborz University of Medical Sciences, Karaj, Iran. AD - Orchid Pharmed Company, Tehran, Iran. FAU - Anjidani, Nassim AU - Anjidani N AUID- ORCID: 0000-0001-7247-6743 AD - Medical Department, Orchid Pharmed Company, Tehran, Iran. LA - eng PT - Journal Article DEP - 20210531 PL - United States TA - J Osteoporos JT - Journal of osteoporosis JID - 101538878 PMC - PMC8184341 COIS- The authors declare that they have no conflicts of interest. EDAT- 2021/07/02 06:00 MHDA- 2021/07/02 06:01 PMCR- 2021/05/31 CRDT- 2021/07/01 06:58 PHST- 2020/06/22 00:00 [received] PHST- 2021/04/25 00:00 [revised] PHST- 2021/05/24 00:00 [accepted] PHST- 2021/07/01 06:58 [entrez] PHST- 2021/07/02 06:00 [pubmed] PHST- 2021/07/02 06:01 [medline] PHST- 2021/05/31 00:00 [pmc-release] AID - 10.1155/2021/7584308 [doi] PST - epublish SO - J Osteoporos. 2021 May 31;2021:7584308. doi: 10.1155/2021/7584308. eCollection 2021.