Latest on Anabolic Agents for Osteoporosis Treatment

Endocrinol Metab Clin North Am. 2024 Dec;53(4):513-523. doi: 10.1016/j.ecl.2024.08.003. Epub 2024 Sep 26.

Abstract

In the last decades, novel therapeutics with anabolic bone properties have been developed and are currently used in the management of osteoporosis particularly in patients with high-risk of fragility fractures. These drugs include PTH-Related Analogues, teriparatide and abaloparatide, and the anti-sclerostin agent romosozumab, this latter drug currently approved only in female patients. Their efficacies in preventing fragility fractures are widely demonstrated and their potential serious side effects were progressively downgraded, including risk of malignancies in teriparatide- and cardiovascular events in romosozumab-users, respectively. Further data are warranted about their efficacy in glucocorticoids-induces osteoporosis and fracture healings.

Keywords: Abaloparatide; Anabolics; Blosozumab; Fragility fractures; Glucocorticoids; Osteoporosis; Romosozumab; Teriparatide.

Publication types

  • Review

MeSH terms

  • Anabolic Agents* / adverse effects
  • Anabolic Agents* / therapeutic use
  • Antibodies, Monoclonal
  • Bone Density Conservation Agents* / therapeutic use
  • Humans
  • Osteoporosis* / drug therapy
  • Osteoporotic Fractures / prevention & control
  • Parathyroid Hormone-Related Protein
  • Teriparatide / therapeutic use

Substances

  • Anabolic Agents
  • Bone Density Conservation Agents
  • abaloparatide
  • Teriparatide
  • romosozumab
  • Antibodies, Monoclonal
  • Parathyroid Hormone-Related Protein