Osteoporosis, bone & mineral

Efficacy comparison of 6-month romosozumab plus denosumab versus 12-month romosozumab in Koreans

Eur J EndocrinolPublished Retrospective cohort study

Authors' conclusion

Sequential Romo6M + Dmab treatment demonstrates comparable efficacy to Romo12M treatment in improving BMD, with fewer injections and potential cost benefits.

Study context

Population
Treatment-naïve Korean patients with osteoporosis
Participants
156 patients
Exposure
6-month romosozumab followed by denosumab vs 12-month romosozumab
  • Romo6M + Dmabn = 41
  • Romo12Mn = 115reference
Outcome
LS-BMD percentage change
Follow-up
12 months
Methodological detailsmulticenter
  • Multicenter

Main finding

As reported in the abstract

Romo6M + Dmab

16.9%

least-squares mean · SE 4.6%

Romo12M

16.9%

least-squares mean · SE 3.4%

P = 0.936

Observational data: associations, not effects.

Further findings

Least-squares mean

OutcomeRomo6M + DmabRomo12MP value
TH-BMD percentage change · 12 monthsNot significant4.6% (SE 3.9%)4.4% (SE 2.9%)P = 0.911
FN-BMD percentage change · 12 monthsNot significant3.2% (SE 3.9%)4.2% (SE 3.1%)P = 0.357
Bone turnover markers (BTMs) · 12 months · higher in Romo12M
P < 0.001
Trabecular bone score (TBS) · 12 months · not significant
P = 0.989

BTMs · 12 months

Baseline, 1-month and 6-month BTM levels comparable between groups

TBS · 12 months

TBS increased significantly only in Romo12M

Bone mineral density (BMD) gains · 24 months

BMD gains at 24 months remained similar
  • Subset of 96 patients (Romo6M + Dmab: n = 27; Romo12M: n = 69) after 12 months of additional Dmab

Original publication

Efficacy comparison of 6-month romosozumab plus denosumab versus 12-month romosozumab in Koreans. Eur J Endocrinol. Published 17 October 2025. doi:10.1093/ejendo/lvaf211

Composed by AI from the published abstract and checked against it. How Briefs are made →

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