Page last updated: 2024-10-22

alendronate and Renal Insufficiency, Chronic

alendronate has been researched along with Renal Insufficiency, Chronic in 13 studies

alendronic acid : A 1,1-bis(phosphonic acid) that is methanebis(phosphonic acid) in which the two methylene hydrogens are replaced by hydroxy and 3-aminopropyl groups.

Renal Insufficiency, Chronic: Conditions in which the KIDNEYS perform below the normal level for more than three months. Chronic kidney insufficiency is classified by five stages according to the decline in GLOMERULAR FILTRATION RATE and the degree of kidney damage (as measured by the level of PROTEINURIA). The most severe form is the end-stage renal disease (CHRONIC KIDNEY FAILURE). (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002)

Research Excerpts

ExcerptRelevanceReference
"Acidosis was induced for 14 days and alendronate was administered every 3 days for the acidosis+BPP group."5.91Administration of alendronate exacerbates ammonium chloride-induced acidosis in mice. ( Deymier, A; Moody, M; Schmidt, TA; Trivedi, R, 2023)
"A 10% increased risk of acute myocardial infarction was found in users of other bisphosphonates as compared to alendronate users within CPRD."5.22Comparative risk of acute myocardial infarction for anti-osteoporosis drugs in primary care: a meta-analysis of propensity-matched cohort findings from the UK Clinical Practice Research Database and the Catalan SIDIAP Database. ( Abrahamsen, B; Arden, N; Calderon-Larranaga, S; Cooper, C; Hawley, S; Javaid, MK; Judge, A; Khalid, S; Prieto-Alhambra, D; Sami, A; Van Staa, TP, 2022)
" In the present study, we aimed to examine the efficacy and safety of alendronate (ALN) and teriparatide (TPD) for treating bone disorder in late-stage CKD with pre-existing secondary hyperparathyroidism using a rat model of CKD."3.85Efficacy and safety of osteoporosis medications in a rat model of late-stage chronic kidney disease accompanied by secondary hyperparathyroidism and hyperphosphatemia. ( Hamano, H; Hiratsuka, S; Iwasaki, N; Kameda, Y; Kanehira, Y; Kimura-Suda, H; Ota, M; Sato, D; Shimizu, T; Takahata, M, 2017)
" Incidences of adverse events, asymptomatic decreases in serum calcium, and evolution of kidney function during the studies were similar across all baseline kidney function groups."3.11Efficacy and Safety of Romosozumab Among Postmenopausal Women With Osteoporosis and Mild-to-Moderate Chronic Kidney Disease. ( Adachi, JD; Albergaria, BH; Cheung, AM; Chines, AA; Gielen, E; Langdahl, BL; Miller, PD; Miyauchi, A; Oates, M; Reid, IR; Santiago, NR; Vanderkelen, M; Wang, Z; Yu, Z, 2022)
" We calculated the standard mean deviations with 95% confidence intervals (CI) for bone mineral density (BMD) and T scores after 6 and 12 months treatment, pooled odds ratio and 95% CI for fracture risk, and summarized adverse events."3.01Efficacy and safety of medications for osteoporosis in kidney transplant recipients or patients with chronic kidney disease: A meta-analysis. ( Leng, Y; Xia, Y; Yang, Y; Yu, X, 2023)
"Acidosis was induced for 14 days and alendronate was administered every 3 days for the acidosis+BPP group."1.91Administration of alendronate exacerbates ammonium chloride-induced acidosis in mice. ( Deymier, A; Moody, M; Schmidt, TA; Trivedi, R, 2023)
"Alendronate non-users were identified using incidence density sampling and matched groups were created using propensity scores."1.56Alendronate use and bone mineral density gains in women with moderate-severe (stages 3B-5) chronic kidney disease: an open cohort multivariable and propensity score analysis from Funen, Denmark. ( Ali, MS; Arden, NK; Ben-Shlomo, Y; Caskey, F; Cooper, C; Ernst, M; Hermann, AP; Javaid, MK; Judge, A; Nybo, M; Prieto-Alhambra, D; Robinson, DE; Rubin, KH, 2020)
"The efficacy and renal safety of low-dose/high-frequency (LDHF) dosing and high-dose/low-frequency (HDLF) dosing of bisphosphonates (BPs) are comparable in patients with normal kidney function but might be different in patients with late-stage chronic kidney disease (CKD)."1.56Comparison of the Efficacy and Renal Safety of Bisphosphonate Between Low-Dose/High-Frequency and High-Dose/Low-Frequency Regimens in a Late-Stage Chronic Kidney Disease Rat Model. ( Fujita, R; Iwasaki, N; Kimura-Suda, H; Kobayashi, H; Nakamura, F; Nakazawa, D; Ota, M; Sato, D; Shimizu, T; Takahata, M, 2020)
"To review the product information (PI) for various brands of the same generic drugs and investigate the extent to which information is currently available on dosing in renal impairment and the concordance between the dosing recommendations for the same generic drug."1.40Renal drug dosing recommendations: evaluation of product information for brands of the same drug. ( Castelino, RL; Jose, MD; Khanal, A; Peterson, GM, 2014)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (7.69)29.6817
2010's4 (30.77)24.3611
2020's8 (61.54)2.80

