Research Article

The Evidence for Efficacy of Osteoporosis Treatment in Men with Primary Osteoporosis: A Systematic Review and Meta-Analysis of Antiresorptive and Anabolic Treatment in Men

Table 2

Baseline characteristics of included studies.

StudyIntervention (plus calcium and/or vitamin  D)Number of patientsAge
(±SD)
BMIBMD
(lumbar; total hip; femoral neck) in g/cm2
BMD
(lumbar; total hip; femoral neck)
T score
Duration (months)Outcomes
measured
Lost to follow-up (intervention versus control)

Alendronate

Orwoll et al. [27] Placebo or 10 mg/d of alendronate (500 mg/d and 400–450 IU/d) Placebo
Alendronate
95
146
63 (12)
63 (13)
25 (3)
25 (3)
    2.2; 2.1; 2.3
2.0; 2.1; 2.2
24BMD 17% versus 14%
Vertebral fractures. nonvertebral fractures (secondary endpoints)

Gonnelli et al. [28] Placebo (calcium) or 10 mg/d of alendronate (1000 mg/d) Placebo3856.6 (10.4)24.3 (2.9)0.737 (0.103);
0.770 (0.099);
0.632 (0.100)
   36 BMD. QUS 6 versus 7
Alendronate3957.2 (9.9)24.9 (2.4)0.725 (0.110);
0.762 (0.101);
0.622 (0.090)

Risedronate

Boonen et al. [29] Placebo or 35 mg of risedronate (1000 mg/d and 450–500 IU/d) Placebo 93 62 (11) 25 (4) 0.824 (0.96);−3.1 (0.9); 24  Lumbar spine BMD
BMD at other sites. new vertebral fractures. clinical fractures (secondary endpoints)
16 versus 18
0.763
(0.106); NA
−2.0 (0.7); NA
Risedronate 191 60 (11) 25 (4) 0.809 (0.99);−3.3 (0.9);
0.768
(0.111); NA
−2.0 (0.7); NA

Ibandronate

Orwoll et al. [30]Placebo or 150 mg Ibandronate/month Placebo 47 65.0 (10.6) 24.8 (3.4) −2.1 (0.68)  12  BMD 1
−1.8 (0.70)
−2.3 (0.55)
Ibandronat 8563.9 (11.2) 25.9 (4.1)−2.1 (0.61) 3
−1.7 (0.68)
  −2.2 (0.50)

Miacalcic

Trovas et al. [31]Placebo or 200 IU/d of miacalcic (1000 mg/d) Placebo 13 51.6 (10.5) 25.7 (3.1) 0.847 12BMD 0
(0.190); NA;
0.753 (0.162)
Miacalcic 15 53.3 (13.7) 26.1 (2.4) 0.866Vertebral fractures
(0.124); NA;
0.737 (0.116)  

Teriparatide

Trovas et al. [31] Placebo or 20 or 40 μg Teriparatide/d versus Placebo Placebo 147 59 (13) 25 (4) 0.85 (0.14) −2.4 (1.2) 11BMD 24
−1.9 (0.8)
−2.7 (0.8)
Teriparatide 20 μg/d 151 59 (13) 25 (4) 0.89 (0.15) −2.0 (1.3) 11
−1.8 (0.8)
−2.6 (0.8)
Teriparatide 40 μg/d 139 58 (13) 25 (4) 0.87 (0.14) −2.2 (1.2) 20
−1.9 (0.9)
−2.7 (0.8)

Orwoll et al. [32]Placebo versus Teriparatide 32 μg Placebo 10 54.5 (2.6) 25.9 (1.5) 0.746 (0.03)−3.3 (0.3) 18BMD 0
0.781 (0.02)−1.7 (0.2)
0.650 (0.03)−2.0 (0.2)
Teriparatide 1349.5 (2.9) 24.3 (1.0)0.731 (0.03)−3.5 (0.2) 0
0.774 (0.03)−1.7 (0.2)
0.644 (0.02)−1.9 (0.2)

Fx, number of patients with one or more fractures.