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Table 3 Summary of primary and secondary efficacy results for bone-turnover markers in the evaluable population

From: Effects of steroidal and nonsteroidal aromatase inhibitors on markers of bone turnover in healthy postmenopausal women

Bone-turnover marker

Exemestane (n= 19)

Letrozole (n= 19)

Anastrozole (n= 16)

Placebo (n= 20)

Primary efficacy measure: percentage change from baseline to week 24*

   BAP

3.0 (-11, 24)

-0.58 (-9.4, 7.1)

-4.5 (-7.0, 4.5)

-0.88 (-11.8, 8.1)

   S-CTx

21 (6.9, 34)

31 (12, 69)

9.3 (-7.7, 34)

12 (-8.7, 26)

   PINP

24 (11, 30)

5.7 (-1.1, 12)

6.3 (-9.3, 19)

6.1 (-11, 16)

   U-CTx

22 (10, 35)

34 (19, 74)

1.7 (-5.6, 29)

15 (1.5, 29)

   U-NTx

-8.5 (-30, 1.9)

10 (-1.5, 20)

-1.5 (-26, 24)

1.7 (-13, 19)

Secondary efficacy measure: percentage change from baseline to week 12*

   BAP

-1 (-5.7, 8.0)

-4.3 (-7.5, 7.3)

-7.3 (-17, 3.7)

-0.99 (-6.0, 3.3)

   S-CTx

18 (10, 37)

18 (7.2, 39)

8.0 (-9.6, 22)

8.3 (2.9, 19)

   PINP

19 (-1.1, 34)

-0.29 (-5.9, 7.2)

0.92 (-7.4, 7.1)

4.1 (-12, 21)

   U-CTx

20 (4.7, 38)

14 (8.4, 24)

2.9 (-13, 9.0)

8.8 (2.0, 13)

   U-NTx

6.8 (1.1, 23)

0.21 (-12, 4.2)

-2.3 (-15, 22)

-0.36 (-13, 19)

Secondary efficacy measure: percentage change from baseline to week 36*

   BAP

5.6 (3.7, 26)

15 (1.7, 29)

1.4 (-6.3, 6.6)

-1.9 (-10, 6.9)

   S-CTx

13 (-2.2, 34)

30 (22, 52)

9.2 (-13.5, 22)

13 (1.2, 19)

   PINP

15 (-0.14, 39)

24 (-0.33, 56)

10 (0.47, 25)

-0.92 (-16, 22)

   U-CTx

17 (-5.8, 43)

46 (26, 70)

7.4 (-28, 29)

23 (1.1, 39)

   U-NTx

-6.3 (-20, 5.1)

11 (-1.3, 34)

-1.4 (-14, 46)

6.5 (-6, 26)

Secondary efficacy measure: AUC 0–12 week*

   BAP, ng/ml × week

1.6 (-2.0, 10)

-3.7 (-8.6, 2.3)

-5.8 (-26, 3.2)

-1.7 (-9.0, 5.7)

   S-CTx, ng/ml × week

0.68 (0.52, 1.37)

0.60 (0.28, 0.99)

0.33 (-0.28, 0.73)

0.38 (0.085, 0.65)

   PINP, ng/ml × week

42 (25, 73)

-10 (-47, 23)

-11 (-31, 20)

19 (-24, 56)

   U-CTx(adjusted), μg/mmol Cr × week

269 (-173, 553)

302 (53, 643)

-242 (-762, 192)

105 (-129, 396)

   U-NTx(adjusted), nmol BCE/mmol Cr × week

49 (-2.4, 91)

50 (15, 81)

-6.5 (-49, 30)

0.67 (-92, 42)

Secondary efficacy measure: AUC 0–24 week*

   BAP, ng/ml × week

17 (-3.7, 29)

-14 (-23, 8.1)

-14 (-55, 9.2)

0.31 (-26, 12)

   S-CTx, ng/ml × week

2.0 (1.3, 2.9)

1.5 (1.1, 2.3)

1.0 (-0.41, 1.8)

0.89 (0.046, 1.6)

   PINP, ng/ml × week

187 (95, 295)

-6.1 (-57, 79)

19 (-46, 90)

42 (-67, 142)

   U-CTx(adjusted), μg/mmol Cr × week

1063 (170, 1868)

1157 (422, 2314)

61 (-1077, 588)

427 (51, 751)

   U-NTx(adjusted), nmol BCE/mmol Cr × week

21 (-64, 176)

102 (-49, 210)

-9.0 (-204, 158)

-47 (-265, 58)

  1. *All data are medians (bias-corrected and adjusted 95% bootstrap confidence interval).
  2. AUC, area under the curve; BAP, bone alkaline phosphatase; BCE, bone collagen equivalent; Cr, creatinine; PINP, procollagen type I N-terminal peptide; S-CTx, serum C-terminal telopeptide of type I collagen; U-CTx, urinary C-terminal telopeptide of type I collagen; U-NTx, urinary N-terminal telopeptide of type I collagen.