Biomarker & Intervention Discovery

Osteoporosis

This page lists 8 druggable gene targets, 47 approved or trial-tested drug candidates and 15 recent clinical trials for Osteoporosis, with each agent ranked by the strength of its evidence (clinical, mechanistic or correlative). Candidates include existing drugs that could be repurposed. Sources are linked so you can check every claim.

US DALYs4.08MWHO GHE 2021 · all ages
Global DALYs45.69MWHO GHE 2021 · worldwide
US mortality12.5K deaths/yrWHO GHE 2021
Global mortality110.0K deaths/yrWHO GHE 2021 · worldwide
NIH funding$118MFY2025 · RCDC estimate
Funding levelSeverely Underfunded
Spontaneous remissionBone density decline of 1-3%/year in postmenopausal women without treatment; fracture risk increases exponentially…
Best-intervention remissionBisphosphonates: 40-50% reduction in vertebral fractures, 20-40% hip fracture reduction; romosozumab…
Gap sizeVery large — post-fracture care gap is stark: only 20-30% of patients with fragility fracture receive osteoporosis…
Primary barrierpractice/framing
Full remission profile →

Remission & chronicity

Spontaneous remission
Bone density decline of 1-3%/year in postmenopausal women without treatment; fracture risk increases exponentially with T-score decline; no spontaneous remission
Best-intervention remission
Bisphosphonates: 40-50% reduction in vertebral fractures, 20-40% hip fracture reduction; romosozumab (anti-sclerostin): 73% vertebral fracture reduction at 12 months (ARCH trial); abaloparatide/teriparatide (anabolic): BMD increase 9-12% at lumbar spine over 18 months
Gap size
Very large — post-fracture care gap is stark: only 20-30% of patients with fragility fracture receive osteoporosis treatment within 1 year
Primary barrier
practice/framing
The 'post-fracture care gap' is one of the most documented practice failures in medicine; the majority of fragility fracture patients leave hospital without osteoporosis diagnosis or treatment; fracture liaison services (FLS) fix this but are not universally implemented; anabolic therapies (romosozumab, teriparatide) drastically underused vs anti-resorptives

Biomarker Targets & Therapeutic Agents

Gene targets queried against DGIdb, Open Targets, ChEMBL, PubMed, and Europe PMC. Agents ranked: Clinical > Mechanistic > Correlative.

CALCR 141CTSK 178ESR1 386LRP5 0PTH1R 183SOST 38TNFSF11 46VDR 638
Therapeutic Agent Effect Direction Evidence Tier Potency Source
ADRENOMEDULLIN 2/INTERMEDIN ↑ activates Mechanistic
DAVALINTIDE ↑ activates Mechanistic
HUMAN CALCITONIN ↑ activates Mechanistic
CALCITONIN HUMAN ↑ activates Mechanistic
Β-CGRP ↑ activates Mechanistic
CALCITONIN ? unclear Mechanistic
SALMON CALCITONIN ↑ activates Mechanistic
CALCITONIN SALMON ↑ activates Mechanistic
Α-CGRP ↑ activates Mechanistic
[125I]CALCITONIN ↑ activates Mechanistic
CAGRILINTIDE ↑ activates Mechanistic
ADRENOMEDULLIN ↑ activates Mechanistic
AMYLIN ↑ activates Mechanistic
SMC021 ↑ activates Mechanistic
PRAMLINTIDE ↑ activates Mechanistic
AC187 ↓ inhibits Mechanistic
PRAMLINTIDE ACETATE ↑ activates Mechanistic
LIPROTAMASE ? unclear Mechanistic
[125I]CALCITONIN (SALMON) ↑ activates Mechanistic
AMLINTIDE ↑ activates Mechanistic
KBP-066 ↑ activates Mechanistic
NN1213 ↑ activates Mechanistic
CALCITONIN-(8-32) (SALMON) ↓ inhibits Mechanistic
KBP-088 ↑ activates Mechanistic
CHEMBL2369886 ↓ inhibits Mechanistic 0.069 nM (Ki)
CHEMBL2369897 ↓ inhibits Mechanistic 5.28 nM (Ki)
CHEMBL2369893 ↓ inhibits Mechanistic 0.56 nM (Ki)
CHEMBL2369915 ↓ inhibits Mechanistic 0.069 nM (Ki)
CHEMBL2369895 ↓ inhibits Mechanistic 0.023 nM (Ki)
CHEMBL2304022 ↓ inhibits Mechanistic 1229.0 nM (Ki)
CHEMBL2369899 ↓ inhibits Mechanistic 195.0 nM (Ki)
CHEMBL2369905 ↓ inhibits Mechanistic 400.0 nM (Ki)
CHEMBL2369912 ↓ inhibits Mechanistic 0.05 nM (Ki)
CHEMBL2369892 ↓ inhibits Mechanistic 42.5 nM (Ki)
CHEMBL2369907 ↓ inhibits Mechanistic 0.051 nM (Ki)
CHEMBL2369904 ↓ inhibits Mechanistic 2569.0 nM (Ki)
CHEMBL2035983 ↓ inhibits Mechanistic 3200.0 nM (Ki)
CHEMBL4448157 ↑ activates Mechanistic 0.013 nM (EC50)
CHEMBL4452412 ↑ activates Mechanistic 0.013 nM (EC50)
CHEMBL4457292 ↑ activates Mechanistic 0.017 nM (EC50)

