Research Article

Characteristics Associated with Acute-Phase Response following First Zoledronic Acid Infusion in Brazilian Population with Osteoporosis

Table 2

Demographic and clinical characteristics of 400 patients according to the presence or absence of zoledronic acid infusion acute-phase response.

CharacteristicsAcute-phase response value
AbsentPresent

Patients, n (%)302 (75.5)98 (24.5)
Female, n (%)241 (79.8)77 (78.6)0.79
Age (years); mean ± SD71.4 ± 10.967.2 ± 11.60.001
Age categories, n (%)
 ≤66 years92 (30.5%)47 (48.0%)0.001
 67–75 years100 (33.1%)32 (32.7%)
 >75 years110 (36.4%)19 (19.4%)
Oral bisphosphonate-prior use, n (%)151 (50.0%)33 (33.7%)0.005
BMI (kg/m2), mean ± SD25.88 ± 4.8825.87 ± 4.680.99
Diabetes, n (%)47 (15.6%)12 (12.2%)0.42
Smoking, n (%)
 Never177 (58.6%)50 (51.0%)0.11
 Former98 (32.5%)43 (43.9%)
 Active25 (8.3%)5 (5.1%)
25-Hydroxyvitamin D, median [25–75th percentile]
 Baseline (ng/mL)32.0 [25.0, 39.0]32.0 [26.0, 37.0]0.91
 After infusion (ng/mL)31.0 [25.0, 39.0]30.0 [23.0, 36.0]0.27
 Group low-low × normal-normal (n)56 × 4420 × 70.14
Total calcium (mg/dL), median [25–75th percentile]9.2 [8.9, 9.6]9.2 [8.9, 9.7]0.22
PTH, median [25–75th percentile]49.0 [37.5, 62.0]52.0 [43.0, 64.0]0.18
eGFR level (mL/minute), mean ± SD59 ± 1662 ± 170.17
CTX, median [25–75th percentile]
 Baseline, ng/mL0.430 [0.249, 0.700]0.535 [0.375, 0.679]0.026
 After infusion, ng/mL0.182 [0.125, 0.267]0.170 [0.122, 0.274]0.59
ΔCTX median [25–75th percentile]−53.7 [−72.1, −23.4]−69.3 [−76.2, −49.7]0.002

BMI, body mass index; PTH, parathyroid hormone; eGFR, estimated glomerular filtration rate, measured by CKD-EPI creatinine equation; CTX, carboxy-terminal crosslinked telopeptide of type 1 collagen; ΔCTX: delta carboxy-terminal crosslinked telopeptide of type 1 collagen.