Non-interventional observational prospective follow-up study of cohorts of patients with Previous diagnosis of Osteoporosis with high risk of fractures, with/without previous fractures and treatment with bone formers (biosimilar or original Teriparatide), who meet all the inclusion criteria and exclusion, with prior information and signing of prior informed consent documents.
Non-interventional observational prospective follow-up study of cohorts of patients with Previous diagnosis of Osteoporosis with high risk of fractures, with/without previous fractures and treatment with bone formers (biosimilar or original Teriparatide), who meet all the inclusion criteria and exclusion, with prior information and signing of prior informed consent documents. Primary objective: Verify the clinical effectiveness of Teriparatide Biosimilar under clinical practice conditions real. Compare this clinical effectiveness with original Teriparatide administered under similar conditions of actual clinical practice. Design: Observational cohort study, prospective, multicenter, nationwide. Study population: Patients with a previous diagnosis of Osteoporosis with a high risk of fractures,with/without previous fractures and in treatment with bone formers since before the start of the study. The patients will be distributed into 2 cohorts based on whether they are receiving similar Teriparatide (cohort A) or original Teriparatide (Cohort B).
Study Type
OBSERVATIONAL
Enrollment
188
Hospital Parc Taulí
Barcelona, Spain
Hospital Universitario Igualada
Barcelona, Spain
Hospital 12 de Octubre
Madrid, Spain
Hospital de La Princesa
Madrid, Spain
Effectiveness for patients treatment with original
At the different moments of analysis (6, 12 and 24 months of treatment) in each of the treatment groups will be presented. The 95% confidence interval will be calculated for the mean percent change difference between groups. Likewise, the Student's t-test will be calculated for independent samples to assess statistical significance. To determine the fracture rate of any location during the study, the percentage of patients in each of the groups will be calculated descriptively. This proportion of patients will be compared between groups using Pearson's Chi-square test or Fisher's exact test, when applicable. The baseline-final change in biochemical markers of bone remodeling (BRM) between treatment groups will also be evaluated through the Student's t-test for independent samples if they meet the normality parameters or, failing that, its corresponding non-parametric test. (Mann-Whitney U test). .
Time frame: 24 Months
Confirm fracture rate in any localization while study is ongoing
In order to determinate fracture rate from any localization, patient´s percentage from each group will be calculated in a descriptive way using: Bone fractures during treatment Falls.
Time frame: 30 Months
Demographic and personal aspects related to the risk of osteoporosis
age, sex, province of residence, year of diagnosis of OP.
Time frame: 24 Months
Risk factor of osteoporosis
As per previous patient´s medical records. Phisician will evaluated risk factor as per clinical practice. This information will be available at Clinical Records for each patients.
Time frame: 30 Months
Previous clinical data
Family history of interest as per clinical practice. This information will be available at Clinical Records for each patients.
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Hospital Fundación Jimenez Diaz
Madrid, Spain
Hospital Infanta Leonor
Madrid, Spain
Instituto Palacio de Madrid
Madrid, Spain
Complejo Hospitalario Universitario de Orense
Ourense, Spain
Hospital Universitario Central de Asturias
Oviedo, Spain
Hospital Virgen Macarena
Seville, Spain
Time frame: 24 Months
Anthropometric clinical data
weight and height will be combined to report BMI in kg/m\^2
Time frame: 24 Months
Osteoporosis diagnosis
By BMD; BMD data in CL and hip, measured value in g/cm2 and T-Score value.
Time frame: 24 Months
TBS
TBS value
Time frame: 24 Months
FRAX
FRAX value of hip and major fracture.
Time frame: 24 Months
Bone remodelling biomarkers
Combined information described by: BGP (ng/ml), CTX (ng/ml), NTX (nmol/nmol creatine), P1NP (ng/ml), 25 OH vitamin D (ng/ml), intact PTH (pg/ml), TSH uUl/ml), Testosterone (ng/ml), Estradiol (pg/ml), Calcium (mg/dl), Phosphorus (mg/dl).This information will be collected in 194 patients who were recruited in this study. This information will be collected as per protocol during 30months. Physicians will evaluated this parameters as per clinical practice.
Time frame: 24 Months
Hepatic profile
Combined information described by: SGPT (U/L), SGOT (U/L), Gamma GT (U/L), FA (U/L), BT (mg/dl). This information will be collected in 194 patients who were recruited in this study. This information will be collected as per protocol during 30months. Physicians will evaluated this parameters as per clinical practice.
Time frame: 24 Months
Previous bone fractures
Number and type of previous fractures.
Time frame: 30 Months
Previous treatment for osteoporosis
Previous treatment of osteoporosis indicated as yes or no. This information will be available at Clinical Records for each patients.This information will be collected in 194 patients who were recruited in this study. This information will be collected as per protocol during 30months. Physicians will evaluated this parameters as per clinical practice.
Time frame: 24 Months
Complementary previous treatment for osteoporosis
Previous complementary treatment with Vitamin D and/or Calcium.
Time frame: 24 Months
Security profile
Number of secondary effects. Each secondary effects will be evaluted according to medical criterion.This information will be collected in 194 patients who were recruited in this study. This information will be collected as per protocol during 30months. Physicians will evaluated this parameters as per clinical practice. Day of start/end will be indicated.
Time frame: 30 Months
Bone fractures during treatment
Number of fractures during treatment.
Time frame: 24 Months
Falls
Number of falls during the treatment.
Time frame: 24 Months