Showing top 40 of 141 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
ODANACATIB ↓ inhibits Mechanistic
CALPEPTIN ↓ inhibits Mechanistic 0.11 nM (IC50)
BALICATIB ↓ inhibits Mechanistic
MIV-701 ? unclear Mechanistic
RELACATIB ↓ inhibits Mechanistic
HEPARAN SULFATE ? unclear Mechanistic
ANTISENSE OLIGONUCLEOTIDES ? unclear Mechanistic
GC-376 ↓ inhibits Mechanistic
UAWJ9-36-3 ↓ inhibits Mechanistic
K11777 ↓ inhibits Mechanistic
COMPOUND 1B [PMID: 16290936] ↓ inhibits Mechanistic
COMPOUND 23 [PMID: 35944849] ↓ inhibits Mechanistic
CHEMBL:CHEMBL2316602 ? unclear Mechanistic
ONO-5334 ↓ inhibits Mechanistic
L873724 ↓ inhibits Mechanistic
CHEMBL419772 ↓ inhibits Mechanistic 100.0 nM (IC50)
CHEMBL113761 ↓ inhibits Mechanistic 1630.0 nM (IC50)
CHEMBL115734 ↓ inhibits Mechanistic 5.0 nM (IC50)
CHEMBL3142832 ↓ inhibits Mechanistic 230.0 nM (Ki)
CHEMBL3142835 ↓ inhibits Mechanistic 30500.0 nM (Ki)
CHEMBL100563 ↓ inhibits Mechanistic 2.3 nM (Ki)
CHEMBL99890 ↓ inhibits Mechanistic 1.4 nM (Ki)
CHEMBL314777 ↓ inhibits Mechanistic 1061.0 nM (Ki)
CHEMBL86453 ↓ inhibits Mechanistic 492.0 nM (Ki)
CHEMBL264623 ↓ inhibits Mechanistic 683.0 nM (Ki)
CHEMBL299277 ↓ inhibits Mechanistic 330.0 nM (Ki)
CHEMBL87150 ↓ inhibits Mechanistic 229.0 nM (Ki)
CHEMBL294615 ↓ inhibits Mechanistic 33.0 nM (Ki)
CHEMBL57836 ↓ inhibits Mechanistic 10.0 nM (Ki)
CHEMBL313182 ↓ inhibits Mechanistic 1370.0 nM (Ki)
CHEMBL77665 ↓ inhibits Mechanistic 15.0 nM (Ki)
CHEMBL171998 ↓ inhibits Mechanistic 706.0 nM (Ki)
CHEMBL354439 ↓ inhibits Mechanistic 5.0 nM (Ki)
CHEMBL170962 ↓ inhibits Mechanistic 12.0 nM (Ki)
CHEMBL169560 ↓ inhibits Mechanistic 8.0 nM (Ki)
CHEMBL354132 ↓ inhibits Mechanistic 48.0 nM (Ki)
CHEMBL80508 ↓ inhibits Mechanistic 11.0 nM (Ki)
CHEMBL78288 ↓ inhibits Mechanistic 460.0 nM (IC50)
CHEMBL353725 ↓ inhibits Mechanistic 10.0 nM (Ki)
CHEMBL73908 ↓ inhibits Mechanistic 470.0 nM (IC50)