Authors

AuthorsStudies
Khalid, S1
Calderon-Larranaga, S1
Sami, A1
Hawley, S1
Judge, A2
Arden, N1
Van Staa, TP1
Cooper, C2
Abrahamsen, B1
Javaid, MK2
Prieto-Alhambra, D2
Miller, PD1
Adachi, JD1
Albergaria, BH1
Cheung, AM1
Chines, AA1
Gielen, E1
Langdahl, BL1
Miyauchi, A1
Oates, M1
Reid, IR1
Santiago, NR1
Vanderkelen, M1
Wang, Z1
Yu, Z1
Leng, Y1
Yu, X1
Yang, Y1
Xia, Y1
Moody, M1
Schmidt, TA1
Trivedi, R1
Deymier, A1
Harata, S1
Kasukawa, Y1
Nozaka, K1
Tsuchie, H1
Shoji, R1
Igarashi, S1
Kasama, F1
Oya, K1
Okamoto, K1
Miyakoshi, N1
Ali, MS1
Ernst, M1
Robinson, DE1
Caskey, F1
Arden, NK1
Ben-Shlomo, Y1
Nybo, M1
Rubin, KH1
Hermann, AP1
Fujita, R1
Ota, M2
Sato, D2
Nakazawa, D1
Kimura-Suda, H2
Nakamura, F1
Shimizu, T2
Kobayashi, H1
Iwasaki, N2
Takahata, M2
Hildebrand, S1
Cunningham, J1
Aggarwal, HK1
Jain, D1
Chhabra, P1
Yadav, RK1
Khanal, A1
Peterson, GM1
Castelino, RL1
Jose, MD1
Kanehira, Y1
Kameda, Y1
Hamano, H1
Hiratsuka, S1
Rosen, H1
Yamamoto, S1
Suzuki, A1
Sasaki, H1
Sekiguchi-Ueda, S1
Asano, S1
Shibata, M1
Hayakawa, N1
Hashimoto, S1
Hoshinaga, K1
Itoh, M1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Multicenter, International, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Assess the Efficacy and Safety of Romosozumab Treatment in Postmenopausal Women With Osteoporosis[NCT01575834]Phase 37,180 participants (Actual)Interventional2012-03-15Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percent Change From Baseline in Bone Mineral Density at the Lumbar Spine at Month 12

Bone mineral density (BMD) was measured by dual-energy x-ray absorptiometry (DXA). DXA scans were analyzed by a central imaging center. (NCT01575834)
Timeframe: Baseline and Month 12

