Page last updated: 2024-11-07

prednisone and Bone Fractures

prednisone has been researched along with Bone Fractures in 51 studies

Prednisone: A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.
prednisone : A synthetic glucocorticoid drug that is particularly effective as an immunosuppressant, and affects virtually all of the immune system. Prednisone is a prodrug that is converted by the liver into prednisolone (a beta-hydroxy group instead of the oxo group at position 11), which is the active drug and also a steroid.

Research Excerpts

ExcerptRelevanceReference
"The addition of radium-223 to abiraterone acetate plus prednisone or prednisolone did not improve symptomatic skeletal event-free survival in patients with castration-resistant prostate cancer and bone metastases, and was associated with an increased frequency of bone fractures compared with placebo."9.30Addition of radium-223 to abiraterone acetate and prednisone or prednisolone in patients with castration-resistant prostate cancer and bone metastases (ERA 223): a randomised, double-blind, placebo-controlled, phase 3 trial. ( Boegemann, M; Heidenreich, A; Higano, C; Kakehi, Y; Karyakin, O; Kimura, G; Krissel, H; Matsubara, N; Matveev, V; Miller, K; Nahas, WC; Ng, QS; Nolè, F; Parker, C; Piulats, JM; Rosenbaum, E; Saad, F; Shen, J; Smith, M; Teufel, M; Tombal, B; Wagner, V; Zhang, A; Zucca, LE, 2019)
"Prednisone, 10 mg/d, provides clinical benefit, particularly in the first 6 months, and substantially inhibits progression of radiologic joint damage in patients with early active rheumatoid arthritis and no previous treatment with disease-modifying antirheumatic drugs."9.10Low-dose prednisone therapy for patients with early active rheumatoid arthritis: clinical efficacy, disease-modifying properties, and side effects: a randomized, double-blind, placebo-controlled clinical trial. ( Bijlsma, JW; Jacobs, JW; Siewertsz Van Reesema, DR; van Everdingen, AA, 2002)
"Prednisone is frequently used in the treatment of elderly-onset rheumatoid arthritis (RA), but the balance between efficacy and toxicity, including the effect on bone mass, has not been investigated in long-term studies."9.08Prednisone treatment of elderly-onset rheumatoid arthritis. Disease activity and bone mass in comparison with chloroquine treatment. ( Breedveld, FC; Dijkmans, BA; Han, KH; Papapoulos, S; Pauwels, EK; Valkema, R; van Schaardenburg, D; Zwinderman, AH, 1995)
"To determine the longterm outcome including disease activity, mortality, and adverse events in patients with rheumatoid arthritis (RA) treated with prednisone."7.69Outcome in patients with rheumatoid arthritis receiving prednisone compared to matched controls. ( Haga, M; McDougall, R; Russell, A; Sibley, J, 1994)
"Background."5.43Early Treatment of Acute Complex Regional Pain Syndrome after Fracture or Injury with Prednisone: Why Is There a Failure to Treat? A Case Series. ( Winston, P, 2016)
"The addition of radium-223 to abiraterone acetate plus prednisone or prednisolone did not improve symptomatic skeletal event-free survival in patients with castration-resistant prostate cancer and bone metastases, and was associated with an increased frequency of bone fractures compared with placebo."5.30Addition of radium-223 to abiraterone acetate and prednisone or prednisolone in patients with castration-resistant prostate cancer and bone metastases (ERA 223): a randomised, double-blind, placebo-controlled, phase 3 trial. ( Boegemann, M; Heidenreich, A; Higano, C; Kakehi, Y; Karyakin, O; Kimura, G; Krissel, H; Matsubara, N; Matveev, V; Miller, K; Nahas, WC; Ng, QS; Nolè, F; Parker, C; Piulats, JM; Rosenbaum, E; Saad, F; Shen, J; Smith, M; Teufel, M; Tombal, B; Wagner, V; Zhang, A; Zucca, LE, 2019)
"Prednisone, 10 mg/d, provides clinical benefit, particularly in the first 6 months, and substantially inhibits progression of radiologic joint damage in patients with early active rheumatoid arthritis and no previous treatment with disease-modifying antirheumatic drugs."5.10Low-dose prednisone therapy for patients with early active rheumatoid arthritis: clinical efficacy, disease-modifying properties, and side effects: a randomized, double-blind, placebo-controlled clinical trial. ( Bijlsma, JW; Jacobs, JW; Siewertsz Van Reesema, DR; van Everdingen, AA, 2002)