Showing top 40 of 178 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
ESTRONE ↑ activates Mechanistic 480.0 nM (EC50)
EVEROLIMUS ? unclear Mechanistic
ANASTROZOLE ? unclear Mechanistic
SIVIFENE ? unclear Mechanistic
ARZOXIFENE ~ modulates Mechanistic
ENDOXIFEN ↓ inhibits Mechanistic
OSPEMIFENE ↓ inhibits Mechanistic
RALOXIFEN ? unclear Mechanistic
FULVESTRANT ↓ inhibits Mechanistic 6.0 nM (IC50)
INAVOLISIB ? unclear Mechanistic
TESTOSTERONE PROPIONATE ? unclear Mechanistic
PHENYLMERCURIC ACETATE ? unclear Mechanistic
ESTRADIOL CYPIONATE ↑ activates Mechanistic
ESTROGEN ? unclear Mechanistic
METHOXSALEN ? unclear Mechanistic
BORIC ACID ? unclear Mechanistic
IMLUNESTRANT ↓ inhibits Mechanistic
PROTOAPIGENONE ? unclear Mechanistic
CLOMIPHENE CITRATE ? unclear Mechanistic
DAUNORUBICIN HYDROCHLORIDE ? unclear Mechanistic
NERATINIB ? unclear Mechanistic
ALACHLOR ? unclear Mechanistic
METHAMPHETAMINE ? unclear Mechanistic
OCHRATOXIN A ? unclear Mechanistic
CETRIMONIUM BROMIDE ? unclear Mechanistic
EXEMESTANE ? unclear Mechanistic
GW7647 ? unclear Mechanistic
NORGESTREL ? unclear Mechanistic
AMCENESTRANT ↓ inhibits Mechanistic
LETROZOLE ? unclear Mechanistic
PROGESTERONE ? unclear Mechanistic
DIETHYLSTILBESTROL ↑ activates Mechanistic 12.0 nM (EC50)
ESTRIOL ↑ activates Mechanistic
16Α-HYDROXYESTRONE ↑ activates Mechanistic
BRILANESTRANT ? unclear Mechanistic
LEVONORGESTREL ? unclear Mechanistic
ACOLBIFENE ? unclear Mechanistic
PROPYLPYRAZOLETRIOL ↑ activates Mechanistic
ESTRADIOL VALERATE ↑ activates Mechanistic
MEGESTROL ? unclear Mechanistic

Showing top 40 of 386 agents ranked by evidence tier.

