Table 3.
Double-blind randomized controlled trials of percentage spine Bone Mineral Density (BMD) change per year in postmenopausal women treated with Progesterone/Medroxyprogesterone (MPA) compared with placebo.
Author/year and reference | Total number | Age | Bone site | Years | Drug and dose | Schedule | Number | % BMD Change (Active) | Number | % BMD Change (Placebo) |
---|---|---|---|---|---|---|---|---|---|---|
Gallagher 1991 [84] | 81 | 51.7 ± 4.4 | DPA* L2−4 |
2 | MPA 20 mg | 23/28 days | 20 | Spine −2.5 | 20 | Spine −3.8 |
Radius | 20 | Radius 0.0 | 18 | Radius −2.4 | ||||||
Prior 1997 [85] | 33 | 45 ± 5 | QCT T12−L3 DXA |
1 | MPA 10 mg | Daily | 18 | QCT −15 | NA∙ | NA |
WB+ | WB −2.8 | NA | NA | |||||||
FN++ | FN −5.2 | NA | NA | |||||||
Leonetti 1999 [86] | 102 | 52.5 | DXA L2−4 |
1 | *P4 Cream 20 mg | Daily | 43 | Spine −1.4 | 47 | Spine −1.0 |
T Hip | 43 | T Hip −2.5 | 47 | T Hip −1.0 | ||||||
Liu 2005 [87] | 132 | 52.5 | DXA L2−4 |
2 | +OMP | 300 mg Daily | 15 | Spine −1.0 | 23 | Spine −1.0 |
FN | 15 | FN −0.5 | 23 | FN −0.0 | ||||||
MPA | 10 mg Daily | 16 | Spine −1.9 | 23 | Spine −1.0 | |||||
16 | FN −1.1 | 23 | FN −0.0 | |||||||
| ||||||||||
Mean % Change | OMP & P4 Cream | 58 | Spine −1.2 | 70 | Spine −1.0 | |||||
MPA | 36 | Spine −2.2 | 43 | Spine −2.4 |
*P4: progesterone
+OMP: oral micronized progesterone
∙NA: not available—this trial was controlled by conjugated equine estrogen and without a placebo.