Table 3 FDA-approved drugs for bone diseases

From: Targeting strategies for bone diseases: signaling pathways and clinical studies

Bone disease

Action mechanism

Drug

Drug type

Year of FDA approval

Therapy type

Osteoporosis

ERs agonist

Estrogens, Esterified/Conjugated

Chemical

1964/1942

Hormone replacement therapy

Next-generation transdermal estrogen

2013

Estradiol/Norethindrone Acetate

2000

Estrone sodium sulfate/Sodium equilin sulfate

2009

Sodium estrone sulfate/Sodium equilin sulfate/Medroxyprogesterone acetate

2009

Conjugated Estrogens/Medroxyprogesterone Acetate

1995

SERM

Raloxifene hydrochloride

1997

Bone-targeted therapy

Bazedoxifene/Conjugated estrogens

2013

FDPS inhibitor

Zoledronic acid

2008

Risedronate sodium

1998

Alendronate Sodium/Cholecalciferol

2005

Alendronate sodium

1995

Osteoclast inhibitor

Ibandronate

2003

PTH1R agonist

Abaloparatide

Recombinant polypeptide

2017

Teriparatide

2002

SOST inhibitor

Romosozumab

Monoclonal antibody

2019

RANKL inhibitor

Denosumab

2010

Osteoarthritis and rheumatoid arthritis

COX inhibitor

Indomethacin

Chemical

1984

Disease-modifying therapy

Fenoprofen Calcium

1976

Naproxen

1976

Naproxen sodium

1980

Piroxicam

1982

Diclofenac sodium

2007

Oxaprozin

1992

Diclofenac sodium/Misoprostol

1997

Celecoxib

1998

Meloxicam

2000 (OA)/ 2004 (RA)

Esomeprazole Magnesium/Naproxen

2010

Famotidine/Ibuprofen

2011

GR agonist

Triamcinolone Acetonide

1960

Methylprednisolone Acetate

1959

Triamcinolone Acetonide

1960

Osteoarthritis

IL-17A inhibitor

Secukinumab

Monoclonal antibody

2021

Sodium hyaluronate

Cross-linked sodium hyaluronate injection

Biological drugs

2007

Rheumatoid arthritis

DHFR inhibitor

Methotrexate sodium

Chemical

1953

Methotrexate

2019

JAK inhibitor

Upadacitinib

2019

Baricitinib

2018

GR agonist

Methylprednisolone acetate

1959

DHODH inhibitor

Leflunomide

1998

IKK inhibitor

Auranofin

1985

CTGF inhibitor

Penicillamine

1970

Immunosuppressant

Azathioprine

1968

Leukotriene synthesis inhibitor

Sulfasalazine

1950

CD20 inhibitor

Rituximab

Monoclonal antibody

2006

IL-6RA antagonist

Sarilumab

2017

Tocilizumab

2010

TNF-α inhibitor

Golimumab

2009

Certolizumab Pegol

2009

Adalimumab

2002

Infliximab

1999

Etanercept

Fusion protein

1998

CD86 and CD80 regulator

Abatacept

2005

IL1R1 antagonist

Anakinra

Interleukin

2001

Melanocortin receptor agonist

Corticotropin

Synthetic polypeptide

1950

Bone tumor

FDPS inhibitor

Pamidronate disodium

Chemical

2002

Bone targeted therapy

Zoledronic acid

2002

TYMS inhibitor

Levofolinate calcium

2008

DHFR inhibitor

Methotrexate sodium

1959

DNA inhibitor

RADIUM RA-223 DICHLORIDE

2013

RANKL inhibitor

Denosumab

Monoclonal antibody

2010

Paget disease of bone

FDPS inhibitor

Zoledronic acid

Chemical

2007

Risedronate sodium

1998

Osteoclast inhibitor

Etidronate disodium

1977

CTR agonist

Calcitonin salmon

Synthetic polypeptide

1975

Hypophosphatasia

Recombinant ALP

asfotase alfa

Peptide-drug conjugate

2015

  1. ER estrogen receptor, SERM selective estrogen receptor modulators, FDPS farnesyl diphosphate synthase, PTH1R type 1 parathyroid hormone receptor, RANKL receptor activator of nuclear factor-kB ligand, COX cyclooxygenase, GR glucocorticoid receptor, DHFR dihydrofolate reductase, JAK Janus kinase, DHODH dihydroorotate dehydrogenase, IKK I kappa B kinase, CTGF connective tissue growth factor, TYMS thymidylate synthetase, CTR calcitonin receptor, ALP alkaline phosphatase