"Prednisone is frequently used in the treatment of elderly-onset rheumatoid arthritis (RA), but the balance between efficacy and toxicity, including the effect on bone mass, has not been investigated in long-term studies."5.08Prednisone treatment of elderly-onset rheumatoid arthritis. Disease activity and bone mass in comparison with chloroquine treatment. ( Breedveld, FC; Dijkmans, BA; Han, KH; Papapoulos, S; Pauwels, EK; Valkema, R; van Schaardenburg, D; Zwinderman, AH, 1995)
"To determine the longterm outcome including disease activity, mortality, and adverse events in patients with rheumatoid arthritis (RA) treated with prednisone."3.69Outcome in patients with rheumatoid arthritis receiving prednisone compared to matched controls. ( Haga, M; McDougall, R; Russell, A; Sibley, J, 1994)
" Multivariate analyses identified the following factors to be associated with fracturing: years taking prednisone, previous diagnosis of osteoporosis, disability, age, lack of physical activity, female sex, disease duration, impaired grip strength, and low body mass."3.68Fractures in rheumatoid arthritis: an evaluation of associated risk factors. ( Bloch, DA; Fries, JF; Michel, BA; Wolfe, F, 1993)
"Patients with Cushing's syndrome have a high prevalence of osteoporotic fractures."2.73Cushing's syndrome and bone mineral density: lowest Z scores in young patients. ( den Heijer, M; Hermus, AR; Oyen, WJ; van der Eerden, AW, 2007)
" Bone loss occurs early after the initiation of corticosteroid therapy and is correlated to dosage and treatment duration."2.49[Corticosteroid-induced osteoporosis]. ( Briot, K; Roux, C, 2013)
"GC stimulates osteoclast-mediated bone resorption and reduces osteoblast-mediated bone formation, which results in increased overall net bone resorption."2.47Adverse effects of corticosteroids on bone metabolism: a review. ( Mitra, R, 2011)
" Although daily glucocorticoid therapy has been shown to extend ambulatory function in DMD, less frequent dosing is often used because of side effect concerns."1.46Long-Term Outcome of Interdisciplinary Management of Patients with Duchenne Muscular Dystrophy Receiving Daily Glucocorticoid Treatment. ( Jefferies, JL; McMahon, MA; Rutter, MM; Rybalsky, I; Sawnani, H; Shellenbarger, KC; Tian, C; Wong, BL, 2017)
" Cox's proportional hazards models estimated fracture risk adjusted for demographics and baseline clinical characteristics to assess dose-response relationships with current (daily) and prior (cumulative) dose, and by time since discontinuation."1.43Glucocorticoid exposure and fracture risk in patients with new-onset rheumatoid arthritis. ( Adler, RA; Balasubramanian, A; Curtis, JR; Lin, CJF; Maricic, M; O'Malley, CD; Saag, K; Wade, SW, 2016)
"Background."1.43Early Treatment of Acute Complex Regional Pain Syndrome after Fracture or Injury with Prednisone: Why Is There a Failure to Treat? A Case Series. ( Winston, P, 2016)
" In RA, the risk of combined fractures was associated with an average daily dosage of prednisone equivalents >10 mg/day at baseline compared with no glucocorticoid (HR 1."1.39Initiation of tumor necrosis factor α antagonists and risk of fractures in patients with selected rheumatic and autoimmune diseases. ( Arbogast, PG; Chen, L; Curtis, JR; Delzell, E; Griffin, MR; Grijalva, CG; Herrinton, L; Kawai, VK; Liu, L; Mitchell, EF; Ouellet-Hellstrom, R; Solomon, DH; Stein, CM, 2013)
" The dosage of glucocorticoids was higher among women than men (11."1.36Glucocorticoid-related osteoporotic fractures. ( Al-Elq, AH; Al-Omran, AS; Al-Osail, AM; Azzam, Q; Sadat-Ali, M, 2010)
"Prednisone was started during the ambulant phase at age 3."1.35Prednisone 10 days on/10 days off in patients with Duchenne muscular dystrophy. ( de Groot, IJ; Overweg-Plandsoen, WC; Straathof, CS; van den Burg, GJ; van der Kooi, AJ; Verschuuren, JJ, 2009)
"Oral prednisolone/prednisone was associated with a dose-dependent increase in fracture risk starting from a dose of around 6."1.35Fracture risk associated with different types of oral corticosteroids and effect of termination of corticosteroids on the risk of fractures. ( Mosekilde, L; Rejnmark, L; Vestergaard, P, 2008)
" Although arthroplasty is safe in the general population, its safety in liver transplant recipients is unclear."1.32The safety and outcome of joint replacement surgery in liver transplant recipients. ( Cohen, SM; Levitsky, J; Te, HS, 2003)
"Satoyoshi syndrome is a rare disorder of unknown etiology characterized by progressive, painful intermittent muscle spasms, severe skeletal abnormalities mimicking a skeletal dysplasia, malabsorption, alopecia, and amenorrhea."1.30Radiological and orthopedic abnormalities in Satoyoshi syndrome. ( Ehlayel, MS; Haymon, M; Lacassie, Y; Willis, RB, 1997)

