Last reviewed · How we verify

Placebo to Romosozumab

Amgen · Phase 3 active Small molecule

Romosozumab is a monoclonal antibody that inhibits sclerostin, a negative regulator of bone formation, thereby increasing bone mineral density and reducing fracture risk.

Romosozumab is a monoclonal antibody that inhibits sclerostin, a negative regulator of bone formation, thereby increasing bone mineral density and reducing fracture risk. Used for Postmenopausal osteoporosis in women at high risk of fracture, Osteoporosis in men at high risk of fracture.

At a glance

Generic namePlacebo to Romosozumab
SponsorAmgen
Drug classSclerostin inhibitor monoclonal antibody
TargetSclerostin (SOST protein)
ModalitySmall molecule
Therapeutic areaBone metabolism / Osteoporosis
PhasePhase 3

Mechanism of action

Sclerostin is produced by osteocytes and suppresses the Wnt/β-catenin signaling pathway, which is essential for osteoblast activity and bone formation. By blocking sclerostin, romosozumab enhances osteoblast function and bone turnover, leading to rapid increases in bone mineral density. This mechanism is distinct from traditional antiresorptive agents and provides both bone formation and antiresorptive effects.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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