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Four shots a year may curb menopausal bone loss

From Reuters Healt

October 8, 2003

An injection of a drug called ibandronate given every three months seems to be an effective new treatment for preventing bone loss in postmenopausal women.

Ibandronate, also known by the brand-name Bondronat, is one of a class of bone-boosting drugs called bisphosphonates. The four-times-a-year treatment may offer an "effective and convenient alternative" to estrogen replacement therapy for preventing the bone-thinning condition of osteoporosis, say researchers in an article in the Annals of the Rheumatic Diseases.

Dr. J. A. Stakkestad, of CECOR AS in Haugesund , Norway , and colleagues conducted a clinical trial of three doses of ibandronate in preventing postmenopausal osteoporosis. Included in the study were 629 postmenopausal women, categorized according to time since menopause and their lumbar spine bone mineral density (BMD) at the time of entry into the trial.

The women were randomly assigned to receive 0.5, 1, or 2 milligrams of ibandronate -- or an inactive placebo -- by injection every 3 months. All of the women were also given daily calcium supplements.

After 1 year, ibandronate produced increases in average spine BMD of 1.0 percent, 1.8 percent, and 2.5 percent among those given 0.5 mg, 1 mg, and 2 mg respectively.

In contrast, women given placebo injections had a 0.4 percent loss of BMD.

Significantly greater gains in BMD in the hip were also seen with all three doses of ibandronate compared with placebo.

Women who already had thinning bones and who were given 2 mg of ibandronate had the highest gain in bone density, according to the investigators.

The treatment was well tolerated.

While the drug has already been shown to prevent fractures in postmenopausal women, the investigators point out that "this is the first study demonstrating the efficacy and tolerability of intermittent intravenous injections of a bisphosphonate in preventing bone loss in early postmenopausal women."

SOURCE: Annals of the Rheumatic Diseases, October 2003.

 

 

 

 


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