The efficacy and safety of a combined alendronate and calcitriol agent (maxmarvil): A postmarketing surveillance study in korean postmenopausal women with osteoporosis

Hee Won Suh, Hyun Ok Kim, Young Sik Kim, Sung Sunwoo, Jung Ah Lee, Hye Ree Lee, Byungsung Kim, Dae Hyun Kim, Youn Seon Choi, Yoo Seock Cheong, Keunsang Yum, Yun Jun Yang, Byung Yeon Yu, Chung Hwan Cho, Sat Byul Park, Dong Hyeok Shin

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Abstract

Background: Combined therapy with alendronate and calcitriol may have additive effects on bone density. An observational study was performed to evaluate the efficacy and safety of Maxmarvil, a combinative agent of alendronate (5 mg) and calcitriol (0.5 μg), and to identify factors associated with efficacy. Methods: A total of 568 postmenopausal women with osteoporosis were enrolled by family physicians in 12 hospitals. The study subjects took Maxmarvil daily for 12 months. Questionnaires about baseline characteristics, socioeconomic status, and daily calcium intake were completed at the first visit. Adverse events were recorded every 3 months and bone mineral density (BMD) in the lumbar spine was measured using dual-energy X-ray absorptiometry at baseline and after 12 months. We evaluated the efficacy and safety of Maxmarvil, and the factors related to BMD improvement. Results: A total of 370 patients were included in final analysis. The median BMD was 0.81 ± 0.12 g/cm2 at pre-treatment and 0.84 ± 0.13 g/cm2 after one year. The average BMD improvement was 3.4% ± 6.4% (P < 0.05), and 167 (45.1%) patients showed improvement. Factors associated with improved BMD were continuation of treatment (odds ratio [OR], 2.41; 95% confidence interval [CI], 1.15 to 5.07) and good compliance (OR, 2.54; 95% CI, 1.29 to 5.00). Adverse events were reported by 35 of the 568 patients, with the most common being abdominal pain and dyspepsia. Conclusion: Maxmarvil was found to be safe, well tolerated and effective in osteoporosis treatment. Continuation of treatment and good compliance were the factors associated with efficacy.

Original languageEnglish
Pages (from-to)346-355
Number of pages10
JournalKorean Journal of Family Medicine
Volume33
Issue number6
DOIs
Publication statusPublished - 2012

Keywords

  • Alendronate
  • Calcitriol
  • Maxmarvil
  • Postmenopausal osteoporosis

ASJC Scopus subject areas

  • Family Practice

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    Suh, H. W., Kim, H. O., Kim, Y. S., Sunwoo, S., Lee, J. A., Lee, H. R., Kim, B., Kim, D. H., Choi, Y. S., Cheong, Y. S., Yum, K., Yang, Y. J., Yu, B. Y., Cho, C. H., Park, S. B., & Shin, D. H. (2012). The efficacy and safety of a combined alendronate and calcitriol agent (maxmarvil): A postmarketing surveillance study in korean postmenopausal women with osteoporosis. Korean Journal of Family Medicine, 33(6), 346-355. https://doi.org/10.4082/kjfm.2012.33.6.346