The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Treatment-related changes in bone mineral density as a surrogate biomarker for fracture risk reduction: meta-regression analyses of individual patient data from multiple randomised controlled trials
Abstract
Background The validation of bone mineral density (BMD) as a surrogate outcome for fracture would allow the size of future randomised controlled osteoporosis registration trials to be reduced. We aimed to determine the association between treatment-related changes in BMD, assessed by dual-energy x-ray absorptiometry, and fracture outcomes, including the proportion of treatment effect explained by BMD changes. Methods We did a pooled analysis of individual patient data from multiple randomised placebo-controlled clinical trials. We included data from multicentre, randomised, placebo-controlled, double-blind trials of osteoporosis medications that included women and men at increased osteoporotic fracture risk. Using individual patient data for each trial we calculated mean 24-month BMD percent change together with fracture reductions and did a meta-regression of the association between treatment-related differences in BMD changes (percentage difference, active minus placebo) and fracture risk reduction. We also used individual patient data to determine the proportion of anti-fracture treatment effect explained by BMD changes and the BMD change needed in future trials to ensure fracture reduction efficacy. Findings Individual patient data from 91 779 participants of 23 randomised, placebo-controlled trials were included. The trials had 1-9 years of follow-up and included 12 trials of bisphosphonate, one of odanacatib, two of hormone therapy (one of conjugated equine oestrogen an…
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Hip bone mineral density (BMD) is an example of a valid surrogate marker.
“Bone density (BMD) of the hip is an example of a valid surrogate marker.”
From Endpoints for geroscience clinical trials: health outcomes, biomarkers, and biologic age (2022) · cites this paper as [13]
A large meta-analysis combining all clinical trials demonstrated a strong correlation (R2 = 0.73) between change in hip BMD and reduction in risk of hip fracture.
“The large meta-analysis combining all clinical trials demonstrated a strong (R2 = 0.73) correlation between change in hip BMD and reduction in risk of hip fracture (Fig. 2a) connecting the parts of the causal pathway (Fig. 2b) and validating hip BMD as a surrogate marker.”
From Endpoints for geroscience clinical trials: health outcomes, biomarkers, and biologic age (2022) · cites this paper as [13]
Citations
Cites
Denosumab for Prevention of Fractures in Postmenopausal Women with Osteoporosis
Cummings, S. R., Martin, J. S., McClung, M. R., Siris, E. S., Eastell, R., Reid, I. R., Delmas, P., Zoog, H. B., Austin, M., Wang, A., et al. (2009) · New England Journal of Medicine · doi:10.1056/nejmoa0809493 · Cited by 3,489
Self-citationOnce-Yearly Zoledronic Acid for Treatment of Postmenopausal Osteoporosis
Black, D. M., Delmas, P. D., Eastell, R., Reid, I. R., Boonen, S., Cauley, J. A., Cosman, F., Lakatos, P., Leung, P. C., Man, Z., et al. (2007) · New England Journal of Medicine · doi:10.1056/nejmoa067312 · Cited by 2,986
Self-citationZoledronic Acid and Clinical Fractures and Mortality after Hip Fracture
Lyles, K. W., Colón-Emeric, C. S., Magaziner, J. S., Adachi, J. D., Pieper, C. F., Mautalen, C., Hyldstrup, L., Recknor, C., Nordsletten, L., Moore, K. A., et al. (2007) · New England Journal of Medicine · doi:10.1056/nejmoa074941 · Cited by 2,003
Romosozumab Treatment in Postmenopausal Women with Osteoporosis
Cosman, F., Crittenden, D. B., Adachi, J. D., Binkley, N., Czerwinski, E., Ferrari, S., Hofbauer, L. C., Lau, E., Lewiecki, E. M., Miyauchi, A., et al. (2016) · New England Journal of Medicine · doi:10.1056/nejmoa1607948 · Cited by 1,805
Self-citationRomosozumab or Alendronate for Fracture Prevention in Women with Osteoporosis
Saag, K. G., Petersen, J., Brandi, M. L., Karaplis, A. C., Lorentzon, M., Thomas, T., Maddox, J., Fan, M., Meisner, P. D., & Grauer, A. (2017) · New England Journal of Medicine · doi:10.1056/nejmoa1708322 · Cited by 1,544