Pipeline results not yet available for this target. Run the pipeline to populate.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
PARATHYROID HORMONE ? unclear Mechanistic
9-AMINOCAMPTOTHECIN ? unclear Mechanistic
PCO-371 ↑ activates Mechanistic 4100.0 nM (EC50)
[ILE5,TRP23]PTHRP-(3-36) (HUMAN) ↑ activates Mechanistic
[ALA1,12,AIB3,GLN10,HARG11,TRP14,ARG19]PTH-(1-21)-NH2 (HUMAN) ↑ activates Mechanistic
PTHRP-(1-36) ↑ activates Mechanistic
[TRP23,TYR36]PTHRP-(1-36)-NH2 (HUMAN) ↑ activates Mechanistic
RECOMBINANT PARATHYROID HORMONE-RELATED PROTEIN ? unclear Mechanistic
PTHRP-(1-21)/PTH-(22-34) (HUMAN) ↑ activates Mechanistic
[ILE5,TRP23]PTHRP-(1-36) (HUMAN) ↑ activates Mechanistic
CHEMBL:CHEMBL586870 ? unclear Mechanistic
[ALA1,12,AIB3,GLN10,HARG11,TRP14,ARG19]PTH-(1-28)-NH2 (HUMAN) ↑ activates Mechanistic
PTH-(1-34) (RAT) ↑ activates Mechanistic
[PHE23]PTH-(1-34) (HUMAN) ↑ activates Mechanistic
TIP39-(3-39) (HUMAN/BOVINE) ↓ inhibits Mechanistic
[HIS5]PTH-(1-34) (HUMAN) ↑ activates Mechanistic
CHEMBL:CHEMBL599896 ? unclear Mechanistic
[TYR36]-PTHRP-(1-36) AMIDE (HUMAN) ↑ activates Mechanistic
TERIPARATIDE ACETATE ↑ activates Mechanistic
PTHRP-(1-20)/TIP-(23-39) (HUMAN) ↑ activates Mechanistic
[ILE5,TRP23]PTHRP-(4-36) (HUMAN) ↑ activates Mechanistic
[TYR34]PTH-(1-34) (HUMAN) ↑ activates Mechanistic
DEXAMETHASONE ? unclear Mechanistic
[ALA1,12,AIB3,GLN10,HARG11,TRP14]PTH-(1-14)-NH2 ↑ activates Mechanistic
ABALOPARATIDE ↑ activates Mechanistic 0.02 nM (EC50)
TIP39 ↓ inhibits Mechanistic
TIP39-(9-39) (HUMAN/BOVINE) ↓ inhibits Mechanistic
[ALA1,12,AIB3,GLN10,HARG11,TRP14,ARG19]PTH-(1-34)-NH2 ↑ activates Mechanistic
[ILE5,TRP23,TYR36]PTHRP-(1-36)-NH2 (HUMAN) ↑ activates Mechanistic
[125I][NLE8,21,TYR34]PTH-(1-34)-NH2 (RAT) ↑ activates Mechanistic
[TRP23]PTHRP-(1-36) (HUMAN) ↑ activates Mechanistic
ENEBOPARATIDE ↑ activates Mechanistic
[ILE5,TRP23]PTHRP-(2-36) (HUMAN) ↑ activates Mechanistic
RECOMBINANT TRANSFORMING GROWTH FACTOR ? unclear Mechanistic
OSTABOLIN-C ? unclear Mechanistic
[ILE5,TRP23]PTHRP-(5-36) ↓ inhibits Mechanistic
DS69910557 ↓ inhibits Mechanistic
[D-TRP12,TYR34]PTH-(7-34) (BOVINE) ↓ inhibits Mechanistic
PTHRP-(7-34) (HUMAN, RAT, MOUSE) ↓ inhibits Mechanistic
TIP39-(7-39) (HUMAN/BOVINE) ↓ inhibits Mechanistic

