Abaloparatide for osteoporosis

see Osteoporosis treatment.

(TymlosTM):

a recombinant DNA copy of the entire human parathyroid hormone.

Rx: 80 micrograms SQ daily. Lifetime treatment limit of all parathyroid analogs total: 2 years

Abaloparatide increases bone formation for treating established osteoporosis.

Initial treatment with abaloparatide may result in greater vertebral fracture reduction compared with alendronate in postmenopausal women with osteoporosis 1).


Sequential therapy using ABL/alendronate (ALN) may be cost effective compared with generic ALN monotherapy in US men aged ≥ 50 years at high fracture risk, especially in those aged ≥ 60 years. Unbranded teriparatide (TPTD)/ALN and no treatment were dominated interventions (less QALY, more costs) compared with ABL/ALN or ALN monotherapy 2)


Have not yet been studied in the chronic glucocorticoid population 3).


1)
Leder BZ, Mitlak B, Hu MY, Hattersley G, Bockman RS. Effect of Abaloparatide Versus Alendronate on Fracture Risk Reduction in Postmenopausal Women With Osteoporosis. J Clin Endocrinol Metab. 2019 Nov 1. pii: dgz162. doi: 10.1210/clinem/dgz162. [Epub ahead of print] PubMed PMID: 31674644.
2)
Hiligsmann M, Silverman SS, Singer AJ, Pearman L, Mathew J, Wang Y, Caminis J, Reginster JY. Cost-Effectiveness of Sequential Abaloparatide/Alendronate in Men at High Risk of Fractures in the United States. Pharmacoeconomics. 2023 Apr 22. doi: 10.1007/s40273-023-01270-x. Epub ahead of print. PMID: 37086385.
3)
Taylor AD, Saag KG. Anabolics in the management of glucocorticoid-induced osteoporosis: an evidence-based review of long-term safety, efficacy and place in therapy. Core Evid. 2019 Aug 23;14:41-50. doi: 10.2147/CE.S172820. eCollection 2019. PubMed PMID: 31692480; PubMed Central PMCID: PMC6711555.
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