Research Article

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

Table 4

Demographic and clinical characteristics of 180 patients with data on CTX according to the presence or absence of acute-phase response following zoledronic acid infusion.

CharacteristicsAcute-phase response value
AbsentPresent

Patients, n (%)132 (73.3)48 (26.7)
Female, n (%)107 (81.1)40 (83.3)0.73
Age (years); mean ± SD71.58 ± 10.6766.98 ± 12.770.016
Age categories, n (%)
 ≤66 years40 (30.3%)22 (45.8%)0.035
 67–75 years45 (34.1%)18 (37.5%)
 >75 years47 (35.6%)8 (16.7%)
Oral bisphosphonate-prior use, n (%)69 (52.3%)13 (27.1%)0.003
BMI (kg/m2), mean ± SD26.27 ± 4.6126.14 ± 4.620.87
Diabetes, n (%)26 (19.7%)7 (14.6%)0.43
Smoking, n (%)
 Never76 (57.6%)24 (50.0%)0.73
 Former7 (5.3%)3 (6.2%)
 Active48 (36.4%)21 (43.8%)
25-Hydroxyvitamin D, median [25–75th percentile]
 Baseline (ng/mL)31.0 [25.0, 37.0]31.0 [26.0, 37.0]0.61
 After infusion (ng/mL)30.0 [24.0, 40.0]30.0 [23.0, 37.0]0.42
 Group low-low × normal-normal (n)33 × 4917 × 130.93
Total calcium (mg/dL), median [25–75th percentile]9.2 [8.9, 9.6]9.4 [9.1, 9.7]0.15
PTH, median [25–75th percentile]51.0 [41.0, 63.0]52.0 [42.0, 67.0]0.18
eGFR level (mL/minute), mean ± SD57.68 ± 14.8063.09 ± 19.760.06
CTX, median [25–75th percentile]
 Baseline, ng/mL0.435 [0.251, 0.690]0.531 [0.380, 0.699]0.024
 After infusion, ng/mL0.182 [0.130, 0.264]0.156 [0.122, 0.251]0.26
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.