Interventionpercent change (Least Squares Mean)
Placebo0.4
Romosozumab13.1

Percent Change From Baseline In Bone Mineral Density at the Lumbar Spine at Month 24

Bone mineral density (BMD) was measured by dual-energy x-ray absorptiometry (DXA). DXA scans were analyzed by a central imaging center. (NCT01575834)
Timeframe: Baseline and Month 24

Interventionpercent change (Least Squares Mean)
Placebo/Denosumab5.5
Romosozumab/Denosumab16.6

Percent Change From Baseline in Bone Mineral Density of the Femoral Neck at Month 12

Bone mineral density (BMD) was measured by dual-energy x-ray absorptiometry (DXA). DXA scans were analyzed by a central imaging center. (NCT01575834)
Timeframe: Baseline and Month 12

Interventionpercent change (Least Squares Mean)
Placebo0.3
Romosozumab5.5

Percent Change From Baseline in Bone Mineral Density of the Femoral Neck at Month 24

Bone mineral density (BMD) was measured by dual-energy x-ray absorptiometry (DXA). DXA scans were analyzed by a central imaging center. (NCT01575834)
Timeframe: Baseline and Month 24

Interventionpercent change (Least Squares Mean)
Placebo/Denosumab2.3
Romosozumab/Denosumab7.3

Percent Change From Baseline in Bone Mineral Density of the Total Hip at Month 12

Bone mineral density (BMD) was measured by dual-energy x-ray absorptiometry (DXA). DXA scans were analyzed by a central imaging center. (NCT01575834)
Timeframe: Baseline and Month 12

Interventionpercent change (Least Squares Mean)
Placebo0.3
Romosozumab6.0

Percent Change From Baseline in Bone Mineral Density of the Total Hip at Month 24

Bone mineral density (BMD) was measured by dual-energy x-ray absorptiometry (DXA). DXA scans were analyzed by a central imaging center. (NCT01575834)
Timeframe: Baseline and Month 24

Interventionpercent change (Least Squares Mean)
Placebo/Denosumab3.2
Romosozumab/Denosumab8.5

Percentage of Participants With a Clinical Fracture Through Month 12

Clinical fractures included clinical vertebral and nonvertebral fractures (excluding skull, facial, mandible, cervical vertebrae, thoracic vertebrae, lumbar vertebrae, metacarpus, finger phalanges, and toe phalanges) that were associated with signs and/or symptoms indicative of a fracture. Clinical vertebral fractures were included regardless of trauma severity or pathologic fractures; nonvertebral fractures associated with high trauma severity or pathologic fractures were excluded. (NCT01575834)
Timeframe: 12 Months

Interventionpercentage of participants (Number)
Placebo2.5
Romosozumab1.6

Percentage of Participants With a Clinical Fracture Through Month 24

Clinical fractures included clinical vertebral and nonvertebral fractures (excluding skull, facial, mandible, cervical vertebrae, thoracic vertebrae, lumbar vertebrae, metacarpus, finger phalanges, and toe phalanges) that were associated with signs and/or symptoms indicative of a fracture. Clinical vertebral fractures were included regardless of trauma severity or pathologic fractures; nonvertebral fractures associated with high trauma severity or pathologic fractures were excluded. (NCT01575834)
Timeframe: 24 Months

Interventionpercentage of participants (Number)
Placebo/Denosumab4.1
Romosozumab/Denosumab2.8

Percentage of Participants With a Hip Fracture Through Month 12

Hip fractures were defined as a subset of nonvertebral fractures including fractures of the femur neck, femur intertrochanter, and femur subtrochanter. (NCT01575834)
Timeframe: 12 Months

Interventionpercentage of participants (Number)
Placebo0.4
Romosozumab0.2

Percentage of Participants With a Hip Fracture Through Month 24

Hip fractures were defined as a subset of nonvertebral fractures including fractures of the femur neck, femur intertrochanter, and femur subtrochanter. (NCT01575834)
Timeframe: 24 Months

