Table 3.
Month | csDMARDs plus denosumab (N = 21) |
csDMARD therapy alone (N = 22) |
Difference (csDMARDs plus denosumab − csDMARD therapy alone) | |||
---|---|---|---|---|---|---|
n | Adjusted mean [95% CI] | n | Adjusted mean [95% CI] | Adjusted mean [95% CI] P value |
||
vBMD of the 2–3 metacarpal heads, % | 6 | 42 | 4.57 [2.12, 7.03] | 44 | 2.17 [− 0.39, 4.74] |
2.40 [− 0.29, 5.10] P = 0.0791 |
12 | 38 | 6.90 [4.37, 9.43] | 42 | 2.87 [0.29, 5.45] |
4.03 [1.28, 6.78] P = 0.0049 |
|
BV/TV of the 2–3 metacarpal heads, % | 6 | 42 | 3.88 [1.98, 5.77] | 44 | 1.77 [− 0.21, 3.76] |
2.11 [0.03, 4.19] P = 0.0473 |
12 | 38 | 5.41 [3.45, 7.36] | 42 | 2.31 [0.31, 4.31] |
3.10 [0.97, 5.22] P = 0.0050 |
|
Tb.Th of the 2–3 metacarpal heads, % | 6 | 42 | 1.51 [0.24, 2.78] | 44 | 0.51 [– 0.81, 1.83] |
1.00 [− 0.47, 2.46] P = 0.1799 |
12 | 38 | 2.37 [1.02, 3.71] | 42 | 0.80 [− 0.53, 2.12] |
1.57 [0.06, 3.09] P = 0.0421 |
|
Tb.Sp of the 2–3 metacarpal heads, % | 6 | 42 | − 2.46 [− 5.89, 0.98] | 44 | 0.38 [− 3.15, 3.92] |
− 2.84 [− 6.67, 0.99] P = 0.1431 |
12 | 38 | − 2.18 [− 5.78, 1.41] | 42 | 1.95 [− 1.61, 5.51] |
− 4.14 [− 8.07, − 0.20] P = 0.0397 |
Data are shown as adjusted mean [95% CI] unless otherwise indicated
n is the number of joints evaluated
For adjusted mean, a linear mixed effect model analysis was performed using treatment group, sex, anti-CCP antibody (positive vs negative), baseline DAS28-ESR, measurement time point, and the interaction between the treatment group and measurement time point as fixed effects; patients as random effects; and baseline values as covariates
BV/TV trabecular bone volume fraction, CCP cyclic citrullinated peptide, CI confidence interval, csDMARD conventional synthetic disease-modifying anti-rheumatic drug, DAS28-ESR Disease Activity Score in 28 joints for rheumatoid arthritis with erythrocyte sedimentation rate, HR-pQCT high-resolution peripheral quantitative computed tomography, Tb.Sp trabecular separation, Tb.Th trabecular thickness, vBMD volumetric bone mineral density