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. 2019 Sep 20;11:1759720X19876468. doi: 10.1177/1759720X19876468

Table 1.

Characteristics of the treatment arm of GIOP clinical trials.

Study Saag5 Cohen6 Reid7 Saag8 Reid9 Saag26
Study drug Alendronate Risedronate Risedronate Teriparatide Zoledronic acid Denosumab
Comparator Placebo Placebo Placebo Alendronate Risedronate Risedronate
Design Treatment Prevention Treatment Treatment Prevention Treatment Prevention Treatment
Study sites 22 28 23 67 54 79
Study length (years) 1 (+1 extension) 1 1 1.5 (+1.5 extension) 1 1 (+1 extension)
Study size (patients enrolled) 561 228 290 428 288 546 290 505
Mean age (years) (56–69 years) 55 62 58 56 56 53 66 61
Postmenopausal women (%) (51–63%) 49 46 53 78 69 64 59 63
Premenopausal women (%) (1–2%) 22 20 9 2.5 0.4 4 5 10
Men (%) (35–47%) 29 34 38 20 32 32 36 27
Ethnicity (% white) 88 N/S N/S 72 N/S 84 90
Prednisone equivalent inclusion criteria ⩾7.5 mg/day ⩾7.5 mg/day ⩾7.5 mg/day ⩾5 mg/day ⩾7.5 mg/day ⩾7.5 mg/day
Mean prednisone equivalent dose (mg) Baseline 18 21 15 7.5 (median) 10 (median) 10 (median) 16 12
End of study 9 11 13 N/S N/S N/S N/S N/S
T-score inclusion criteria N/A N/A N/A T-score ⩽2.0 or ⩽1.0 with fracture N/A N/A N/A T-score ⩽2.0 or ⩽1.0 with fracture
Mean lumbar spine T-score at baseline 1.0 (g/cm2) –0.7 –1.7 –2.5 –1.0 –1.4 –1.0 –2.0
Baseline osteoporosis defined by bone mineral density (%) 32 N/S 23 N/S N/S N/S N/S N/S
Prevalent vertebral fractures (%) Study drug 15 30 33 30 N/S N/S 14 26
Comparator/placebo 17 29 37 25 N/S N/S 18 32
Calcium supplementation mg/day 800–1000 500 1000 1000 1000 1000
Vitamin D supplementation IU/day 250–500 None 400 800 400–1200 800
Underlying conditions (%) Rheumatoid arthritis (23%) 30 40 40 48 38 13 33 43
PMR/GCA (22%/6%) 23 34 18 4 20 5 35 7
SLE (N/S) 19 15 8 12 9 16 2 6
Asthma or COPD (19%) 10 4 20 13 4 8 2 11
Sarcoidosis (N/S) 3 N/S N/S N/S N/S N/S 0 2
IBD (5%) 5 N/S N/S 2 N/S N/S N/S N/S
Neurologic diseases (6%) 7 1 3 N/S N/S N/S 1 5
Skin disorders (5%) 7 N/S N/S N/S N/S N/S 3 3

COPD, chronic obstructive pulmonary disease; GCA, giant cell arteritis; GIOP, glucocorticoid-induced osteoporosis; IBD, inflammatory bowel diseases; N/A, not applicable; N/S, not specified; IU, international units; PMR, polymyalgia rheumatica; SLE, systemic lupus erythematosus.

Prevention design refers to participants on glucocorticoids for up to 3 months; treatment designation refers to participants on glucocorticoids for ⩾3 months. In square brackets expected characteristics for the glucocorticoid users in the general population (epidemiological data by Overman and colleagues1 and Walsh and colleagues31).