Interventionpercentage of participants (Number)
Placebo/Denosumab0.6
Romosozumab/Denosumab0.3

Percentage of Participants With a Major Nonvertebral Fracture Through Month 12

A major nonvertebral fracture was a subset of nonvertebral fractures including pelvis, distal femur (ie, femur excluding hip), proximal tibia (ie, tibia excluding ankle), ribs, proximal humerus (ie, humerus excluding elbow), forearm, and hip. (NCT01575834)
Timeframe: 12 Months

Interventionpercentage of participants (Number)
Placebo1.5
Romosozumab1.0

Percentage of Participants With a Major Nonvertebral Fracture Through Month 24

A major nonvertebral fracture was a subset of nonvertebral fractures including pelvis, distal femur (ie, femur excluding hip), proximal tibia (ie, tibia excluding ankle), ribs, proximal humerus (ie, humerus excluding elbow), forearm, and hip. (NCT01575834)
Timeframe: 24 Months

Interventionpercentage of participants (Number)
Placebo/Denosumab2.8
Romosozumab/Denosumab1.9

Percentage of Participants With a Major Osteoporotic Fracture Through Month 12

Major osteoporotic fractures included clinical vertebral fractures and fractures of the hip, forearm and humerus. Fractures associated with high trauma severity or pathologic fractures were excluded. (NCT01575834)
Timeframe: 12 Months

Interventionpercentage of participants (Number)
Placebo1.8
Romosozumab1.1

Percentage of Participants With a Major Osteoporotic Fracture Through Month 24

Major osteoporotic fractures included clinical vertebral fractures and fractures of the hip, forearm and humerus. Fractures associated with high trauma severity or pathologic fractures were excluded. (NCT01575834)
Timeframe: 24 Months

Interventionpercentage of participants (Number)
Placebo/Denosumab3.1
Romosozumab/Denosumab1.9

Percentage of Participants With a New or Worsening Vertebral Fracture Through Month 12

A new or worsening vertebral fracture was identified when there was a ≥ 1 grade increase from the previous grade in any vertebra from T4 to L4. (NCT01575834)
Timeframe: 12 Months

Interventionpercentage of participants (Number)
Placebo1.8
Romosozumab0.5

Percentage of Participants With a New or Worsening Vertebral Fracture Through Month 24

A new or worsening vertebral fracture was identified when there was a ≥ 1 grade increase from the previous grade in any vertebra from T4 to L4. (NCT01575834)
Timeframe: 24 Months

Interventionpercentage of participants (Number)
Placebo/Denosumab2.5
Romosozumab/Denosumab0.7

Percentage of Participants With a Nonvertebral Fracture Through Month 12

A nonvertebral fracture was defined as a fracture present on a copy of radiographs or other diagnostic images such as computerized tomography (CT) or magnetic resonance imaging confirming the fracture within 14 days of reported fracture image date recorded by the study site, and/or documented in a copy of the radiology report, surgical report, or discharge summary, excluding skull, facial, mandible, cervical vertebrae, thoracic vertebrae, lumbar vertebrae, metacarpus, finger phalanges, and toe phalanges. In addition, fractures associated with high trauma severity or pathologic fractures were excluded. (NCT01575834)
Timeframe: 12 Months

Interventionpercentage of participants (Number)
Placebo2.1
Romosozumab1.6

Percentage of Participants With a Nonvertebral Fracture Through Month 24

A nonvertebral fracture was defined as a fracture present on a copy of radiographs or other diagnostic images such as computerized tomography (CT) or magnetic resonance imaging confirming the fracture within 14 days of reported fracture image date as recorded by the study site, and/or documented in a copy of the radiology report, surgical report, or discharge summary, excluding skull, facial, mandible, cervical vertebrae, thoracic vertebrae, lumbar vertebrae, metacarpus, finger phalanges, and toe phalanges. In addition, fractures associated with high trauma severity or pathologic fractures were excluded. (NCT01575834)
Timeframe: 24 Months

