Published in:
01-06-2020 | Perspective
Explanations for the difference in rates of cardiovascular events in a trial of alendronate and romosozumab
Authors:
S.R. Cummings, C. McCulloch
Published in:
Osteoporosis International
|
Issue 6/2020
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Excerpt
Romosozumab, an anti-sclerostin antibody, has been approved for prescription in the USA, Europe, Japan, and South Korea to treat patients with osteoporosis who have a high risk of fracture. The Active-Controlled Fracture Study in Postmenopausal Women with Osteoporosis at High Risk (ARCH) trial randomly assigned women to receive alendronate or romosozumab for 12 months. It found a difference between the alendronate and romosozumab group in the incidence of major cardiovascular events (CVD), also defined as adjudicated major adverse cardiovascular events (MACE) [
1]. After 12 months, those in the alendronate group continued alendronate for a median of 33 months and those assigned to romosozumab switched to alendronate for the duration of the trial. …