Osteoporosis, bone & mineral

Romosozumab is effective in patients with variants in LRP5, LRP6, or WNT1

Osteoporos IntPublished Retrospective cohort study

Authors' conclusion

Thus, romosozumab might be a specific treatment for these patients.

Study context

Population
Postmenopausal women with heterozygous deleterious or established risk allele variants (ACMG class 2–5) in the LRP5/6 or WNT1 gene27 women · 33 patient-years
Participants
10 / 11 / 12
Exposure
Romosozumab vs antiresorptive therapy vs vitamin D and calcium only
  • Romosozumab (ROMO)n = 10
  • ARn = 11
  • NoTn = 12reference
Outcome
Lumbar spine areal bone mineral density (aBMD) change
Methodological detailsclinical routine data
  • Clinical routine data

Main finding

As reported in the abstract

NoT

−0.12%

± 5.02%

AR

+ 3.97%

± 4.71%

ROMO

+ 15.74%

± 7.63%

ROMO vs AR: P < 0.001 for ROMO vs. AR and vs. NoT · ROMO vs NoT: P < 0.001 for ROMO vs. AR and vs. NoT

Observational data: associations, not effects.

Further findings

OutcomeROMOARP value
Bone alkaline phosphatase change · 6 monthsROMO vs AR+ 3.08 ± 2.21 µg/L µg/L−3.36 ± 8.044 µg/L µg/LP = 0.026

Tibial trabecular bone density and mass (high-resolution peripheral quantitative computed tomography (HR-pQCT))

Increase with romosozumab

Original publication

Romosozumab is effective in patients with variants in LRP5, LRP6, or WNT1. Osteoporos Int. Published 12 March 2026. doi:10.1007/s00198-026-07932-8

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