Showing top 40 of 183 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
AMG-167 ↓ inhibits Mechanistic
ANTI-SCLEROSTIN ↓ inhibits Mechanistic
BLOSOZUMAB ↓ inhibits Mechanistic
SETRUSUMAB ↓ inhibits Mechanistic
ROMOSOZUMAB ↓ inhibits Mechanistic
ALENDRONATE SODIUM ? unclear Mechanistic
CHEMBL4454661 ↑ activates Mechanistic 88.3 nM (EC50)
CHEMBL4458856 ↑ activates Mechanistic 156.7 nM (EC50)
CHEMBL4570369 ↑ activates Mechanistic 52.7 nM (EC50)
CHEMBL4546624 ↑ activates Mechanistic 34.2 nM (EC50)
CHEMBL4462045 ↑ activates Mechanistic 162.3 nM (EC50)
CHEMBL4554919 ↑ activates Mechanistic 60.7 nM (EC50)
CHEMBL4573551 ↑ activates Mechanistic 104.0 nM (EC50)
CHEMBL4450022 ↑ activates Mechanistic 802.0 nM (EC50)
CHEMBL4545471 ↑ activates Mechanistic 861.0 nM (EC50)
CHEMBL4456989 ↑ activates Mechanistic 529.0 nM (EC50)
CHEMBL4444758 ↑ activates Mechanistic 1620.0 nM (EC50)
CHEMBL4448674 ↓ inhibits Mechanistic 20.0 nM (IC50)
CHEMBL4475291 ↓ inhibits Mechanistic 20.0 nM (IC50)
CHEMBL4455231 ↓ inhibits Mechanistic 20.0 nM (IC50)
CHEMBL4544777 ↓ inhibits Mechanistic 20.0 nM (IC50)
CHEMBL4459781 ↓ inhibits Mechanistic 20.0 nM (IC50)
CHEMBL4448063 ↓ inhibits Mechanistic 20.0 nM (IC50)
CHEMBL4462260 ↓ inhibits Mechanistic 1500.0 nM (IC50)
OCOTEINE ↓ inhibits Mechanistic 1500.0 nM (IC50)
CHEMBL1560685 ↓ inhibits Mechanistic 1500.0 nM (IC50)
CHEMBL4465758 ↓ inhibits Mechanistic 15000.0 nM (IC50)
CHEMBL464955 ↓ inhibits Mechanistic 1500.0 nM (IC50)
BOLDINE ↓ inhibits Mechanistic 5000.0 nM (IC50)
CHEMBL2021342 ↓ inhibits Mechanistic 37.66 nM (Kd)
CHEMBL5531992 ↓ inhibits Mechanistic 233.7 nM (Kd)
(+)-EPITAXIFOLIN ↓ inhibits Mechanistic 2632.0 nM (Kd)
COUMARIN ↓ inhibits Mechanistic 273.3 nM (Kd)
CHEMBL5531959 ↓ inhibits Mechanistic 397.1 nM (Kd)
CHEMBL5559172 ↓ inhibits Mechanistic 4782.0 nM (Kd)
CIANIDANOL ↓ inhibits Mechanistic 1579.0 nM (Kd)
CHEMBL455364 ↓ inhibits Mechanistic 211.2 nM (Kd)
CHEMBL5558704 ↓ inhibits Mechanistic 19.6 nM (Kd)
Therapeutic Agent Effect Direction Evidence Tier Potency Source
DENOSUMAB ↓ inhibits Mechanistic
LENALIDOMIDE ? unclear Mechanistic
CHEMBL4165601 ↓ inhibits Mechanistic 2750.0 nM (Kd)
CHEMBL4161101 ↓ inhibits Mechanistic 4540.0 nM (Kd)
CHEMBL4172400 ↓ inhibits Mechanistic 30910.0 nM (Kd)
CHEMBL4462272 ↓ inhibits Mechanistic 17300.0 nM (Kd)
CHEMBL4457006 ↓ inhibits Mechanistic 614.0 nM (Kd)
CHEMBL4454307 ↓ inhibits Mechanistic 3500.0 nM (Kd)
CHEMBL4554653 ↓ inhibits Mechanistic 3100.0 nM (Kd)
CHEMBL4560856 ↓ inhibits Mechanistic 2700.0 nM (Kd)
CHEMBL1978769 ↓ inhibits Mechanistic 9800.0 nM (Kd)
CHEMBL4436581 ↓ inhibits Mechanistic 13800.0 nM (Kd)
CHEMBL4514088 ↓ inhibits Mechanistic 6300.0 nM (Kd)
CHEMBL4470163 ↓ inhibits Mechanistic 7300.0 nM (Kd)
CHEMBL255489 ↓ inhibits Mechanistic 1000.0 nM (IC50)
CHEMBL4756975 ↓ inhibits Mechanistic 2500.0 nM (IC50)
CHEMBL3742191 ↓ inhibits Mechanistic 1880.0 nM (IC50)
CHEMBL3741720 ↓ inhibits Mechanistic 2860.0 nM (IC50)
CHEMBL3741275 ↓ inhibits Mechanistic 5070.0 nM (IC50)
CHEMBL4745590 ↓ inhibits Mechanistic 2700.0 nM (IC50)
CHEMBL4750116 ↓ inhibits Mechanistic 2000.0 nM (IC50)
CHEMBL4797434 ↓ inhibits Mechanistic 1900.0 nM (IC50)
CHEMBL4760595 ↓ inhibits Mechanistic 1400.0 nM (IC50)
CHEMBL4752672 ↓ inhibits Mechanistic 5100.0 nM (IC50)
CHEMBL4745373 ↓ inhibits Mechanistic 6400.0 nM (IC50)
CHEMBL4794699 ↓ inhibits Mechanistic 8710.0 nM (Kd)
CHEMBL4787527 ↓ inhibits Mechanistic 4900.0 nM (Kd)
CHEMBL4783826 ↓ inhibits Mechanistic 6620.0 nM (Kd)
CHEMBL3741778 ↓ inhibits Mechanistic 4600.0 nM (Kd)
CHEMBL3740423 ↓ inhibits Mechanistic 17610.0 nM (Kd)
CHEMBL3740948 ↓ inhibits Mechanistic 19060.0 nM (Kd)
CHEMBL3740702 ↓ inhibits Mechanistic 11040.0 nM (Kd)
CHEMBL3740051 ↓ inhibits Mechanistic 22300.0 nM (Kd)
CHEMBL3741922 ↓ inhibits Mechanistic 3550.0 nM (Kd)
CHEMBL3740630 ↓ inhibits Mechanistic 12500.0 nM (Kd)
CHEMBL3742150 ↓ inhibits Mechanistic 2820.0 nM (Kd)
CHEMBL3741278 ↓ inhibits Mechanistic 9310.0 nM (Kd)
CHEMBL3741437 ↓ inhibits Mechanistic 5340.0 nM (Kd)
CHEMBL3741883 ↓ inhibits Mechanistic 8490.0 nM (Kd)
CHEMBL3741027 ↓ inhibits Mechanistic 18640.0 nM (Kd)

