Osteoporosis, bone & mineral

Three months of abaloparatide treatment rapidly improves bone formation and density: implications for orthopedic preoperative bone health optimization

Osteoporos IntPublished Post-hoc analysis of two randomised trials

Authors' conclusion

Subcutaneous ABL (80 µg/day) results in significant BMD gains by three months in both men and postmenopausal women with osteoporosis at levels associated with decreased fracture risk. Bone formation is increased at 1 month and sustained for 12 months.

Study context

Population
Men and postmenopausal women with osteoporosis at high risk for fracture
Participants
149 vs 250
Comparison
Men vs Postmenopausal women
  • Menn = 149
  • Postmenopausal womenn = 250
Primary endpoint
Mean percent bone mineral density (BMD) change in the femoral neck, total hip and lumbar spine
Follow-up
3 months

Primary result

As reported in the abstract

Mean % BMD increase at femoral neck, total hip and lumbar spine (entries per group in that order)

Men

1.79

mean · SD 0.35 · %

Men

1.26

mean · SD 0.26 · %

Men

4.14

mean · SD 0.43 · %

Women

1.55

mean · SD 0.28 · %

Women

1.78

mean · SD 0.21 · %

Women

4.42

mean · SD 0.34 · %

Further findings

Serum P1NP increased over threefold vs baseline at 1 month in women and men

Original publication

Three months of abaloparatide treatment rapidly improves bone formation and density: implications for orthopedic preoperative bone health optimization. Osteoporos Int. Published 25 July 2026. doi:10.1007/s00198-026-08126-y

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