Table 3.
Summary table of current therapeutic approaches for OI.
| Therapeutic agent | Brand name | Mode of administration | Suggested mechanism | Notes |
|---|---|---|---|---|
| Bisphosphonates | Pamidronate, Alendronate, Risdronate, Zoledronic acid | Typically infusion, may be administered orally | Antiresorptive, inhibition of osteoclast activity | Mainstay of therapy in OI |
| Denosumab | Prolia (Amgen Inc., Thousand Oaks, CA, USA) | Subcutaneous injection | Antiresorptive, anti-RANKL antibody, inhibition of osteoclast activity | In clinical trial |
| Teriparatide | Forteo (Eli Lilly & Co., Indianapolis, IN, USA) | Subcutaneous injection | Anabolic, recombinant human parathyroid hormone | Therapy limited to 24 months, not approved in children |
| Sclerostin antibody | Romosozumab (Amgen Inc., Thousand Oaks, CA, USA), Blosozumab (Eli Lilly & Co., Indianapolis, IN, USA), BSP804 (Novartis, Basel, Switzerland) | Subcutaneous injection or infusion | Anabolic, Anti-sclerostin (an inhibitor of bone formation) | In clinical trial |
| TGFβ inhibitory antibody | Fresolimumab (Sanofi Genzyme, Cambridge, MA, USA) | Infusion | Targets excessive TGFβ signaling in bone | In clinical trial |