Showing top 40 of 46 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
PARICALCITOL ↑ activates Mechanistic
THIOTEPA ? unclear Mechanistic
HEMATOXYLIN ? unclear Mechanistic
SLAZINIC ACID ? unclear Mechanistic
GOLIMUMAB ? unclear Mechanistic
GW5074 ? unclear Mechanistic
EPALRESTAT ? unclear Mechanistic
4'-METHOXYCHALCONE ? unclear Mechanistic
DESERPIDINE ? unclear Mechanistic
BRONOPOL ? unclear Mechanistic
CHEMBL:CHEMBL515505 ? unclear Mechanistic
RITANSERIN ? unclear Mechanistic
RECOMBINANT INTERFERON ? unclear Mechanistic
FLUAZINAM ? unclear Mechanistic
CALPHOSTIN C ? unclear Mechanistic
GALLIC ACID ? unclear Mechanistic
TBBT ? unclear Mechanistic
FUMARPROTOCETRARIC ACID ? unclear Mechanistic
ZAFIRLUKAST ? unclear Mechanistic
ZAPA ? unclear Mechanistic
SANGUINARINE SULFATE ? unclear Mechanistic
IPA-3 ? unclear Mechanistic
AGROCLAVINE ? unclear Mechanistic
MEDROXYPROGESTERONE ? unclear Mechanistic
NISOLDIPINE ? unclear Mechanistic
MECYSTEINE HYDROCHLORIDE ? unclear Mechanistic
VALSPODAR ? unclear Mechanistic
CHEMBL:CHEMBL126804 ? unclear Mechanistic
ERYTHROSINE ? unclear Mechanistic
SODIUM DODECYL SULFATE ? unclear Mechanistic
RT3 ? unclear Mechanistic
AMBAZONE ? unclear Mechanistic
KEPONE ? unclear Mechanistic
CHOLECALCIFEROL ↑ activates Mechanistic
S(+)-APOMORPHINE ? unclear Mechanistic
PD-118057 ? unclear Mechanistic
ETHACRIDINE ? unclear Mechanistic
AG 9 ? unclear Mechanistic
CALCITRIOL ↑ activates Mechanistic 0.065 nM (Kd)
EICOSAPENTAENOIC ACID ? unclear Mechanistic

Showing top 40 of 638 agents ranked by evidence tier.


