NEW YORK - Patients who take steroid-based drugs
for a variety of ailments would benefit from taking therapies
to prevent the bone disorder osteoporosis, according to a study
presented on Friday.
The drugs, called corticosteroids, are prescribed for
ailments such as asthma, irritable bowel syndrome and
rheumatoid arthritis.
Patients taking steroid-based drugs are at much higher risk
of bone fracture regardless of previous risk factors or
duration of treatment, according to the study.
Therefore, they would benefit from taking drugs that
restore bone mass.
The study, which will be presented at the American College
of Rheumatology (ACR) annual meeting in New Orleans, showed
that patients on steroids who also took the osteoporosis
treatment Actonel were less susceptible to fractures than those
on the steroids alone.
Actonel is co-marketed by consumer products giant Procter &
Gamble and Franco-German drugs group Aventis SA .
Scientists have long theorized that steroids can interfere
with the process that builds bone mass. But the study presented
at the ACR meeting showed that patients who were on
steroid-based treatments for as little as three months raised
their risk of bone fracture.
"The patients who had been on (steroid) treatments for a
short period of time had similar fracture risks as patients who
had been on treatments for a long time period," said Dr. Tjeerd
van Staa, the primary investigator in the clinical trial, which
was sponsored by Procter & Gamble and Aventis.
"So we concluded from that fractures can develop quite
quickly in patients using steroids."
Brittle bones are most commonly associated with
post-menopausal women, but corticosteroids raises the risk of
fracture six-fold across all ages and regardless of bone mass
of the patients prior to steroid treatment, van Staa said.
Actonel reduces the risk of vertebral fractures by about 70
percent among patients on steroid-based therapy, the companies
said.
Actonel and Merck & Co. Inc.'s Fosamax are among the class
of osteoporosis drugs known as bisphonsphonates and are waging
a battle for market share.