Research

Studies (51)

TimeframeStudies, this research(%)All Research%
pre-199011 (21.57)18.7374
1990's9 (17.65)18.2507
2000's10 (19.61)29.6817
2010's16 (31.37)24.3611
2020's5 (9.80)2.80

Authors

AuthorsStudies
Wang, MH1
Dai, JD1
Zhang, XM1
Zhao, JG1
Sun, GX1
Zeng, YH1
Zeng, H2
Xu, NW1
Shen, PF1
Adami, G1
Fassio, A1
Rossini, M1
Benini, C1
Pistillo, F1
Viapiana, O1
Bertelle, D1
Gatti, D1
Matsubara, N2
Kimura, G2
Uemura, H2
Nakamura, M1
Nagamori, S1
Mizokami, A1
Kikukawa, H1
Hosono, M1
Kinuya, S1
Krissel, H2
Siegel, J1
Kakehi, Y2
Roubille, C1
Coffy, A1
Rincheval, N1
Dougados, M1
Flipo, RM1
Daurès, JP1
Combe, B1
Nozawa, T1
Bell-Peter, A1
Doria, AS1
Marcuz, JA1
Stimec, J1
Whitney, K1
Feldman, BM1
Gourd, E1
Liu, Y1
Jia, Z1
Akhter, MP1
Gao, X1
Wang, X3
Zhao, G1
Wei, X1
Zhou, Y1
Hartman, CW1
Fehringer, EV1
Cui, L1
Wang, D1
Buckley, L1
Humphrey, MB1
Dalla Volta, A1
Formenti, AM1
Berruti, A1
Smith, M1
Parker, C1
Saad, F1
Miller, K1
Tombal, B1
Ng, QS1
Boegemann, M1
Matveev, V1
Piulats, JM1
Zucca, LE1
Karyakin, O1
Nahas, WC1
Nolè, F1
Rosenbaum, E1
Heidenreich, A1
Zhang, A1
Teufel, M1
Shen, J1
Wagner, V1
Higano, C1
Majumdar, SR1
Lix, LM1
Morin, SN1
Yogendran, M1
Metge, CJ1
Leslie, WD1
Saag, KG1
Curtis, J1
Warriner, A1
Balasubramanian, A1
Wade, SW1
Adler, RA2
Lin, CJF1
Maricic, M1
O'Malley, CD1
Saag, K1
Curtis, JR2
Winston, P1
Wong, BL1
Rybalsky, I1
Shellenbarger, KC1
Tian, C1
McMahon, MA1
Rutter, MM1
Sawnani, H1
Jefferies, JL1
Straathof, CS1
Overweg-Plandsoen, WC1
van den Burg, GJ1
van der Kooi, AJ1
Verschuuren, JJ1
de Groot, IJ1
Coulson, KA1
Reed, G1
Gilliam, BE1
Kremer, JM1
Pepmueller, PH1
Al-Osail, AM1
Sadat-Ali, M1
Al-Elq, AH1
Al-Omran, AS1
Azzam, Q1
Mitra, R1
Weinstein, RS1
Grillo, E1
Miguel-Morrondo, A1
Vano-Galván, S1
Muñoz-Zato, E1
Briot, K1
Roux, C1
Kawai, VK1
Grijalva, CG1
Arbogast, PG1
Solomon, DH1
Delzell, E1
Chen, L1
Ouellet-Hellstrom, R1
Herrinton, L1
Liu, L1
Mitchell, EF1
Stein, CM1
Griffin, MR1
Levitsky, J1
Te, HS1
Cohen, SM1
MUSSHOFF, K1
MUELLER, W1
ROTHERMICH, NO1
KENDALL, PH1
Frediani, B1
Falsetti, P1
Baldi, F1
Acciai, C1
Filippou, G1
Marcolongo, R1
Hochberg, MC1
Matas, AJ1
Kandaswamy, R1
Gillingham, KJ1
McHugh, L1
Ibrahim, H1
Kasiske, B1
Humar, A1
van der Eerden, AW1
den Heijer, M1
Oyen, WJ1
Hermus, AR1
Vestergaard, P1
Rejnmark, L1
Mosekilde, L1
van Schaardenburg, D1
Valkema, R1
Dijkmans, BA1
Papapoulos, S1
Zwinderman, AH1
Han, KH1
Pauwels, EK1
Breedveld, FC1
McDougall, R1
Sibley, J1
Haga, M1
Russell, A1
Michel, BA2
Bloch, DA2
Wolfe, F1
Fries, JF2
Haymon, M1
Willis, RB1
Ehlayel, MS1
Lacassie, Y1
Ferguson, WS1
van Everdingen, AA1
Jacobs, JW1
Siewertsz Van Reesema, DR1
Bijlsma, JW1
DeBeer, R1
Friedfeld, L1
Kabakow, B1
Mathew, PK1
Splain, J1
Berman, BW1
Bayley, TA1
Muller, C1
Harrison, J1
Basualdo, J1
Sturtridge, W1
Josse, R1
Murray, TM1
Pritzker, KP1
Vieth, R1
Goodwin, S1
Dykman, TR1
Gluck, OS1
Murphy, WA1
Hahn, TJ1
Hahn, BH1
Lilly, JR1
Giles, G1
Hurwitz, R1
Schroter, G1
Takagi, H1
Gray, S1
Penn, I1
Halgrimson, CG1
Starzl, TE1
Miles, WK1
Olson, NR1
Rodriguez, A1
Brun, F1
Brunner, KW1
Bessler, W1
Kappeler, H1
Lee, SL1
Rosner, F1
Ruberman, W1
Glasberg, S1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase III Randomized, Double-blind, Placebo-controlled Trial of Radium-223 Dichloride in Combination With Abiraterone Acetate and Prednisone/Prednisolone in the Treatment of Asymptomatic or Mildly Symptomatic Chemotherapy-naïve Subjects With Bone Predom[NCT02043678]Phase 3806 participants (Actual)Interventional2014-03-30Active, not recruiting
Etude et Suivi Des POlyarthrites Indifférenciées Récentes[NCT03666091]813 participants (Actual)Observational2002-11-13Active, not recruiting
Prognostic Factors of Efficacy in Corticoid and Anesthetic Joint Infiltration for the Treatment of Patients With Low Back Pain Secondary to Zygapophyseal Osteoarthritis: a Prospective Cohort Study[NCT03304730]147 participants (Anticipated)Observational2017-09-01Recruiting
Teriparatide for Joint Erosions in Rheumatoid Arthritis: The TERA Trial[NCT01400516]Phase 426 participants (Actual)Interventional2011-08-31Completed
Comparison of the Efficacy and Safety of Two Different Starting Dosages of Prednisolone in Early Active Rheumatoid Arthritis: a Randomized, Placebo Controlled Trial[NCT02000336]Phase 3395 participants (Actual)Interventional2014-01-31Completed
The Use of Novel Therapies to Reconstitute Blood Cell Production and Promote Organ Performance Using Bone Marrow Failure as a Model: a Pilot, Phase I/II Study of the Amino Acid Leucine in the Treatment of Patients With Transfusion-Dependent Diamond Blackf[NCT01362595]Phase 1/Phase 255 participants (Actual)Interventional2013-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants With Any Treatment-emergent Additional Primary Malignancies

Treatment-emergent additional primary malignancies were adverse events identified as additional primary malignancies that occurred after start of study treatment until the end of the treatment period. (NCT02043678)
Timeframe: From start of study treatment until 4 weeks after last study treatment, up to 65 months

InterventionParticipants (Count of Participants)
Radium-223 Dichloride + Abi/Pred26
Placebo + Abi/Pred25