Clinical Trials

Drug, biologic and supplement trials (treatment or prevention) from ClinicalTrials.gov whose main condition is Osteoporosis: recruiting, active or completed, most recently updated first. Data retrieved 2026-10-28.

NCT06018467 Phase: 2 Started: 2023-09-06

This randomised clinical trial aims to study osteoporosis as a disease of accelerated skeletal aging caused by the accumulation of senescent cells within the skeleton and investigate the effects and safety of senolytics and antioxidant therapy on bone.

NCT06079476 Phase: 4 Started: 2023-10-30

The primary objective of this study is to characterize safety and tolerability of romosozumab in postmenopausal women with osteoporosis and a high risk of fracture in India.

NCT06421597 Phase: 2 Started: 2024-11-04

Previous studies have shown that there is a large inter-individual variability in the degree of bone loss during glucocorticoid treatment, and while some patients experience extensive bone loss other patients\' bone mass remains stable. The aim of the study is to find a biomarker that can be use...

NCT05903820 Phase: 4 Started: 2023-07-19

The goal of this randomized-controlled trial is to compare the effect of rhythmic estrogen treatment to continuous estrogen treatment on bone turnover in healthy postmenopausal women. The main question it aims to answer are: • Does rhythmic estrogen lead to increased bone formation in healthy postme...

NCT04467983 Phase: 4 Started: 2021-02-01

This randomized open label clinical trial will evaluate the effect of continued denosumab alone over 18 months versus denosumab with added abaloparatide for 18 months. 70 postmenopausal women will be enrolled over a period of 18 months. The co-primary outcomes will be group differences in bone miner...

NCT06558188 Phase: 4 Started: 2025-02-03

In this research study the study investigators want to learn more about the effect of two different FDA-approved medication regimens in the treatment of postmenopausal osteoporosis.

NCT05571514 Phase: N/A Started: 2023-05-12

Post-menopausal osteoporosis and the resulting fractures are an important cause of disability and loss of independence. They also increase the risk of morbidity and mortality. Given potential side effects, hormone replacement therapy is no longer recommended for menopausal women with risk of becomin...

NCT05067335 Phase: 3 Started: 2021-10-21

The purpose of the study is to evaluate the effect of treatment with romosozumab for 6 months compared with placebo on the percent changes in bone mineral density (BMD) at the lumbar spine, at the total hip and femoral neck in postmenopausal Chinese women with osteoporosis.

NCT06118905 Phase: 4 Started: 2024-02-08

Our goal is to demonstrate efficacy of the novel agent Denosumab to improve or preserve muscle health, strength, mobility and function in frail older adults.

NCT06041789 Phase: 2 Started: 2025-02-03

People with Alzheimer's disease are at an increased risk of bone fracture. Some studies have shown that those taking donepezil have a lower rate of bone fractures, but the reasons for this are unknown. The purpose of this study is to measure the effect of donepezil treatment on bone metabolism facto...

NCT03994172 Phase: 4 Started: 2019-07-01

Osteoporotic fractures are a key health problem in older men. Although there are drugs approved to treat osteoporosis in men \[bisphosphonates, denosumab, and teriparatide (TPTD) or PTH(1-34)\], there is a lack of knowledge on how to use them effectively. TPTD is a potent bone anabolic drug, meaning...

NCT07406685 Phase: 4 Started: 2026-08-20

This study is a prospective, multicenter, open-label, randomized non-inferiority trial comparing intravenous ibandronate and zoledronic acid as sequential therapy after denosumab discontinuation in postmenopausal women with osteoporosis. This trial primarily targets patients with short-term denosuma...

NCT07242612 Phase: N/A Started: 2025-10-01

This study investigates the use of blood tests known as Bone Turnover Markers (BTMs) to quickly monitor the effectiveness of osteoporosis treatment in postmenopausal women. Osteoporosis, which weakens bones and increases fracture risk, is typically monitored using a DEXA scan to measure bone density...

