title: The efficacy and safety of calcitriol and/or Caltrate D in elderly Chinese women with low bone mass.
abstract: OBJECTIVE
  To observe the efficacy and safety of Rocaltrol (calcitriol) and/or Caltrate D (calicum carbonate plus vitamin D) in elderly Chinese women with osteopenia or osteoporosis.
  
  
  METHODS
  One hundred fifty Chinese women aged over 65 years with osteopenia or osteoporosis from three centers were randomly divided into two groups. Seventy-six participants received Caltrate D as one pill daily; the other 74 participants received 0.25 mug Caltrate D plus Rocaltrol daily. The changes in bone mineral density (BMD) served as primary end-points. Height changes, the presence of new vertebral fractures, muscle strength and balance were evaluated.
  
  
  RESULTS
  The following are the mean percentage changes (and SD) in BMD over 12 months: at L2-L4, 0.83+/-3.88 in the Caltrate D group and 2.84+/-4.04 in the Rocaltrol+Caltrate D group (P=0.003, by ANCOVA); at the femoral neck, 0.04+/-3.94 in the Caltrate D group and 2.01+/-5.45 in the Rocaltrol+Caltrate D group (P=0.085, by ANCOVA); and in the trochanter, 1.59+/-4.57 in the Caltrate D group and 3.76+/-6.25 in the Rocaltrol+Caltrate D group (P=0.053, by ANCOVA). The stand and maximal forward reach test (SMFRT) was significantly enhanced in both groups during the 12 months of treatment, but no significant differences were found between these two groups. No severe adverse event related to these medications occurred throughout the study.
  
  
  CONCLUSIONS
  Treatment with Rocaltrol plus Caltrate D or Caltrate D for 12 months in elderly Chinese postmenopausal women effectively increased BMD at the lumbar spine. Rocaltrol plus Caltrate D was more effective at the lumbar spine than Caltrate D alone.
authors.affiliation: Department of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
authors.forename: Wei-bo
authors.initials: WB
authors.lastname: Xia
authors.forename: Zhong-lan
authors.initials: ZL
authors.lastname: Zhang
authors.forename: Hong-fu
authors.initials: HF
authors.lastname: Wang
authors.forename: Xun-wu
authors.initials: XW
authors.lastname: Meng
authors.forename: Ying
authors.initials: Y
authors.lastname: Zhang
authors.forename: Guo-ying
authors.initials: GY
authors.lastname: Zhu
authors.forename: Xiao-ping
authors.initials: XP
authors.lastname: Xing
authors.forename: Jian-li
authors.initials: JL
authors.lastname: Liu
authors.forename: Li-hua
authors.initials: LH
authors.lastname: Wang
authors.forename: Yan
authors.initials: Y
authors.lastname: Jiang
authors.forename: Shi-fang
authors.initials: SF
authors.lastname: Weng
authors.forename: Tao
authors.initials: T
authors.lastname: Xu
authors.forename: Ying-ying
authors.initials: YY
authors.lastname: Hu
authors.forename: Wei
authors.initials: W
authors.lastname: Yu
authors.forename: Jun-ping
authors.initials: JP
authors.lastname: Tian
mesh_terms: D000368:Aged; D044466:Asian People; D015519:Bone Density; D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D002117:Calcitriol / Q000627:therapeutic use*; D002119:Calcium Carbonate / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D010024:Osteoporosis / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D010919:Placebos; D011859:Radiography; D016103:Spinal Fractures / Q000188:drug therapy / Q000209:etiology; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D014807:Vitamin D / Q000627:therapeutic use*
chemical_list: D050071:Bone Density Conservation Agents; D010919:Placebos; D014807:Vitamin D; D002117:Calcitriol; D002119:Calcium Carbonate