Abaloparatide and the Spine: A Narrative Review

Jeremy C Thompson,1 Nathan Wanderman,1 Paul A Anderson,2 Brett A Freedman1 1Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA; 2Department of Orthopaedic Surgery, Department of Orthopedics Surgery & Rehabilitation, University of Wisconsin, Madison, WI 53705-2281, USACorrespon...

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Autores principales: Thompson JC, Wanderman N, Anderson PA, Freedman BA
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:8682a48607d94005a87b66b8f71805e12021-12-02T08:40:19ZAbaloparatide and the Spine: A Narrative Review1178-1998https://doaj.org/article/8682a48607d94005a87b66b8f71805e12020-06-01T00:00:00Zhttps://www.dovepress.com/abaloparatide-and-the-spine-a-narrative-review-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Jeremy C Thompson,1 Nathan Wanderman,1 Paul A Anderson,2 Brett A Freedman1 1Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA; 2Department of Orthopaedic Surgery, Department of Orthopedics Surgery & Rehabilitation, University of Wisconsin, Madison, WI 53705-2281, USACorrespondence: Brett A FreedmanMayo Clinic, 200 First Street S.W., Rochester, MN 55905, USATel +507 284-2884Fax +507 266-4234Email Freedman.Brett@mayo.eduAbstract: Osteoporosis is a common and debilitating condition characterized by diminished bone mass and architecture leading to bone fragility. Antiresorptive medicines like bisphosphonates (and less commonly denosumab) are the typical first-line agents for the medical treatment of osteoporosis. However, newer anabolic agents have been shown to improve bone mass and architecture, as well as reduce fracture risk, to a greater degree than traditional antiresorptive therapies. Teriparatide (human recombinant parathyroid hormone (PTH) 1– 34, Forteo, Ely Lilly, Indianapolis, IN), which was the first in class to be approved in the United States, is the most widely used anabolic osteoporosis medicine and has shown significant benefit over traditional antiresorptive therapies. However, abaloparatide (synthetic parathyroid-related peptide (PTHrP), Tymlos, Radius Health, Waltham, MA), the second drug in this family, has recently become available for use. In this narrative review, we review the mechanism, effects, and benefits of abaloparatide compared to alternative treatments as well as discuss the current literature in regard to its effect on osteoporosis-related complications in the spine.Keywords: abaloparatide, Tymlos, anabolic, osteoporosis, spine, teriparatideThompson JCWanderman NAnderson PAFreedman BADove Medical Pressarticleabaloparatide tymlos anabolic osteoporosis spine teriparatideGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1023-1033 (2020)
institution DOAJ
collection DOAJ
language EN
topic abaloparatide tymlos anabolic osteoporosis spine teriparatide
Geriatrics
RC952-954.6
spellingShingle abaloparatide tymlos anabolic osteoporosis spine teriparatide
Geriatrics
RC952-954.6
Thompson JC
Wanderman N
Anderson PA
Freedman BA
Abaloparatide and the Spine: A Narrative Review
description Jeremy C Thompson,1 Nathan Wanderman,1 Paul A Anderson,2 Brett A Freedman1 1Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA; 2Department of Orthopaedic Surgery, Department of Orthopedics Surgery & Rehabilitation, University of Wisconsin, Madison, WI 53705-2281, USACorrespondence: Brett A FreedmanMayo Clinic, 200 First Street S.W., Rochester, MN 55905, USATel +507 284-2884Fax +507 266-4234Email Freedman.Brett@mayo.eduAbstract: Osteoporosis is a common and debilitating condition characterized by diminished bone mass and architecture leading to bone fragility. Antiresorptive medicines like bisphosphonates (and less commonly denosumab) are the typical first-line agents for the medical treatment of osteoporosis. However, newer anabolic agents have been shown to improve bone mass and architecture, as well as reduce fracture risk, to a greater degree than traditional antiresorptive therapies. Teriparatide (human recombinant parathyroid hormone (PTH) 1– 34, Forteo, Ely Lilly, Indianapolis, IN), which was the first in class to be approved in the United States, is the most widely used anabolic osteoporosis medicine and has shown significant benefit over traditional antiresorptive therapies. However, abaloparatide (synthetic parathyroid-related peptide (PTHrP), Tymlos, Radius Health, Waltham, MA), the second drug in this family, has recently become available for use. In this narrative review, we review the mechanism, effects, and benefits of abaloparatide compared to alternative treatments as well as discuss the current literature in regard to its effect on osteoporosis-related complications in the spine.Keywords: abaloparatide, Tymlos, anabolic, osteoporosis, spine, teriparatide
format article
author Thompson JC
Wanderman N
Anderson PA
Freedman BA
author_facet Thompson JC
Wanderman N
Anderson PA
Freedman BA
author_sort Thompson JC
title Abaloparatide and the Spine: A Narrative Review
title_short Abaloparatide and the Spine: A Narrative Review
title_full Abaloparatide and the Spine: A Narrative Review
title_fullStr Abaloparatide and the Spine: A Narrative Review
title_full_unstemmed Abaloparatide and the Spine: A Narrative Review
title_sort abaloparatide and the spine: a narrative review
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/8682a48607d94005a87b66b8f71805e1
work_keys_str_mv AT thompsonjc abaloparatideandthespineanarrativereview
AT wandermann abaloparatideandthespineanarrativereview
AT andersonpa abaloparatideandthespineanarrativereview
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