Interventionpercentage of participants (Number)
Placebo/Denosumab3.6
Romosozumab/Denosumab2.7

Percentage of Participants With Multiple New or Worsening Vertebral Fractures Through Month 12

A new or worsening vertebral fracture was identified when there was a ≥ 1 grade increase from the previous grade in any vertebra from T4 to L4. A participant had multiple new or worsening vertebral fractures when there were ≥ 2 vertebrae from T4 to L4 with ≥ 1 grade increase from the previous grade. The multiple new or worsening vertebral fractures need not have occurred at the same visit. (NCT01575834)
Timeframe: 12 Months

Interventionpercentage of participants (Number)
Placebo0.3
Romosozumab0.03

Percentage of Participants With Multiple New or Worsening Vertebral Fractures Through Month 24

A new or worsening vertebral fracture was identified when there was a ≥ 1 grade increase from the previous grade in any vertebra from T4 to L4. A participant had multiple new or worsening vertebral fractures when there were ≥ 2 vertebrae from T4 to L4 with ≥ 1 grade increase from the previous grade. The multiple new or worsening vertebral fractures need not have occurred at the same visit. (NCT01575834)
Timeframe: 24 Months

Interventionpercentage of participants (Number)
Placebo/Denosumab0.5
Romosozumab/Denosumab0.03

Percentage of Participants With New Vertebral Fracture Through Month 12

"New vertebral fractures occurred when there was ≥ 1 grade increase from the previous grade of 0 in any vertebra from T4 to L4 using the Genant semiquantitative scoring method.~The Genant semiquantitative scoring method was based on assessment of x-rays according to the following scale:~Grade 0 (Normal) = no fracture;~Grade 1 (Mild) = mild fracture, 20 to 25% reduction in vertebral height (anterior, middle, or posterior);~Grade 2 (Moderate) = moderate fracture, 25 to 40% reduction in anterior, middle, and/or posterior height;~Grade 3 (Severe) = severe fracture, greater than 40% reduction in anterior, middle, and/or posterior height." (NCT01575834)
Timeframe: 12 Months

Interventionpercentage of participants (Number)
Placebo1.8
Romosozumab0.5

Percentage of Participants With New Vertebral Fracture Through Month 24

"New vertebral fractures occurred when there was ≥ 1 grade increase from the previous grade of 0 in any vertebra from T4 to L4 using the Genant semiquantitative scoring method.~The Genant semiquantitative scoring method was based on assessment of x-rays according to the following scale:~Grade 0 (Normal) = no fracture;~Grade 1 (Mild) = mild fracture, 20 to 25% reduction in vertebral height (anterior, middle, or posterior);~Grade 2 (Moderate) = moderate fracture, 25 to 40% reduction in anterior, middle, and/or posterior height;~Grade 3 (Severe) = severe fracture, greater than 40% reduction in anterior, middle, and/or posterior height." (NCT01575834)
Timeframe: 24 months

Interventionpercentage of participants (Number)
Placebo/Denosumab2.5
Romosozumab/Denosumab0.6

Reviews

2 reviews available for alendronate and Renal Insufficiency, Chronic

ArticleYear
Comparative risk of acute myocardial infarction for anti-osteoporosis drugs in primary care: a meta-analysis of propensity-matched cohort findings from the UK Clinical Practice Research Database and the Catalan SIDIAP Database.
    Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2022, Volume: 33, Issue:7

    Topics: Alendronate; Bone Density Conservation Agents; Cohort Studies; Databases, Factual; Diabetes Mellitus

2022
Efficacy and safety of medications for osteoporosis in kidney transplant recipients or patients with chronic kidney disease: A meta-analysis.
    Journal of investigative medicine : the official publication of the American Federation for Clinical Research, 2023, Volume: 71, Issue:7

