Table 3.
Drug | Drug class | Dose, route of administration and dosing interval | Approved for treating men with osteoporosis | Fracture risk reduction (in primary analyses of registration trials) | Subgroup analysis of older study participants | ||
---|---|---|---|---|---|---|---|
Vertebral fracture | Nonvertebral fracture | Hip fracture | |||||
Raloxifene | EAA | 60 mg po daily | ✓ | ||||
Alendronate | bisphosphonate | 70 mg po once weekly | ✓ | ✓ | ✓ | ✓ | |
Risedronate | bisphosphonate | 35 mg po once weekly or 150 mg po once monthly | ✓ | ✓ | ✓ | ✓ | ✓ |
Ibandronate | bisphosphonate | 150 mg po once monthly or 3 mg IV every 3 months | ✓ | ||||
Zoledronate | bisphosphonate | 5 mg IV every year | ✓ | ✓ | ✓ | ✓ | ✓ |
Denosumab | RANK ligand inhibitor | 60 mg SQ once every 6 months | ✓ | ✓ | ✓ | ✓ | ✓ |
Teriparatide | PTH receptor agonist | 20 mcg SQ daily | ✓ | ✓ | ✓ | ✓ | |
Abaloparatide | PTH receptor agonist | 80 mcg SQ daily | ✓ | ✓ | ✓ | ||
Romosozumab | sclerostin inhibitor | 210 mg SQ once monthly | ✓ | ✓ | ✓ | ||
Calcitonin-salmon | calcitonin | 200 USP units by nasal spray daily | ✓ |
Abbreviations: EAA, estrogen agonist/antagonist; IV, intravenous; PTH, parathyroid hormone; SQ, subcutaneous.