Abstract
An open-label, multicenter study was conducted to determine the efficacy and safety of oral risedronate (a pyridinyl bisphosphonate) in 162 patients (102 men, 60 postmenopausal women; mean age, 68 years) with moderate to severe Paget's disease of bone (mean serum alkaline phosphatase [ALP] approximately seven times the upper limit of normal). Patients were treated with oral risedronate, 30 mg/day for 84 days, followed by 112 days without treatment. This 196-day cycle was repeated once if serum ALP did not normalize or increased from the nadir value by ≤25%. At the end of the first and second cycles, the mean percentage decreases for serum ALP were 65.7% and 69.1%, and for urinary hydroxyproline/creatinine 50.4% and 66.9%, respectively. The decreases from baseline in ALP and urinary hydroxyproline/creatinine were significant (p <0.001). Normalization of serum ALP was observed in 86 patients (53.8%): 53 during the first treatment cycle and 33 during the second. There was a significant proportion of patients reporting a decrease in the pagetic bone pain at days 84 and 196 (p <0.001). Overall, risedronate was well tolerated. Five patients withdrew due to adverse events, none of which were considered to be drug related. In conclusion, 30 mg of oral risedronate administered daily for 84 days significantly reduced the biochemical indices of disease activity and was associated with pain reduction in patients with moderate to severe Paget's disease of bone. Normalization of ALP was observed in the majority of patients. Repeated administration of risedronate was shown to be beneficial. In general, risedronate was well tolerated and demonstrated a good safety profile.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1032-1038 |
| Number of pages | 7 |
| Journal | Journal of Bone and Mineral Research |
| Volume | 13 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 1998 |
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ASJC Scopus subject areas
- Surgery
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Risedronate in the treatment of paget's disease of bone : An open label, multicenter study. / Siris, Ethel S.; Chines, Arkadi A.; Altman, Roy D; Brown, Jacques P.; Johnston, C. Conrad; Lang, Robert; Mcclung, Michael R.; Mallette, Lawrence E.; Miller, Paul D.; Ryan, Will G.; Singer, Frederick R.; Tucci, Joseph R.; Eusebio, Rachelle A.; Bekker, Pirow J.
In: Journal of Bone and Mineral Research, Vol. 13, No. 6, 06.1998, p. 1032-1038.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Risedronate in the treatment of paget's disease of bone
T2 - An open label, multicenter study
AU - Siris, Ethel S.
AU - Chines, Arkadi A.
AU - Altman, Roy D
AU - Brown, Jacques P.
AU - Johnston, C. Conrad
AU - Lang, Robert
AU - Mcclung, Michael R.
AU - Mallette, Lawrence E.
AU - Miller, Paul D.
AU - Ryan, Will G.
AU - Singer, Frederick R.
AU - Tucci, Joseph R.
AU - Eusebio, Rachelle A.
AU - Bekker, Pirow J.
PY - 1998/6
Y1 - 1998/6
N2 - An open-label, multicenter study was conducted to determine the efficacy and safety of oral risedronate (a pyridinyl bisphosphonate) in 162 patients (102 men, 60 postmenopausal women; mean age, 68 years) with moderate to severe Paget's disease of bone (mean serum alkaline phosphatase [ALP] approximately seven times the upper limit of normal). Patients were treated with oral risedronate, 30 mg/day for 84 days, followed by 112 days without treatment. This 196-day cycle was repeated once if serum ALP did not normalize or increased from the nadir value by ≤25%. At the end of the first and second cycles, the mean percentage decreases for serum ALP were 65.7% and 69.1%, and for urinary hydroxyproline/creatinine 50.4% and 66.9%, respectively. The decreases from baseline in ALP and urinary hydroxyproline/creatinine were significant (p <0.001). Normalization of serum ALP was observed in 86 patients (53.8%): 53 during the first treatment cycle and 33 during the second. There was a significant proportion of patients reporting a decrease in the pagetic bone pain at days 84 and 196 (p <0.001). Overall, risedronate was well tolerated. Five patients withdrew due to adverse events, none of which were considered to be drug related. In conclusion, 30 mg of oral risedronate administered daily for 84 days significantly reduced the biochemical indices of disease activity and was associated with pain reduction in patients with moderate to severe Paget's disease of bone. Normalization of ALP was observed in the majority of patients. Repeated administration of risedronate was shown to be beneficial. In general, risedronate was well tolerated and demonstrated a good safety profile.
AB - An open-label, multicenter study was conducted to determine the efficacy and safety of oral risedronate (a pyridinyl bisphosphonate) in 162 patients (102 men, 60 postmenopausal women; mean age, 68 years) with moderate to severe Paget's disease of bone (mean serum alkaline phosphatase [ALP] approximately seven times the upper limit of normal). Patients were treated with oral risedronate, 30 mg/day for 84 days, followed by 112 days without treatment. This 196-day cycle was repeated once if serum ALP did not normalize or increased from the nadir value by ≤25%. At the end of the first and second cycles, the mean percentage decreases for serum ALP were 65.7% and 69.1%, and for urinary hydroxyproline/creatinine 50.4% and 66.9%, respectively. The decreases from baseline in ALP and urinary hydroxyproline/creatinine were significant (p <0.001). Normalization of serum ALP was observed in 86 patients (53.8%): 53 during the first treatment cycle and 33 during the second. There was a significant proportion of patients reporting a decrease in the pagetic bone pain at days 84 and 196 (p <0.001). Overall, risedronate was well tolerated. Five patients withdrew due to adverse events, none of which were considered to be drug related. In conclusion, 30 mg of oral risedronate administered daily for 84 days significantly reduced the biochemical indices of disease activity and was associated with pain reduction in patients with moderate to severe Paget's disease of bone. Normalization of ALP was observed in the majority of patients. Repeated administration of risedronate was shown to be beneficial. In general, risedronate was well tolerated and demonstrated a good safety profile.
UR - http://www.scopus.com/inward/record.url?scp=15144345644&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=15144345644&partnerID=8YFLogxK
U2 - 10.1359/jbmr.1998.13.6.1032
DO - 10.1359/jbmr.1998.13.6.1032
M3 - Article
C2 - 9626635
AN - SCOPUS:15144345644
VL - 13
SP - 1032
EP - 1038
JO - Journal of Bone and Mineral Research
JF - Journal of Bone and Mineral Research
SN - 0884-0431
IS - 6
ER -