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Effect of romosozumab on bone mineral density and trabecular bone score in premenopausal women with low bone mass
by
Shin, Sungjae
, Cho, Sung Joon
, Lee, Seunghyun
, Rhee, Yumie
, Hong, Namki
in
Absorptiometry, Photon - methods
/ Adult
/ Antibodies, Monoclonal - pharmacology
/ Antibodies, Monoclonal - therapeutic use
/ Body mass index
/ Bone density
/ Bone Density - drug effects
/ Bone Density Conservation Agents - pharmacology
/ Bone Density Conservation Agents - therapeutic use
/ Bone growth
/ Bone mass
/ Bone mineral density
/ Bone resorption
/ Cancellous bone
/ Cancellous Bone - drug effects
/ Cancellous Bone - physiopathology
/ Endocrinology
/ Female
/ Femur
/ Femur Neck - physiopathology
/ Fractures
/ Glucocorticoids - adverse effects
/ Health risks
/ Humans
/ Lactation
/ Lumbar Vertebrae - physiopathology
/ Medical treatment
/ Medicine
/ Medicine & Public Health
/ Menopause
/ Middle Aged
/ Monoclonal antibodies
/ Original Article
/ Orthopedics
/ Osteogenesis
/ Osteoporosis
/ Osteoporosis - drug therapy
/ Osteoporosis - physiopathology
/ Post-menopause
/ Pregnancy
/ Premenopause - physiology
/ Retrospective Studies
/ Rheumatology
/ SOST protein
/ Spine (lumbar)
/ Womens health
2025
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Effect of romosozumab on bone mineral density and trabecular bone score in premenopausal women with low bone mass
by
Shin, Sungjae
, Cho, Sung Joon
, Lee, Seunghyun
, Rhee, Yumie
, Hong, Namki
in
Absorptiometry, Photon - methods
/ Adult
/ Antibodies, Monoclonal - pharmacology
/ Antibodies, Monoclonal - therapeutic use
/ Body mass index
/ Bone density
/ Bone Density - drug effects
/ Bone Density Conservation Agents - pharmacology
/ Bone Density Conservation Agents - therapeutic use
/ Bone growth
/ Bone mass
/ Bone mineral density
/ Bone resorption
/ Cancellous bone
/ Cancellous Bone - drug effects
/ Cancellous Bone - physiopathology
/ Endocrinology
/ Female
/ Femur
/ Femur Neck - physiopathology
/ Fractures
/ Glucocorticoids - adverse effects
/ Health risks
/ Humans
/ Lactation
/ Lumbar Vertebrae - physiopathology
/ Medical treatment
/ Medicine
/ Medicine & Public Health
/ Menopause
/ Middle Aged
/ Monoclonal antibodies
/ Original Article
/ Orthopedics
/ Osteogenesis
/ Osteoporosis
/ Osteoporosis - drug therapy
/ Osteoporosis - physiopathology
/ Post-menopause
/ Pregnancy
/ Premenopause - physiology
/ Retrospective Studies
/ Rheumatology
/ SOST protein
/ Spine (lumbar)
/ Womens health
2025
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Effect of romosozumab on bone mineral density and trabecular bone score in premenopausal women with low bone mass
by
Shin, Sungjae
, Cho, Sung Joon
, Lee, Seunghyun
, Rhee, Yumie
, Hong, Namki
in
Absorptiometry, Photon - methods
/ Adult
/ Antibodies, Monoclonal - pharmacology
/ Antibodies, Monoclonal - therapeutic use
/ Body mass index
/ Bone density
/ Bone Density - drug effects
/ Bone Density Conservation Agents - pharmacology
/ Bone Density Conservation Agents - therapeutic use
/ Bone growth
/ Bone mass
/ Bone mineral density
/ Bone resorption
/ Cancellous bone
/ Cancellous Bone - drug effects
/ Cancellous Bone - physiopathology
/ Endocrinology
/ Female
/ Femur
/ Femur Neck - physiopathology
/ Fractures
/ Glucocorticoids - adverse effects
/ Health risks
/ Humans
/ Lactation
/ Lumbar Vertebrae - physiopathology
/ Medical treatment
/ Medicine
/ Medicine & Public Health
/ Menopause
/ Middle Aged
/ Monoclonal antibodies
/ Original Article
/ Orthopedics
/ Osteogenesis
/ Osteoporosis
/ Osteoporosis - drug therapy
/ Osteoporosis - physiopathology
/ Post-menopause
/ Pregnancy
/ Premenopause - physiology
/ Retrospective Studies
/ Rheumatology
/ SOST protein
/ Spine (lumbar)
/ Womens health
2025
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Effect of romosozumab on bone mineral density and trabecular bone score in premenopausal women with low bone mass
Journal Article
Effect of romosozumab on bone mineral density and trabecular bone score in premenopausal women with low bone mass
2025
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Overview
Summary
We investigated the efficacy of romosozumab in premenopausal women with low bone mass. Romosozumab substantially increased bone mineral density and trabecular bone score in these women, aligning with its proven therapeutic benefits for postmenopausal osteoporosis.
Purpose
Romosozumab, an anti-sclerostin antibody, is a promising anabolic agent that increases bone formation and decreases bone resorption. However, its efficacy in premenopausal women with low bone mass remains understudied.
Methods
We retrospectively reviewed premenopausal women with low bone mass treated with romosozumab (ROMO group) or drug-naïve patients (control group). Patients in the ROMO group were classified into the glucocorticoid-induced osteoporosis (GIOP), idiopathic osteoporosis (IOP), and pregnancy and lactation-induced osteoporosis (PLO) subgroups. Bone mineral density (BMD) and trabecular bone score (TBS) were measured before and after one year of romosozumab treatment.
Results
Twenty-five patients in the ROMO group and five in the control group were included in the study. Among patients in the ROMO group, 12 were in the GIOP, 9 in the IOP, and 4 in the PLO subgroups. The mean age was 37.0 years [32.0–42.0], and the median body mass index was 18.8 kg/m
2
[17.5–21.3]. After romosozumab treatment, lumbar spine (LS), femur neck (FN) BMD, and TBS increased from baseline (LSBMD, 12.8% [8.2–19.3],
p
< 0.001; FNBMD, 4.6% [− 0.6–10.7],
p
= 0.016; TBS, 4.1% ± 3.8,
p
< 0.001) in the ROMO group. Patients in both the GIOP and IOP subgroups showed a significant increase in LSBMD, while those in the IOP subgroup demonstrated significant increases in FNBMD.
Conclusion
We demonstrated romosozumab’s efficacy in BMD increment in premenopausal women. Romosozumab may be a potential treatment option for premenopausal women with low bone mass, regardless of etiologies, although further research on fracture risk reduction is warranted.
Publisher
Springer London,Springer Nature B.V
Subject
Absorptiometry, Photon - methods
/ Adult
/ Antibodies, Monoclonal - pharmacology
/ Antibodies, Monoclonal - therapeutic use
/ Bone Density Conservation Agents - pharmacology
/ Bone Density Conservation Agents - therapeutic use
/ Cancellous Bone - drug effects
/ Cancellous Bone - physiopathology
/ Female
/ Femur
/ Femur Neck - physiopathology
/ Glucocorticoids - adverse effects
/ Humans
/ Lumbar Vertebrae - physiopathology
/ Medicine
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