Osteoporosis, bone & mineral

Effects of teriparatide on hip structure and bone microarchitecture in women with anorexia nervosa: a placebo-controlled randomized trial

Osteoporos IntPublished Randomised controlled trial

Authors' conclusion

Six months of TPT treatment in women with anorexia nervosa led to trends in improvements in bone structure.

Study context

Population
Women with anorexia nervosa and a T-score ≤ - 2.5
Participants
21 women
Comparison
Teriparatide vs placebo for 6 months
  • TPTn = 10
  • Placebon = 11reference
Primary endpoint
Changes in trabecular and cortical bone microarchitecture (HR-pQCT) and hip structural analysis parameters (HSA program)
Follow-up
6 months
Methodological detailsplacebo-controlled
  • Placebo-controlled

Primary result

As reported in the abstract

IT cortical thickness increase after TPT (p = 0.075 vs. baseline); non-significant decrease in placebo

13%

IT buckling ratio decrease vs baseline in TPT

9%

IT buckling ratio increase in placebo (TPT vs placebo p = 0.076)

5%

Secondary outcomes

Bone turnover markers: osteocalcin and osteopontin · 6 months

Osteocalcin increase in TPT (p = 0.01 vs. baseline)
216.4%
Osteopontin increase in TPT (p = 0.03 vs. baseline)
68.6%
No significant changes in osteocalcin or osteopontin in placebo

Original publication

Effects of teriparatide on hip structure and bone microarchitecture in women with anorexia nervosa: a placebo-controlled randomized trial. Osteoporos Int. Published 27 January 2026. doi:10.1007/s00198-026-07846-5

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