Number of Participants With Treatment-emergent Bone Fractures

Treatment-emergent fractures were adverse events identified as fractures that occurred after start of study treatment until the end of the treatment period. All bone fractures and bone-associated events (e.g., osteoporosis) were reported as either AEs, or SAEs if the criteria of SAE were met, regardless of the investigator's causality assessment. (NCT02043678)
Timeframe: From start of study treatment until 4 weeks after last study treatment, up to 65 months

InterventionParticipants (Count of Participants)
Radium-223 Dichloride + Abi/Pred107
Placebo + Abi/Pred49

Overall Survival (OS)

OS was defined as the time (months) from the date of randomization to the date of death due to any cause. Subjects alive at the survival cut-off date were censored at the last date known to be alive. (NCT02043678)
Timeframe: From randomization until death from any cause, up to 67 months

InterventionMonths (Median)
Radium-223 Dichloride + Abi/Pred30.1
Placebo + Abi/Pred34.8

Radiological Progression Free Survival (rPFS)

rPFS was defined as the time (months) from the date of randomization to the date of confirmed radiological progression or death (if death occurred before progression) based on independent assessment. (NCT02043678)
Timeframe: From randomization until the date of confirmed radiological progression or death, up to 47 months

InterventionMonths (Median)
Radium-223 Dichloride + Abi/Pred11.2
Placebo + Abi/Pred12.4

Symptomatic Skeletal Event Free Survival (SSE-FS)

SSE-FS was defined as time (months) from randomization to the earliest of onset date of skeletal symptoms treated with external beam radiotherapy (EBRT), onset date of pathological bone fracture, onset date of spinal cord compression, procedure date of tumor-related orthopedic surgery, or death from any cause. Subjects who died without prior SSE and ≥ 13 weeks after the last SSE assessment are censored at the last SSE assessment date. Subjects alive at the survival cut-off date are censored at the last date known to be alive. Subjects with multiple events are only counted for the category in which the first event occurred. If multiple SSE (component events) occur on the same date for 1 subject, the subject is only counted into 1 category in the order of: spinal cord compression > bone fracture > orthopedic surgery > EBRT. (NCT02043678)
Timeframe: From randomization until first onset of on-study symptomatic skeletal event (SSE) or death, up to 47 months

InterventionMonths (Median)
Radium-223 Dichloride + Abi/Pred22.3
Placebo + Abi/Pred26.0

Time to Cytotoxic Chemotherapy

Time to cytotoxic chemotherapy is time (months) from randomization to the earliest date of the first cytotoxic chemotherapy. Participants who have not started cytotoxic chemotherapy during the study were censored at the last assessment date. (NCT02043678)
Timeframe: From randomization until the date of first cytotoxic chemotherapy, up to 47 months

InterventionMonths (Median)
Radium-223 Dichloride + Abi/Pred29.5
Placebo + Abi/Pred28.5

Time to Opiate Use for Cancer Pain

Time to opiate use for cancer pain was defined as the interval from the date of randomization to the date of opiate use. (NCT02043678)
Timeframe: From randomization until the date of opiate use, up to 47 months

InterventionMonths (Median)
Radium-223 Dichloride + Abi/Pred19.0
Placebo + Abi/Pred22.6

Time to Pain Progression

Time to pain progression was defined as the interval from randomization to the first date a subject experienced pain progression, assessed by BPI-SF (see Baseline Characteristics) and defined as: an increase of 2 or more points in the average worst pain score (WPS) from baseline observed at 2 consecutive evaluations >= 4 weeks apart or initiation of short- or long-acting opioid use for pain for subjects with WPS 0 at baseline; an increase of 2 or more points in the average WPS from baseline observed at 2 consecutive evaluations ≥ 4 weeks apart and an average WPS of ≥ 4 OR initiation of short- or long-acting opioid use for pain for subjects with WPS 1 to 3 at baseline. Subjects without pain progression at the end of study are censored at the last date known to have not progressed: the last evaluation date for pain scores or last visit when recorded opiate use, whichever is last. Subjects with no on-study assessment or no baseline assessment are censored at the date of randomization. (NCT02043678)
Timeframe: From randomization until the date of pain progression based on pain score, up to 47 months

InterventionMonths (Median)
Radium-223 Dichloride + Abi/Pred14.4
Placebo + Abi/Pred18.7

Number of Participants With Any Study Drug-related Post-treatment Adverse Events Per Maximum Intensity

"An adverse event (AE) was any untoward medical occurrence (i.e., any unfavorable and unintended sign [including abnormal laboratory findings], symptom or disease) in a participant in the study. Any bleeding event occurring during the study was not documented as an AE because this event was planned to be captured in the assessment of efficacy. AEs that started after the treatment period were defined as post-treatment AEs. Drug-related AEs were those with reasonable causal relationship to the study treatment decided by the investigators." (NCT02043678)
Timeframe: After the treatment period, up to 46 months

,
InterventionParticipants (Count of Participants)
Grade 1Grade 2Grade 3Grade 4
Placebo + Abi/Pred3330
Radium-223 Dichloride + Abi/Pred3951

Number of Participants With Post-treatment Adverse Events

"An adverse event (AE) was any untoward medical occurrence (i.e., any unfavorable and unintended sign [including abnormal laboratory findings], symptom or disease) in a participant in the study. Any bleeding event occurring during the study was not documented as an AE because this event was planned to be captured in the assessment of efficacy. AEs that started after the treatment period were defined as post-treatment AEs. Drug-related AEs were those with reasonable causal relationship to the study treatment decided by the investigators." (NCT02043678)
Timeframe: After the treatment period, up to 46 months

,
InterventionParticipants (Count of Participants)
Any eventsAny drug-related eventsAny chemotherapy-related eventsAny additional primary malignancies
Placebo + Abi/Pred1339347
Radium-223 Dichloride + Abi/Pred13818316

