Table 3.
Time (months) | Denosumab | Oral bisphosphonates | Intravenous ibandronate | Intravenous zoledronate | ||||
---|---|---|---|---|---|---|---|---|
N | IRR (95% CI) | N | IRR (95% CI) | N | IRR (95% CI) | N | IRR (95% CI) | |
All fractures | ||||||||
4–12 | 120 | 0.62 (0.47–0.83) | 249 | 0.61 (0.51–0.73) | 36 | 0.69 (0.41–1.15) | 16 | 0.91 (0.36–2.33) |
13–24 | 83 | 0.50 (0.36–0.68) | 192 | 0.56 (0.46–0.68) | 34 | 0.78 (0.46–1.30) | 9 | 0.79 (0.28–2.21) |
25–36 | 42 | 0.44 (0.30–0.65) | 95 | 0.51 (0.40–0.64) | 23 | 0.98 (0.56–1.73) | 2 | 0.34 (0.07–1.67) |
37–48 | 18 | 0.33 (0.19–0.56) | 56 | 0.58 (0.44–0.78) | 6 | 0.57 (0.23–1.39) | 3 | 1.15 (0.29–4.62) |
Clinical vertebral fractures | ||||||||
4–12 | 43 | 0.38 (0.25–0.59) | 99 | 0.47 (0.36–0.62) | 8 | 0.35 (0.14–0.87) | 6 | 0.68 (0.17–2.73) |
13–24 | 29 | 0.30 (0.19–0.48) | 61 | 0.35 (0.26–0.48) | 10 | 0.52 (0.22–1.22) | 4 | 0.70 (0.16–3.12) |
25–36 | 14 | 0.26 (0.14–0.47) | 27 | 0.28 (0.19–0.43) | 8 | 0.78 (0.31–1.93) | – | – |
37–48 | 9 | 0.32 (0.15–0.65) | 20 | 0.41 (0.25–0.66) | 3 | 0.65 (0.18–2.33) | – | – |
Hip fractures | ||||||||
4–12 | 19 | 0.83 (0.38–1.84) | 44 | 0.63 (0.41–0.97) | 8 | 0.96 (0.29–3.18) | 1 | 0.34 (0.02–5.46) |
13–24 | 15 | 0.76 (0.33–1.74) | 41 | 0.70 (0.45–1.09) | 7 | 1.00 (0.29–3.42) | 3 | 1.57 (0.16–15.09) |
25–36 | 5 | 0.45 (0.15–1.33) | 21 | 0.66 (0.39–1.12) | 2 | 0.53 (0.10–2.92) | – | – |
37–48 | 1 | 0.17 (0.02–1.36) | 7 | 0.43 (0.19–0.96) | – | – | 1 | 2.31 (0.14–36.93) |
Wrist/forearm fractures | ||||||||
4–12 | 26 | 1.02 (0.49–2.12) | 39 | 0.75 (0.47–1.22) | 11 | 0.75 (0.29–1.94) | 6 | 2.05 (0.25–17.01) |
13–24 | 20 | 0.91 (0.43–1.95) | 40 | 0.92 (0.57–1.49) | 7 | 0.57 (0.20–1.63) | – | – |
25–36 | 12 | 0.96 (0.42–2.23) | 22 | 0.93 (0.53–1.61) | 6 | 0.92 (0.31–2.73) | 1 | 1.01 (0.06–16.14) |
37–48 | 3 | 0.46 (0.13–1.68) | 16 | 1.32 (0.71–2.42) | 1 | 0.34 (0.04–2.77) | – | – |
CI, confidence interval; IRR, incidence rate ratio; N, number of fractures