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 |