Number of Participants With Post-treatment Bone Fractures

Post-treatment fractures were adverse events identified as fractures that occured after the end of the treatment period until participant died, was lost to follow-up, withdrew informed consent, actively objected to collection of further data, or was transitioned to the extended safety follow-up study. All bone fractures and bone-associated events (e.g., osteoporosis), were reported as either AEs, or SAEs if the criteria of SAE were met, regardless of the investigator's causality assessment. (NCT02043678)
Timeframe: After the treatment period, up to 46 months

,
InterventionParticipants (Count of Participants)
Lumbar vertebral fractureRib fractureSpinal compression fractureThoracic vertebral fractureTraumatic fractureOsteoporotic fracturePathological fracture
Placebo + Abi/Pred11112013
Radium-223 Dichloride + Abi/Pred00006612

Number of Participants With Post-treatment Chemotherapy-related Blood and Lymphatic System Disorders

Post-treatment blood and lymphatic system disorders were adverse events identified as blood and lymphatic system disorders that occurred after the end of the treatment period until participant died, was lost to follow-up, withdrew informed consent, actively objected to collection of further data, or was transitioned to the extended safety follow-up study. (NCT02043678)
Timeframe: After the treatment period, up to 46 months

,
InterventionParticipants (Count of Participants)
AnaemiaBone marrow failureFebrile neutropeniaLeukopeniaNeutropeniaPancytopeniaThrombocytopenia
Placebo + Abi/Pred4080312
Radium-223 Dichloride + Abi/Pred5151802

Number of Participants With Treatment-emergent Adverse Events

"An adverse event (AE) was any untoward medical occurrence (i.e., any unfavorable and unintended sign [including abnormal laboratory findings], symptom or disease) in a participant in the study. A serious adverse event (SAE) was any untoward medical occurrence that at any dose was resulting in death, was lifethreatening, requires hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity. AEs or SAEs occurring after start of study treatment until the end of the treatment period were defined as treatment-emergent AEs (TEAEs) or serious TEAEs. Drug-related TEAEs or serious TEAEs were those with reasonable causal relationship to the study treatment decided by the investigators." (NCT02043678)
Timeframe: From start of study treatment until the end of the treatment period, up to 65 months

,
InterventionParticipants (Count of Participants)
Any TEAEAny drug-related TEAERadium-223/Placebo-related TEAEAny serious TEAEAny drug-related serious TEAERadium-223/Placebo-related serious TEAE
Placebo + Abi/Pred38727192172297
Radium-223 Dichloride + Abi/Pred382265921753211

Number of Subjects With Radium-223/Placebo-related Treatment-emergent Adverse Events Per Maximum Intensity

"An adverse event (AE) was any untoward medical occurrence (i.e., any unfavorable and unintended sign [including abnormal laboratory findings], symptom or disease) in a participant in the study. A serious adverse event (SAE) was any untoward medical occurrence that at any dose was resulting in death, was lifethreatening, requires hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity. AEs or SAEs occurring after start of study treatment until the end of the treatment period were defined as treatment-emergent AEs (TEAEs) or serious TEAEs. Radium-223/placebo-related TEAEs or serious TEAEs were those with reasonable causal relationship to radium-223 or placebo decided by the investigators." (NCT02043678)
Timeframe: From start of study treatment until the end of the treatment period, up to 65 months

,
InterventionParticipants (Count of Participants)
TEAE - Grade 1TEAE - Grade 2TEAE - Grade 3TEAE - Grade 4Serious TEAE - Grade 2Serious TEAE - Grade 3Serious TEAE - Grade 4
Placebo + Abi/Pred5324132052
Radium-223 Dichloride + Abi/Pred4428191380

Change From Baseline in Bone Mineral Density (BMD) Measured by Dual-Energy X-ray Absorptiometry (DXA) and Instant Vertebral Assessment (IVA) Scan

BMD was measured at the lumbosacral spine antero-posterior and at the femoral neck using a densitometer. A positive change from Baseline (increased bone density) indicates improvement. (NCT01400516)
Timeframe: Baseline and Month 12

,
Interventiongrams/centimeters squared (g/cm^2) (Mean)
Spine, BaselineSpine, Change from Baseline at Month12Femoral neck, BaselineFemoral neck, Change from Baseline at Month 12
Control Arm0.93-0.0020.73-0.03
Teriparatide0.910.060.680.03

Change From Baseline in Disease Activity Score 28 Joint Count C-Reactive Protein (DAS-28 CRP)

The DAS28 score is a measure of the patient's disease activity calculated using the tender joint count (TJC) [28 joints], swollen joint count (SJC) [28 joints], patient's global assessment of disease activity [visual analog scale: 0=no disease activity to 100=maximum disease activity] and C-Reactive Protein (CRP) for a total possible score of 2 to 10. Higher values indicate higher disease activity. A negative change from baseline indicates improvement. (NCT01400516)
Timeframe: Baseline and Month 12

,
Interventionscore on a scale (Mean)
BaselineChange from Baseline at Month 12
Control Arm2.73-0.50
Teriparatide2.660.42

Change From Baseline in Joint Erosion Volume Measured by 3-Dimensional Computed Tomography (3D CT) Scan

Both hands were scanned using a CT scanner. A semi-automated software tool was used to segment the erosion margins in 3D. A board certified radiologist identified the individual erosions in six sub-regions: radius, ulna, proximal carpals, distal carpals, metacarpophalangeal (MCP) joints and proximal interphalangeal (PIP) joints. The average total in a single hand/wrist was calculated. A negative change from Baseline(less joint erosions) indicates improvement. (NCT01400516)
Timeframe: Baseline and Month 12

