Between BMD & Fracture Risk

Bone Mineral Density (BMD) is a key predictor of fracture risk. Clinical evidence shows that lower BMD levels significantly increase the likelihood of fractures, highlighting the importance of early assessment and intervention to prevent osteoporosis-related fractures.

  • T-score Increases at the Lumbar Spine in FRAME Relative to FREEDOM and FREEDOM Extension2

    • BMD T-score improvement from baseline at the lumbar spine in patients treated with 1 year of romosozumab in FRAME were similar to that observed with 4.5 years of denosumab treatment in FREEDOM
    • 1 year of romosozumab followed by 1 year of denosumab treatment in FRAME led to BMD changes similar to 7 years of denosumab treatment
    T-score
    Adapted from: Cosman F, et al. J Bone Miner Res. 2018;33:1219-1226.

    N indicates the number of patients with a baseline and ≥ 1 postbaseline DXA BMD measurement; n indicates the number of patients with evaluable data at the time point of interest. *BMD was measured more frequently (months 6 and 18) in a subset of patients from FRAME who participated in a DXA substudy; additionally, BMD was measured at month 6 in women from Argentina. †BMD was measured more frequently in a subset of patients from FREEDOM who participated in a DXA substudy.
    BMD=bone mineral density; DXA=dual-energy x-ray absorptiometry

  • T-score Increases at the Total Hip in FRAME Relative to FREEDOM and FREEDOM Extension2

    • BMD T-score improvement from baseline at the lumbar spine in patients treated with 1 year of romosozumab in FRAME were similar to that observed with 3 years of denosumab treatment in FREEDOM
    • 1 year of romosozumab followed by 1 year of denosumab treatment in FRAME led to BMD changes similar to 7 years of denosumab treatment
    investigation-img
    Adapted from: Cosman F, et al. J Bone Miner Res. 2018;33:1219-1226.

    N indicates the number of patients with a baseline and ≥ 1 postbaseline DXA BMD measurement; n indicates the number of patients with evaluable data at the time point of interest. *BMD was measured more frequently (months 6 and 18) in a subset of patients from FRAME who participated in a DXA substudy; additionally, BMD was measured at month 6 in women from Argentina. †BMD was measured more frequently in a subset of patients from FREEDOM who participated in a DXA substudy.

    BMD=bone mineral density; DXA=dual-energy x-ray absorptiometry

  • References

    1. Bouxsein ML, Eastell R, Lui LY, et al.; FNIH Bone Quality Project. Change in Bone Density and Reduction in Fracture Risk: A Meta-Regression of Published Trials. J Bone Miner Res. 2019 Apr;34(4):632-642.
    2. Cosman F, et al. FRAME Study: The Foundation Effect of Building Bone With 1 Year of Romosozumab Leads to Continued Lower Fracture Risk After Transition to Denosumab. J Bone Miner Res. 2018;33(7):1219-1226.

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  • Important Safety Information:
    Osteoporosis Case Binder
    This curated collection of patient case studies aims to provide healthcare practitioners in the area of bone health, with a comprehensive understanding of risk-based treatment approach in the long-term management of patients living with osteoporosis.
    The patient cases were contributed by bone health experts from respective clinical setting, incorporating evidence-based discussions, guidelines and clinical considerations in the individualised treatment sequencing plans of different real-world scenarios..
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