Scatter plots are presented and the regression lines are drawn to visualize relationships. The level of statistical significance was set to 5% and

no multiplicity adjustments were performed. Data were analysed using SAS software© version 9.2. Results Patient disposition and baseline characteristics Of the 174 male patients enrolled in the study, 92 were randomly assigned to receive treatment with teriparatide (n = 45) or risedronate (n = 47). Seventy-seven subjects (83.6 %) completed the 18-month treatment duration (teriparatide, n = 38; risedronate, n = 39), and 28 patients in each treatment group had HRQCT valid measurements. selleck products The baseline demographic and EPZ-6438 supplier clinical characteristics of the patients in the two treatment groups were similar and are reported in full elsewhere [30]. Mean age was 56.3 years (range 25–82 years) and 39.1% had at least one fracture prior to the study. Of the 92 patients, 31 (33.7 %) had a previous osteoporosis

therapy, most commonly bisphosphonates (30 patients). All patients were on GC therapy prior to the study, mainly for musculoskeletal and connective tissue disorders (32.7 %), respiratory, thoracic and CB-839 mediastinal disorders (23.6 %), or for gastrointestinal disorders (15.5 %). The median daily GC dose at baseline was 8.8 mg (interquartile range [IQR] 5.0–15.0 mg/day) and the Clomifene median duration of prior GC therapy was 6.4 years (IQR 2.4–13.0 years).

Effects of treatment on bone turnover markers MMRM analysis revealed that the adjusted mean changes from baseline in PINP and CTx at 3, 6 and 18 months of therapy in the teriparatide and risedronate groups (Fig. 1) show significant differences between treatments at each of these time points (p < 0.001) with the exception of CTx at month 18 (p = 0.105). Fig. 1 Mean (SE) changes from baseline for the bone markers a PINP and b CTx at 3, 6 and 18 months in the teriparatide and risedronate treatment groups. *p < 0.001 for between-treatment comparisons, + p < 0.05 for change from baseline within groups. Mixed model repeated measures analysis of changes from baseline including fixed effects for treatment, visit and the interaction between treatment and visit, and random effects for patients nested within treatment, plus the following covariates: age, baseline PINP, fracture <12 months before study, duration of prior bisphosphonate use, screening GC dose, and cumulative GC dose prior to and during study.