,
Interventioncubic millimeter (mm^3) (Median)
BaselineChange from Baseline at Month 12
Control Arm571.49.1
Teriparatide369.8-0.4

Response to Leucine in Transfusion Dependent Patients With Diamond Blackfan Anemia

"The primary outcome is the type of response observed at 9 months. Response to treatment can be one of the following:~Complete response (CR): Hb > 9 gm/dL and transfusion-independence as defined in DBA~Partial response (PR): Hb < 9 gm/dL and increased reticulocyte count to greater than baseline.~No response (NR): no change in transfusion requirements and no significant change reticulocyte count from baseline~Progression: worsening of disease as defined by the need for more frequent transfusions" (NCT01362595)
Timeframe: 9 Months

InterventionParticipants (Count of Participants)
Complete Hematologic ResponsePartial hematologic responseNo hematologic responseProgression
Leucine25360

Reviews

5 reviews available for prednisone and Bone Fractures

ArticleYear
The safety of radium-223 combined with new-generation hormonal agents in bone metastatic castration-resistant prostate cancer: a systematic review and network meta-analysis.
    Asian journal of andrology, 2023, Volume: 25, Issue:4

    Topics: Abiraterone Acetate; Antineoplastic Combined Chemotherapy Protocols; Fractures, Bone; Humans; Male;

2023
Glucocorticoid-Induced Osteoporosis.
    The New England journal of medicine, 2018, Dec-27, Volume: 379, Issue:26

    Topics: Aged; Bone Density; Bone Density Conservation Agents; Diphosphonates; Female; Fractures, Bone; Gluco

2018
Adverse effects of corticosteroids on bone metabolism: a review.
    PM & R : the journal of injury, function, and rehabilitation, 2011, Volume: 3, Issue:5

    Topics: Bone and Bones; Bone Resorption; Fractures, Bone; Glucocorticoids; Humans; Osteoblasts; Osteoclasts;

2011
Clinical practice. Glucocorticoid-induced bone disease.
    The New England journal of medicine, 2011, Jul-07, Volume: 365, Issue:1

    Topics: Asthma; Bone Density; Bone Diseases; Calcium; Diphosphonates; Female; Fractures, Bone; Glucocorticoi

2011
[Corticosteroid-induced osteoporosis].
    La Revue de medecine interne, 2013, Volume: 34, Issue:5

    Topics: Adrenal Cortex Hormones; Bone Density Conservation Agents; Diphosphonates; Fractures, Bone; Glucocor

2013

Trials

7 trials available for prednisone and Bone Fractures

ArticleYear
A randomized, double-blind, comparison of radium-223 and placebo, in combination with abiraterone acetate and prednisolone, in castration-resistant metastatic prostate cancer: subgroup analysis of Japanese patients in the ERA 223 study.
    International journal of clinical oncology, 2020, Volume: 25, Issue:4

    Topics: Abiraterone Acetate; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Asian

2020
Addition of radium-223 to abiraterone acetate and prednisone or prednisolone in patients with castration-resistant prostate cancer and bone metastases (ERA 223): a randomised, double-blind, placebo-controlled, phase 3 trial.
    The Lancet. Oncology, 2019, Volume: 20, Issue:3

    Topics: Abiraterone Acetate; Adolescent; Adult; Aged; Antineoplastic Combined Chemotherapy Protocols; Bone N

2019
Effects of 4-year treatment with once-weekly clodronate on prevention of corticosteroid-induced bone loss and fractures in patients with arthritis: evaluation with dual-energy X-ray absorptiometry and quantitative ultrasound.
    Bone, 2003, Volume: 33, Issue:4

    Topics: Absorptiometry, Photon; Adolescent; Adrenal Cortex Hormones; Adult; Aged; Aged, 80 and over; Arthrit

2003
Cushing's syndrome and bone mineral density: lowest Z scores in young patients.
    The Netherlands journal of medicine, 2007, Volume: 65, Issue:4

    Topics: Absorptiometry, Photon; Adult; Bone Density; Bone Resorption; Cushing Syndrome; Female; Femur Neck;

2007
Prednisone treatment of elderly-onset rheumatoid arthritis. Disease activity and bone mass in comparison with chloroquine treatment.
    Arthritis and rheumatism, 1995, Volume: 38, Issue:3

    Topics: Aged; Aged, 80 and over; Arthritis, Rheumatoid; Bone Density; Bone Remodeling; Chloroquine; Elbow In

1995
Low-dose prednisone therapy for patients with early active rheumatoid arthritis: clinical efficacy, disease-modifying properties, and side effects: a randomized, double-blind, placebo-controlled clinical trial.
    Annals of internal medicine, 2002, Jan-01, Volume: 136, Issue:1

    Topics: Administration, Oral; Adult; Anti-Inflammatory Agents; Arthritis, Rheumatoid; Disease Progression; F

2002
Summaries for patients. Prednisone for rheumatoid arthritis.
    Annals of internal medicine, 2002, Jan-01, Volume: 136, Issue:1

    Topics: Administration, Oral; Adult; Anti-Inflammatory Agents; Arthritis, Rheumatoid; Disease Progression; F

2002

Other Studies

39 other studies available for prednisone and Bone Fractures

ArticleYear
Bone Loss in Inflammatory Rheumatic Musculoskeletal Disease Patients Treated With Low-Dose Glucocorticoids and Prevention by Anti-Osteoporosis Medications.
    Arthritis & rheumatology (Hoboken, N.J.), 2023, Volume: 75, Issue:10

    Topics: Bone Density; Female; Fractures, Bone; Glucocorticoids; Humans; Inflammation; Longitudinal Studies;

2023
Ten-year analysis of the risk of severe outcomes related to low-dose glucocorticoids in early rheumatoid arthritis.
    Rheumatology (Oxford, England), 2021, 08-02, Volume: 60, Issue:8

