Table 2.
Teriparatide | Alendronate | Rate ratio* | 95% CI | P | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Count | Person | Person-years | Annual incidence rate | Count | Person | Person-years | Annual incidence rate | ||||
Primary endpoint | |||||||||||
Morphometric vertebral fracture | 56 | 45 | 419.9 | 0.1334 | 96 | 73 | 553.6 | 0.1734 | 0.78 | 0.61 to 0.99 | 0.04 |
Secondary endpoints | |||||||||||
Any fracture | 71 | 55 | 469.2 | 0.1513 | 116 | 87 | 600.2 | 0.1933 | 0.83 | 0.60 to 1.16 | 0.28 |
Clinical vertebral fracture | 6 | 5 | 419.9 | 0.0143 | 12 | 8 | 553.6 | 0.0217 | 0.70 | 0.23 to 2.09 | 0.52 |
Progression of vertebral fracture | 30 | 28 | 419.9 | 0.0714 | 38 | 34 | 553.6 | 0.0686 | 1.11 | 0.76 to 1.64 | 0.59 |
Non-vertebral fracture | 15 | 12 | 469.2 | 0.0320 | 20 | 20 | 600.2 | 0.0333 | 1.09 | 0.68 to 1.75 | <0.01† |
Secondary endpoints (fractures at specific skeletal sites) | |||||||||||
Forearm | 4 | 4 | 469.2 | 0.0085 | 3 | 3 | 600.2 | 0.0050 | |||
Humerus | 0 | 0 | 469.2 | 0.0000 | 0 | 0 | 600.2 | 0.0000 | |||
Femur | 3 | 3 | 469.2 | 0.0064 | 6 | 6 | 600.2 | 0.0100 | |||
Lower leg | 0 | 0 | 469.2 | 0.0000 | 0 | 0 | 600.2 | 0.0000 | |||
Clavicle | 1 | 1 | 469.2 | 0.0021 | 0 | 0 | 600.2 | 0.0000 | |||
Pelvis | 1 | 1 | 469.2 | 0.0021 | 1 | 1 | 600.2 | 0.0017 | |||
Rib | 2 | 1 | 469.2 | 0.0043 | 4 | 4 | 600.2 | 0.0067 | |||
Other | 4 | 4 | 469.2 | 0.0085 | 6 | 6 | 600.2 | 0.0100 |
*Generalized estimating equation-Poisson regression adjusted for age, counts, and maximum grade of prevalent vertebral fractures, history of hip fractures, and bone mineral density as covariates and individual and institute as cluster
†Non-inferiority P-value with a pre-specified non-inferiority margin of 1.96
Abbreviation: CI confidence interval