    Topics: Adult; Alendronate; Bone Density; Bone Density Conservation Agents; Diphosphonates; Fractures, Bone;

2023

Trials

3 trials available for alendronate and Renal Insufficiency, Chronic

ArticleYear
Efficacy and Safety of Romosozumab Among Postmenopausal Women With Osteoporosis and Mild-to-Moderate Chronic Kidney Disease.
    Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2022, Volume: 37, Issue:8

    Topics: Alendronate; Antibodies, Monoclonal; Bone Density; Bone Density Conservation Agents; Female; Femur N

2022
Effects of Short Term Alendronate Administration on Bone Mineral Density in Patients with Chronic Kidney Disease.
    Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki), 2018, Jul-01, Volume: 39, Issue:1

    Topics: Adult; Aged; Alendronate; Bone Density; Bone Density Conservation Agents; Dose-Response Relationship

2018
Oral alendronate can suppress bone turnover but not fracture in kidney transplantation recipients with hyperparathyroidism and chronic kidney disease.
    Journal of bone and mineral metabolism, 2013, Volume: 31, Issue:1

    Topics: Adult; Alendronate; Alkaline Phosphatase; Bone Density Conservation Agents; Bone Remodeling; Collage

2013

Other Studies

8 other studies available for alendronate and Renal Insufficiency, Chronic

ArticleYear
Administration of alendronate exacerbates ammonium chloride-induced acidosis in mice.
    PloS one, 2023, Volume: 18, Issue:9

    Topics: Acidosis; Alendronate; Ammonium Chloride; Animals; Diphosphonates; Mice; Osteolysis; Renal Insuffici

2023
Effects of bisphosphonates and treadmill exercise on bone and kidney in adenine-induced chronic kidney disease rats.
    Journal of bone and mineral metabolism, 2023, Volume: 41, Issue:6

    Topics: Aged; Alendronate; Animals; Bone Density; Bone Density Conservation Agents; Diphosphonates; Fibrosis

2023
Alendronate use and bone mineral density gains in women with moderate-severe (stages 3B-5) chronic kidney disease: an open cohort multivariable and propensity score analysis from Funen, Denmark.
    Archives of osteoporosis, 2020, 06-01, Volume: 15, Issue:1

    Topics: Alendronate; Bone Density; Bone Density Conservation Agents; Denmark; Female; Humans; Propensity Sco

2020
Comparison of the Efficacy and Renal Safety of Bisphosphonate Between Low-Dose/High-Frequency and High-Dose/Low-Frequency Regimens in a Late-Stage Chronic Kidney Disease Rat Model.
    Calcified tissue international, 2020, Volume: 107, Issue:4

    Topics: Alendronate; Animals; Bone Density; Bone Density Conservation Agents; Bone Remodeling; Humans; Kidne

2020
Is there a role for bisphosphonates in vascular calcification in chronic kidney disease?
    Bone, 2021, Volume: 142

    Topics: Alendronate; Diphosphonates; Female; Humans; Ibandronic Acid; Renal Insufficiency, Chronic; Vascular

2021
Renal drug dosing recommendations: evaluation of product information for brands of the same drug.
    Internal medicine journal, 2014, Volume: 44, Issue:6

    Topics: Administration, Oral; Alendronate; Cardiovascular Agents; Central Nervous System Agents; Contraindic

2014
Efficacy and safety of osteoporosis medications in a rat model of late-stage chronic kidney disease accompanied by secondary hyperparathyroidism and hyperphosphatemia.
    Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2017, Volume: 28, Issue:4

    Topics: Alendronate; Animals; Bone Density Conservation Agents; Bone Remodeling; Disease Models, Animal; Dru

2017
Review of comparative effectiveness of treatments to prevent fractures.
    Annals of internal medicine, 2008, Jun-03, Volume: 148, Issue:11

    Topics: Alendronate; Bone Density Conservation Agents; Fractures, Bone; Humans; Osteoporosis; Renal Insuffic

2008