    Topics: Adult; Arthritis, Rheumatoid; Blood Sedimentation; Cardiovascular Diseases; Female; Fractures, Bone;

2021
Tibia stress injury and the imaging appearance of stress fracture in juvenile dermatomyositis: six patients' experiences.
    Pediatric rheumatology online journal, 2021, Feb-17, Volume: 19, Issue:1

    Topics: Adolescent; Analgesics; Antirheumatic Agents; Child; Dermatomyositis; Female; Fractures, Bone; Fract

2021
EMA guidance on radium-223 dichloride in prostate cancer.
    The Lancet. Oncology, 2018, Volume: 19, Issue:4

    Topics: Abiraterone Acetate; Antineoplastic Combined Chemotherapy Protocols; European Union; Fractures, Bone

2018
Bone-targeting liposome formulation of Salvianic acid A accelerates the healing of delayed fracture Union in Mice.
    Nanomedicine : nanotechnology, biology, and medicine, 2018, Volume: 14, Issue:7

    Topics: Animals; Anti-Inflammatory Agents; Caffeic Acids; Cholesterol; Disease Models, Animal; Drug Compound

2018
Higher Risk of Fragility Fractures in Prostate Cancer Patients Treated with Combined Radium-223 and Abiraterone: Prednisone May Be the Culprit.
    European urology, 2019, Volume: 75, Issue:6

    Topics: Abiraterone Acetate; Androstenes; Antineoplastic Combined Chemotherapy Protocols; Fractures, Bone; H

2019
The disconnect between better quality of glucocorticoid-induced osteoporosis preventive care and better outcomes: a population-based cohort study.
    The Journal of rheumatology, 2013, Volume: 40, Issue:10

    Topics: Aged; Aged, 80 and over; Bone Density; Bone Density Conservation Agents; Female; Fractures, Bone; Gl

2013
Challenges in defining quality of care for glucocorticoid-induced osteoporosis: defending good against perfect.
    The Journal of rheumatology, 2013, Volume: 40, Issue:10

    Topics: Bone Density; Female; Fractures, Bone; Glucocorticoids; Humans; Male; Osteoporosis; Prednisone; Qual

2013
Glucocorticoid exposure and fracture risk in patients with new-onset rheumatoid arthritis.
    Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2016, Volume: 27, Issue:11

    Topics: Adult; Arthritis, Rheumatoid; Female; Fractures, Bone; Glucocorticoids; Humans; Incidence; Male; Mid

2016
Early Treatment of Acute Complex Regional Pain Syndrome after Fracture or Injury with Prednisone: Why Is There a Failure to Treat? A Case Series.
    Pain research & management, 2016, Volume: 2016

    Topics: Aged; Anti-Inflammatory Agents; Complex Regional Pain Syndromes; Female; Fractures, Bone; Humans; Ma

2016
Long-Term Outcome of Interdisciplinary Management of Patients with Duchenne Muscular Dystrophy Receiving Daily Glucocorticoid Treatment.
    The Journal of pediatrics, 2017, Volume: 182

    Topics: Adolescent; Age Factors; Child; Cohort Studies; Dose-Response Relationship, Drug; Drug Administratio

2017
Prednisone 10 days on/10 days off in patients with Duchenne muscular dystrophy.
    Journal of neurology, 2009, Volume: 256, Issue:5

    Topics: Adolescent; Age Factors; Age of Onset; Akathisia, Drug-Induced; Anti-Inflammatory Agents; Child; Chi

2009
Factors influencing fracture risk, T score, and management of osteoporosis in patients with rheumatoid arthritis in the Consortium of Rheumatology Researchers of North America (CORRONA) registry.
    Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2009, Volume: 15, Issue:4

    Topics: Aged; Aged, 80 and over; Anti-Inflammatory Agents; Arthritis, Rheumatoid; Bone Density; Bone Density

2009
Glucocorticoid-related osteoporotic fractures.
    Singapore medical journal, 2010, Volume: 51, Issue:12

    Topics: Adult; Age Factors; Anti-Inflammatory Agents; Female; Femoral Fractures; Fractures, Bone; Glucocorti

2010
[Pyoderma gangrenosum mimicking surgical wound infection].
    Medicina clinica, 2013, Jan-05, Volume: 140, Issue:1

    Topics: Anti-Bacterial Agents; Diagnostic Errors; Elbow Injuries; Fractures, Bone; Groin; Humans; Leukocytos

2013
Initiation of tumor necrosis factor α antagonists and risk of fractures in patients with selected rheumatic and autoimmune diseases.
    Arthritis care & research, 2013, Volume: 65, Issue:7

    Topics: Aged; Antirheumatic Agents; Autoimmune Diseases; Biological Products; Female; Fractures, Bone; Gluco

2013
The safety and outcome of joint replacement surgery in liver transplant recipients.
    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, 2003, Volume: 9, Issue:4

    Topics: Adrenal Cortex Hormones; Aged; Arthritis; Arthroplasty, Replacement; Drug Administration Schedule; F

2003
[VERTEBRAL FRACTURES DURING CORTICOSTEROID THERAPY].
    Radiologia clinica, 1964, Volume: 33

    Topics: Adrenal Cortex Hormones; Dexamethasone; Fractures, Bone; Humans; Lumbar Vertebrae; Methyltestosteron

1964
CORTICOSTEROID THERAPY IN RHEUMATOID ARTHRITIS. CRITERIA AND RESULTS.
    Postgraduate medicine, 1964, Volume: 36

    Topics: Arthritis; Arthritis, Rheumatoid; Corticosterone; Dosage Forms; Drug Therapy; Fractures, Bone; Geria

