FREEDOM
Fracture Reduction Evaluation of Denosumab in Osteoporosis Every 6 Months
Patient / Population Intervention / Exposition Comparaison Critère de jugement
In 7,868 postmenopausal women with osteoporosis, denosumab 60 mg subcutaneously every 6 months reduced new vertebral, non-vertebral and hip fractures compared with placebo.
N
7 868
Schéma
Double-blind RCT, 3 yr
Critère
New vertebral fracture
Pertinence
2
RésultatVertebral fracture −68 % (p<0.001); hip fracture HR 0.60 (−40 %; p=0.04); non-vertebral −20 %.
Cummings SR, et al. N Engl J Med. 2009;361(8):756-765. 10.1056/NEJMoa0809493
Discussion et critique
Effective and reversible — but the rebound multiple-vertebral-fracture phenomenon on discontinuation makes seamless sequential bisphosphonate therapy essential.