title: Effects of ospemifene and raloxifene on biochemical markers of bone turnover in postmenopausal women.
abstract: Ospemifene is a novel selective estrogen receptor modulator (SERM) that is initially being developed for the treatment of vaginal atrophy in postmenopausal women. However, it also shows promise in the prevention and treatment of osteoporosis. As a part of a phase II trial, we compared the effects of ospemifene and raloxifene on bone turnover in postmenopausal women. The study was conducted as a randomized, double-blind study in which 118 healthy postmenopausal women received 30 (n = 29), 60 (n = 30), or 90 mg (n = 30) ospemifene or 60 mg (n = 29) raloxifene for 3 months. Bone resorption was assessed by measuring the urinary outputs of N- and C-terminal cross-linking telopeptides of type I collagen (NTX and CTX, respectively). Bone formation was assessed by measuring bone-specific alkaline phosphatase (bone ALP), osteocalcin (OC), procollagen type I N propeptide (PINP), and procollagen type I C propeptide (PICP) in serum. All markers were studied before and at 3 months and 2-4 weeks after cessation of the medication. Urine NTX outputs decreased in all study groups, and the only statistically significant difference in NTX was observed between raloxifene and 30 mg ospemifene, which was reduced more in the raloxifene group. The output of CTX decreased most clearly in 60- and 90-mg ospemifene groups, but no significant differences between study groups emerged. A significant difference was found between the 90-mg ospemifene group and raloxifene in PINP in favor of ospemifene. No other differences in bone formation markers emerged between ospemifene and raloxifene. The study confirms the bone-restoring activity of ospemifene, which is comparable to that of raloxifene.
authors.affiliation: Hormos Medical Corporation, Turku, Finland.
authors.forename: Janne
authors.initials: J
authors.lastname: Komi
authors.forename: Kari S
authors.initials: KS
authors.lastname: Lankinen
authors.forename: Michael
authors.initials: M
authors.lastname: DeGregorio
authors.forename: Jorma
authors.initials: J
authors.lastname: Heikkinen
authors.forename: Seppo
authors.initials: S
authors.lastname: Saarikoski
authors.forename: Marjo
authors.initials: M
authors.lastname: Tuppurainen
authors.forename: Kaija
authors.initials: K
authors.lastname: Halonen
authors.forename: Risto
authors.initials: R
authors.lastname: Lammintausta
authors.forename: Kalervo
authors.initials: K
authors.lastname: Väänänen
authors.forename: Olavi
authors.initials: O
authors.lastname: Ylikorkala
authors.forename: Risto
authors.initials: R
authors.lastname: Erkkola
mesh_terms: D015415:Biomarkers / Q000378:metabolism; D016723:Bone Remodeling / Q000187:drug effects* / Q000502:physiology; D003094:Collagen / Q000652:urine; D004311:Double-Blind Method; D005260:Female; D005387:Finland; D006801:Humans; D015663:Osteoporosis, Postmenopausal / Q000188:drug therapy; D017698:Postmenopause / Q000378:metabolism*; D020849:Raloxifene Hydrochloride / Q000494:pharmacology*; D013629:Tamoxifen / Q000031:analogs & derivatives* / Q000494:pharmacology
chemical_list: D015415:Biomarkers; D013629:Tamoxifen; D020849:Raloxifene Hydrochloride; D003094:Collagen; C119141:Ospemifene