1964
THE SIDE-EFFECTS OF CORTICOSTEROIDS.
    Annals of physical medicine, 1964, Volume: 8

    Topics: Adrenal Cortex Hormones; Adrenal Gland Diseases; Arthritis; Arthritis, Rheumatoid; Dosage Forms; Fra

1964
Suggested guidelines for evaluation and treatment of glucocorticoid-induced osteoporosis for the Department of Veterans Affairs.
    Archives of internal medicine, 2003, Nov-24, Volume: 163, Issue:21

    Topics: Absorptiometry, Photon; Calcium; Diphosphonates; Fractures, Bone; Glucocorticoids; Humans; Osteoporo

2003
Prednisone-free maintenance immunosuppression-a 5-year experience.
    American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2005, Volume: 5, Issue:10

    Topics: Anti-Infective Agents; Antifungal Agents; Antiviral Agents; Cataract; Clotrimazole; Cohort Studies;

2005
Fracture risk associated with different types of oral corticosteroids and effect of termination of corticosteroids on the risk of fractures.
    Calcified tissue international, 2008, Volume: 82, Issue:4

    Topics: Administration, Oral; Adrenal Cortex Hormones; Adult; Budesonide; Case-Control Studies; Dose-Respons

2008
Outcome in patients with rheumatoid arthritis receiving prednisone compared to matched controls.
    The Journal of rheumatology, 1994, Volume: 21, Issue:7

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Arthritis, Rheumatoid; Case-Control Studies; Cataract; C

1994
Fractures in rheumatoid arthritis: an evaluation of associated risk factors.
    The Journal of rheumatology, 1993, Volume: 20, Issue:10

    Topics: Aging; Arthritis, Rheumatoid; Body Mass Index; Disabled Persons; Female; Fractures, Bone; Humans; Ma

1993
Radiological and orthopedic abnormalities in Satoyoshi syndrome.
    Pediatric radiology, 1997, Volume: 27, Issue:5

    Topics: Adult; Alopecia; Amenorrhea; Body Height; Bone and Bones; Bone Diseases, Developmental; Female; Frac

1997
From twisted ankles.
    Medicine and health, Rhode Island, 1999, Volume: 82, Issue:6

    Topics: Ankle Injuries; Antineoplastic Combined Chemotherapy Protocols; Asparaginase; Burkitt Lymphoma; Cast

1999
Fractures in adults on systemic steroid therapy: which prophylaxis?
    Prescrire international, 1999, Volume: 8, Issue:43

    Topics: Arthritis, Rheumatoid; Asthma; Bone Density; Calcitonin; Calcium; Clinical Trials as Topic; Diphosph

1999
Complete sternal collapse associated with lymphomatous involvement of the bony thorax--case report and review of the literature.
    Clinical oncology, 1977, Volume: 3, Issue:4

    Topics: Body Height; Bone Neoplasms; Cyclophosphamide; Drug Therapy, Combination; Fractures, Bone; Humans; K

1977
Pericardial tamponade secondary to sudden steroid withdrawal in chronic rheumatoid arthritis.
    Chest, 1977, Volume: 72, Issue:4

    Topics: Arthritis, Rheumatoid; Cardiac Tamponade; Cervical Vertebrae; Chronic Disease; Female; Fractures, Bo

1977
Cyclosporin A treatment for Diamond-Blackfan anemia.
    American journal of hematology, 1992, Volume: 39, Issue:3

    Topics: Adolescent; Bone Diseases; Bone Diseases, Metabolic; Child; Child, Preschool; Cyclosporine; Drug Adm

1992
Predictors of fractures in early rheumatoid arthritis.
    The Journal of rheumatology, 1991, Volume: 18, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Arthritis, Rheumatoid; Female; Fractures, Bone; Humans;

1991
The long-term treatment of steroid osteoporosis with fluoride.
    Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 1990, Volume: 5 Suppl 1

    Topics: Adult; Aged; Bone Density; Female; Fractures, Bone; Humans; Male; Middle Aged; Osteoporosis; Prednis

1990
Evaluation of factors associated with glucocorticoid-induced osteopenia in patients with rheumatic diseases.
    Arthritis and rheumatism, 1985, Volume: 28, Issue:4

    Topics: Bone and Bones; Calcium Metabolism Disorders; Decalcification, Pathologic; Female; Fractures, Bone;

1985
Renal homotransplantation in pediatric patients.
    Pediatrics, 1971, Volume: 47, Issue:3

    Topics: Adolescent; Affective Symptoms; Age Factors; Cadaver; Child; Child Behavior Disorders; Child, Presch

1971
Acute treatment of experimental laryngeal fractures.
    The Annals of otology, rhinology, and laryngology, 1971, Volume: 80, Issue:5

    Topics: Animals; Anti-Bacterial Agents; Cheek; Dogs; Fracture Fixation; Fractures, Bone; Laryngoscopy; Laryn

1971
[Delayed hypersensitivity reaction to 2,4-dinitrochlorobenzol in cancer patients undergoing cytostatic chemotherapy].
    Schweizerische medizinische Wochenschrift, 1971, Aug-28, Volume: 101, Issue:34

    Topics: Age Factors; Aged; Bronchial Neoplasms; Carcinoma; Cyclophosphamide; Drug Antagonism; Fractures, Bon

1971
[Skeletal deposition of radiostrontium in osteoporosis. Scintigraphic examination using 85 Sr].
    Schweizerische medizinische Wochenschrift, 1971, Oct-30, Volume: 101, Issue:43

    Topics: Adult; Aged; Bone and Bones; Calcium; Cushing Syndrome; Female; Fractures, Bone; Humans; Male; Middl

1971
Mu-chain disease.
    Annals of internal medicine, 1971, Volume: 75, Issue:3

    Topics: Adult; Agammaglobulinemia; Anemia; Bence Jones Protein; Chlorambucil; Female; Fractures, Bone; Heavy

1971