Self-citationChesnut, C. H., Skag, A., Christiansen, C., Recker, R., Stakkestad, J. A., Hoiseth, A., Felsenberg, D., Huss, H., Gilbride, J., Schimmer, R. C., et al. (2004) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.040325 · Cited by 1,229
Cummings, S. R., Karpf, D. B., Harris, F., Genant, H. K., Ensrud, K., LaCroix, A. Z., & Black, D. M. (2002) · The American Journal of Medicine · doi:10.1016/s0002-9343(01)01124-x · Cited by 752
Self-citation
Flagged first, then by citations
Research works printed but not linked: 53
- Qaseem, 2017, Treatment of low bone density or osteoporosis to prevent fractures in men and women: a clinical practice guideline update from the American College of Physicians, Ann Intern Med, 166, 818, 10.7326/M15-1361 · DOI · Paper page
- Bouxsein, 2019, Change in bone density and reduction in fracture risk: a meta-regression of published trials, J Bone Miner Res, 34, 632, 10.1002/jbmr.3641 · DOI
- Ciani, 2017, Time to review the role of surrogate end points in health policy: state of the art and the way forward, Value Health, 20, 487, 10.1016/j.jval.2016.10.011 · DOI
- Amur, 2015, Biomarker qualification: toward a multiple stakeholder framework for biomarker development, regulatory acceptance, and utilization, Clin Pharmacol Ther, 98, 34, 10.1002/cpt.136 · DOI
- Ciani, 2016, Use of surrogate end points in healthcare policy: a proposal for adoption of a validation framework, Nat Rev Drug Discov, 15, 516, 10.1038/nrd.2016.81 · DOI
- Zysset, 2015, Clinical use of quantitative computed tomography-based finite element analysis of the hip and spine in the management of osteoporosis in adults: the 2015 ISCD official positions—part II, J Clin Densitom, 18, 359, 10.1016/j.jocd.2015.06.011 · DOI
- Johannesdottir, 2017, Comparison of non-invasive assessments of strength of the proximal femur, Bone, 105, 93, 10.1016/j.bone.2017.07.023 · DOI
- Johnell, 2005, Predictive value of BMD for hip and other fractures, J Bone Miner Res, 20, 1185, 10.1359/JBMR.050304 · DOI
- Marshall, 1996, Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures, BMJ, 312, 1254, 10.1136/bmj.312.7041.1254 · DOI · Paper page
- Sarkar, 2002, Relationships between bone mineral density and incident vertebral fracture risk with raloxifene therapy, J Bone Miner Res, 17, 1, 10.1359/jbmr.2002.17.1.1 · DOI
- Watts, 2004, Relationship between changes in bone mineral density and vertebral fracture risk associated with risedronate: greater increases in bone mineral density do not relate to greater decreases in fracture risk, J Clin Densitom, 7, 255, 10.1385/JCD:7:3:255 · DOI
- Watts, 2005, Relationship between changes in BMD and nonvertebral fracture incidence associated with risedronate: reduction in risk of nonvertebral fracture is not related to change in BMD, J Bone Miner Res, 20, 2097, 10.1359/JBMR.050814 · DOI
- Chen, 2006, Change in lumbar spine BMD and vertebral fracture risk reduction in teriparatide-treated postmenopausal women with osteoporosis, J Bone Miner Res, 21, 1785, 10.1359/jbmr.060802 · DOI
- Austin, 2012, Relationship between bone mineral density changes with denosumab treatment and risk reduction for vertebral and nonvertebral fractures, J Bone Miner Res, 27, 687, 10.1002/jbmr.1472 · DOI
- Jacques, 2012, Relationship of changes in total hip bone mineral density to vertebral and nonvertebral fracture risk in women with postmenopausal osteoporosis treated with once-yearly zoledronic acid 5 mg: the HORIZON-Pivotal Fracture Trial (PFT), J Bone Miner Res, 27, 1627, 10.1002/jbmr.1644 · DOI
- Miller, 2010, Increases in hip and spine bone mineral density are predictive for vertebral antifracture efficacy with ibandronate, Calcif Tissue Int, 87, 305, 10.1007/s00223-010-9403-y · DOI
- Bruyère, 2012, Relationships between changes in bone mineral density or bone turnover markers and vertebral fracture incidence in patients treated with bazedoxifene, Calcif Tissue Int, 91, 244, 10.1007/s00223-012-9629-y · DOI
- Blake, 2005, Long-term effect of strontium ranelate treatment on BMD, J Bone Miner Res, 20, 1901, 10.1359/JBMR.050810 · DOI
