The Risk of Developing Osteosarcoma After Teriparatide Use: A Systematic Review.

IF 1.7 Q2 ORTHOPEDICS Orthopedic Research and Reviews Pub Date : 2023-09-27 eCollection Date: 2023-01-01 DOI:10.2147/ORR.S408718
Ahmed A Abdulelah, Bassem I Haddad, Abdulrahman A Alhajahjeh, Lina M AlQirem, Layla El-Amayreh
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Abstract

Teriparatide is a recombinant human parathyroid hormone analog with anabolic mechanism of action utilized in the treatment of osteoporosis with well-established clinical efficacy. Its use is significantly hindered due to label warnings resulting from pre-clinical rat studies demonstrating an increased risk of osteosarcoma. However, clinical trials and post-marketing surveillance studies did not demonstrate any increased risk of osteosarcoma, even after prolonged periods of surveillance reaching up to 15 years, with most of the identified cases of osteosarcomas being solitary and predominantly attributed to other factors. This systematic review provides a comprehensive overview of the currently available literature and provides the highest level of clinical evidence towards demonstrating the lack of any substantial evidence towards osteosarcoma development in patients utilizing TPTD.

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Teriparatide使用后发生骨肉瘤的风险:一项系统综述。
Teriparatide是一种具有合成代谢作用机制的重组人甲状旁腺激素类似物,用于治疗骨质疏松症,具有公认的临床疗效。由于临床前大鼠研究显示骨肉瘤风险增加,其使用受到严重阻碍。然而,临床试验和上市后监测研究没有表明骨肉瘤的风险增加,即使在长达15年的长期监测之后也是如此,大多数已确定的骨肉瘤病例都是孤立的,主要归因于其他因素。这篇系统综述对目前可用的文献进行了全面综述,并提供了最高水平的临床证据,以证明缺乏任何关于使用TPTD的患者骨肉瘤发展的实质性证据。
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来源期刊
Orthopedic Research and Reviews
Orthopedic Research and Reviews Medicine-Orthopedics and Sports Medicine
CiteScore
2.80
自引率
0.00%
发文量
51
审稿时长
16 weeks
期刊介绍: Orthopedic Research and Reviews is an international, peer-reviewed, open-access journal focusing on the patho-physiology of the musculoskeletal system, trauma, surgery and other corrective interventions to restore mobility and function. Advances in new technologies, materials, techniques and pharmacological agents will be particularly welcome. Specific topics covered in the journal include: Patho-physiology and bioengineering, Technologies and materials science, Surgical techniques, including robotics, Trauma management and care, Treatment including pharmacological and non-pharmacological, Rehabilitation and Multidisciplinarian care approaches, Patient quality of life, satisfaction and preference, Health economic evaluations. The journal welcomes submitted papers covering original research, basic science and technology, clinical studies, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.
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