NCT06804590 Phase: 3 Started: 2024-11-16

This study is a multicenter, randomized, double-blinded, parallel-group Phase III clinical study to compare the clinical efficacy, safety, and immunogenicity of 9MW0311 and Prolia® in Chinese postmenopausal women with osteoporosis at high risk for fracture.

NCT07365514 Phase: 1 Started: 2026-07

The goal of this clinical trial is to evaluate the effects of blackcurrant (BC) supplementation on changes in bone density and gut microbiome composition in postmenopausal females.


Agents Found By Disease-Level Search

Searched directly from “Osteoporosis” via ClinicalTrials.gov interventions and Open Targets' disease→drug data — independent of the 8-gene target panel above. This surfaces agents whose mechanism doesn't route through a curated gene (combination therapies, standard-of-care drugs, targets outside the panel).

47 agents shown (approved or with trial evidence) — 42 not found by the gene-target search above.

Teriparatide

Approved · 4 trials · source: ClinicalTrials.gov, Open Targets
NCT01430104 NCT01360424 NCT00761332

Zoledronic AcidNOT in gene-target list

Approved · 3 trials · source: ClinicalTrials.gov, Open Targets
NCT00305695 NCT01228318 NCT00114270

AlendronateNOT in gene-target list

· 3 trials · source: ClinicalTrials.gov
NCT00159419 NCT02417389 NCT01104987

Romosozumab

Approved · 3 trials · source: ClinicalTrials.gov, Open Targets
NCT06059222 NCT06059222 NCT06059222

ZoledronateNOT in gene-target list

· 3 trials · source: ClinicalTrials.gov
NCT06059222 NCT06059222 NCT06059222

Parathyroid Hormone (1-34)NOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT00377312 NCT00853723

Raloxifene

Approved · 2 trials · source: ClinicalTrials.gov, Open Targets
NCT00532428 NCT00532428

IbandronateNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT00824993 NCT00092053

Parathyroid hormone related protein (1-36)NOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT00853723 NCT00853723

Soy isoflavonesNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT00665860 NCT00665860

BONISTEIN(R) bone blendNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00698984

Dietary intervention of eating two mealsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03930758

Aspara-CA 600 mgNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01430104

Alfarol 1.0 µgNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01430104

antiresorptivesNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00761332

E2/DRSP (Angeliq, BAY86-4891)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01064453

Dietary PhytoestrogensNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00010686

creatine monohydrateNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01057680

blosozumab (LY2541546)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01144377

Shock Wave therapyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05616611

bone densitometric examination using REMS technologyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07508553

Vit DNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02582892

PamidronateNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00159419

ronacaleret (SB-751689)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00508534

Balloon KyphoplastyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00211211

Vitamin D3NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00903344

MultivitaminNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00903344

EchoStation Implementing REMS TechnologyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07031557

Atenolol 50 MGNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04905277

Ground Reaction ForcesNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02636530

Joint Reaction ForcesNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02636530

MK0217, /Duration of Treatment : 12 MonthsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00389740

Comparator : raloxifene hydrochloride /Duration of Treatment : 12 MonthsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00389740

SB-751689 oral tablets (400 mg)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00540878

N-Telopeptide, Bone MarkerNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05326815

Vitamin SupplementsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00824993

Calcium supplementNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00000426

ONO-5920 / YM529NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00965978

Culinary Medicine InterventionNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05197244

Whey protein supplementNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00421408

Calcium and Vitamin D SupplementationNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07334626

Vitality and biological activity of peripheral blood mononuclear cells (PBMCs)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06551155

letrozole

Unknown · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT00114270

Denosumab InjectionNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04467983

Abaloparatide

Approved · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT04467983

romosozumab HCP administration with PFSNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03432533

romosozumab self-administration with AI/PenNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03432533

Generated by the Open Source Medicine Foundation Biomarker Pipeline — 2026-10-08. Data sources: DGIdb, Open Targets, ChEMBL, PubMed, ClinicalTrials.gov. Not medical advice.