- Nielsen, 1999, Influence of strontium on bone mineral density and bone mineral content measurements by dual x-ray absorptiometry, J Clin Densitom, 2, 371, 10.1016/S1094-6950(06)60402-2 · DOI
- Neer, 2001, Effect of parathyroid hormone (1-34) on fractures and bone mineral density in postmenopausal women with osteoporosis, N Engl J Med, 344, 1434, 10.1056/NEJM200105103441904 · DOI · Paper page
- Eastell, 1991, Classification of vertebral fractures, J Bone Miner Res, 6, 207, 10.1002/jbmr.5650060302 · DOI
- Genant, 1993, Vertebral fracture assessment using a semiquantitative technique, J Bone Miner Res, 8, 1137, 10.1002/jbmr.5650080915 · DOI · Paper page
- Genant, 1994, Universal standardization for dual x-ray absorptiometry: patient and phantom cross-calibration results, J Bone Miner Res, 9, 1503, 10.1002/jbmr.5650091002 · DOI
- Hanson, 1997, Standardization of femur BMD, J Bone Miner Res, 12, 1316, 10.1359/jbmr.1997.12.8.1316 · DOI
- Looker, 1995, Prevalence of low femoral bone density in older U.S. women from NHANES III, J Bone Miner Res, 10, 796, 10.1002/jbmr.5650100517 · DOI
- Reginster, 2000, Randomized trial of the effects of risedronate on vertebral fractures in women with established postmenopausal osteoporosis, Osteoporos Int, 11, 83, 10.1007/s001980050010 · DOI · Paper page
- Silverman, 2008, Efficacy of bazedoxifene in reducing new vertebral fracture risk in postmenopausal women with osteoporosis: results from a 3-year, randomized, placebo-, and active-controlled clinical trial, J Bone Miner Res, 23, 1923, 10.1359/jbmr.080710 · DOI
- Miller, 2016, Effect of abaloparatide vs placebo on new vertebral fractures in postmenopausal women with osteoporosis: a randomized clinical trial, JAMA, 316, 722, 10.1001/jama.2016.11136 · DOI
- Pols, 1999, Multinational, placebo-controlled, randomized trial of the effects of alendronate on bone density and fracture risk in postmenopausal women with low bone mass: results of the FOSIT study, Osteoporos Int, 9, 461, 10.1007/PL00004171 · DOI
- Greenspan, 2007, Effect of recombinant human parathyroid hormone (1-84) on vertebral fracture and bone mineral density in postmenopausal women with osteoporosis: a randomized trial, Ann Intern Med, 146, 326, 10.7326/0003-4819-146-5-200703060-00005 · DOI
- Cauley, 2003, Effects of estrogen plus progestin on risk of fracture and bone mineral density: the Women's Health Initiative randomized trial, JAMA, 290, 1729, 10.1001/jama.290.13.1729 · DOI
- Jackson, 2006, Effects of conjugated equine estrogen on risk of fractures and BMD in postmenopausal women with hysterectomy: results from the women's health initiative randomized trial, J Bone Miner Res, 21, 817, 10.1359/jbmr.060312 · DOI
- Burzykowski, 2006, Surrogate threshold effect: an alternative measure for meta-analytic surrogate endpoint validation, Pharm Stat, 5, 173, 10.1002/pst.207 · DOI
- Lassere, 2008, Stat Methods Med Res, 17, 303, 10.1177/0962280207082719 · DOI
- Lassere, 2012, BMC Med Res Methodol, 12, 27, 10.1186/1471-2288-12-27 · DOI
- 1998, Design of the Women's Health Initiative clinical trial and observational study, Control Clin Trials, 19, 61, 10.1016/S0197-2456(97)00078-0 · DOI
- Lewiecki, 2016, Best practices for dual-energy x-ray absorptiometry measurement and reporting: International Society for Clinical Densitometry guidance, J Clin Densitom, 19, 127, 10.1016/j.jocd.2016.03.003 · DOI
- Singh, 2012, Drug safety assessment in clinical trials: methodological challenges and opportunities, Trials, 13, 138, 10.1186/1745-6215-13-138 · DOI
- Bajan, 2015, Can we predict neurological outcome following out-of-hospital cardiac arrest (OHCA) and therapeutic hypothermia?, Indian J Crit Care Med, 19, 301, 10.4103/0972-5229.158253 · DOI
- Simes, 2002, Relationship between lipid levels and clinical outcomes in the Long-term Intervention with Pravastatin in Ischemic Disease (LIPID) Trial: to what extent is the reduction in coronary events with pravastatin explained by on-study lipid levels?, Circulation, 105, 1162, 10.1161/hc1002.105136 · DOI
- Cortazar, 2014, Pathological complete response and long-term clinical benefit in breast cancer: the CTNeoBC pooled analysis, Lancet, 384, 164, 10.1016/S0140-6736(13)62422-8 · DOI
- Korn, 2016, Statistical controversies in clinical research: assessing pathologic complete response as a trial-level surrogate end point for early-stage breast cancer, Ann Oncol, 27, 10, 10.1093/annonc/mdv507 · DOI
- Drazen, 2015, Sharing individual patient data from clinical trials, N Engl J Med, 372, 201, 10.1056/NEJMp1415160 · DOI
- Taichman, 2016, Sharing clinical trial data: a proposal from the International Committee of Medical Journal Editors, Ann Intern Med, 164, 505, 10.7326/M15-2928 · DOI
- Liberman, 1995, Effect of oral alendronate on bone mineral density and the incidence of fractures in postmenopausal osteoporosis, N Engl J Med, 333, 1437, 10.1056/NEJM199511303332201 · DOI
- Black, 1996, Randomised trial of effect of alendronate on risk of fracture in women with existing vertebral fractures, Lancet, 348, 1535, 10.1016/S0140-6736(96)07088-2 · DOI · Paper page
- Orwoll, 2000, Alendronate for the treatment of osteoporosis in men, N Engl J Med, 343, 604, 10.1056/NEJM200008313430902 · DOI
- Recker, 2004, Insufficiently dosed intravenous ibandronate injections are associated with suboptimal antifracture efficacy in postmenopausal osteoporosis, Bone, 34, 890, 10.1016/j.bone.2004.01.008 · DOI
- McClung, 2001, Effect of risedronate on the risk of hip fracture in elderly women, N Engl J Med, 344, 333, 10.1056/NEJM200102013440503 · DOI · Paper page
- McClung, 2019, Odanacatib for the treatment of postmenopausal osteoporosis: results of the LOFT multicentre, randomised, double-blind, placebo-controlled trial and LOFT Extension study, Lancet Diabetes Endocrinol, 7, 899, 10.1016/S2213-8587(19)30346-8 · DOI · Paper page
- Cummings, 2011, Arzoxifene for prevention of fractures and invasive breast cancer in postmenopausal women, J Bone Miner Res, 26, 397, 10.1002/jbmr.191 · DOI
- Cummings, 2010, Lasofoxifene in postmenopausal women with osteoporosis, N Engl J Med, 362, 686, 10.1056/NEJMoa0808692 · DOI
- Ettinger, 1999, Reduction of vertebral fracture risk in postmenopausal women with osteoporosis treated with raloxifene: results from a 3-year randomized clinical trial, JAMA, 282, 637, 10.1001/jama.282.7.637 · DOI · Paper page
Cited by
Sorted by citations
Endpoints for geroscience clinical trials: health outcomes, biomarkers, and biologic age
Cummings, S. R., & Kritchevsky, S. B. (2022) · GeroScience · doi:10.1007/s11357-022-00671-8 · Cited by 54
Beavers, K. M., Cortes, T. M., Foy, C. M., Dinkla, L., Reyes San Martin, F., Ard, J. D., Serra, M. C., & Beavers, D. P. (2025) · Obesity · doi:10.1002/oby.24172 · Cited by 41
Evaluating osteoporosis in chronic kidney disease: Both bone quantity and quality matter
Lloret, M. J., Fusaro, M., Jørgensen, H. S., Haarhaus, M., Gifre, L., Alfieri, C. M., Massó, E., D’Marco, L., Evenepoel, P., & Bover, J. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13041010 · Cited by 32
Kistler-Fischbacher, M., Armbrecht, G., Gängler, S., Theiler, R., Rizzoli, R., Dawson-Hughes, B., Kanis, J. A., Hofbauer, L. C., Schimmer, R. C., Vellas, B., et al. (2024) · Journal of Bone and Mineral Research · doi:10.1093/jbmr/zjae054 · Cited by 15
Metadata
- Authors
- Black, D. M., Bauer, D. C., Vittinghoff, E., Lui, L.-Y., Grauer, A., Marin, F., Khosla, S., de Papp, A., Mitlak, B., Cauley, J. A., McCulloch, C. E., Eastell, R., & Bouxsein, M. L.
- Venue
- The Lancet Diabetes & Endocrinology
- Publisher
- Elsevier BV
- Published
- 2020-08
- Volume
- 8
- Issue
- 8
- Pages
- 672-682
- ISSN
- 2213-8587
- Cited by
- 228
- References
- 9
- Language
- en
- Update notices
- erratum (2020-10-01)
- Funders
- Amgen
- Actavis
- Samsung
- Eli Lilly and Company
- Daiichi-Sankyo
- AbbVie
- Pfizer
- Bayer Schering
- University of California, San Francisco
- GlaxoSmithKline
- Merck Sharp and Dohme
- National Institute of Arthritis and Musculoskeletal and Skin Diseases
- American Society for Bone and Mineral Research
- Roche
- Foundation for the National Institutes of Health
- National Heart, Lung, and Blood Institute
- Novartis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review