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Teriparatide information


Teriparatide
Clinical data
Trade namesForteo, Forsteo
BiosimilarsBonsity,[1] Kauliv,[2] Livogiva,[3] Osnuvo,[4] Qutavina,[5] Sondelbay,[6] Teribone,[7]
AHFS/Drugs.comMonograph
MedlinePlusa603018
License data
  • EU EMA: by INN
  • US DailyMed: Teriparatide
Pregnancy
category
  • AU: B3[8]
Routes of
administration
Subcutaneous
ATC code
  • H05AA02 (WHO)
Legal status
Legal status
  • AU: S4 (Prescription only)
  • CA: ℞-only / Schedule D
  • US: WARNING[9]Rx only[10]
  • EU: Rx only[11][6][2]
Pharmacokinetic data
Bioavailability95%
MetabolismLiver (nonspecific proteolysis)
Elimination half-lifeSubcutaneous: 1 hour
ExcretionKidney (metabolites)
Identifiers
CAS Number
  • 52232-67-4 checkY
PubChem CID
  • 16132393
IUPHAR/BPS
  • 4448
DrugBank
  • DB06285 checkY
ChemSpider
  • 17289052 ☒N
UNII
  • 10T9CSU89I
KEGG
  • D06078 checkY
ChEMBL
  • ChEMBL525610
ECHA InfoCard100.168.733 Edit this at Wikidata
Chemical and physical data
FormulaC181H291N55O51S2
Molar mass4117.77 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • [H]/N=C(\N)/NCCC[C@@H](C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CCC(=O)O)C(=O)N[C@@H](Cc1c[nH]c2c1cccc2)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCN/C(=N/[H])/N)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(=O)N)C(=O)N[C@@H](CC(=O)O)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](Cc3cnc[nH]3)C(=O)N[C@@H](CC(=O)N)C(=O)N[C@@H](Cc4ccccc4)C(=O)O)NC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CCSC)NC(=O)[C@H](CO)NC(=O)[C@H](CC(=O)N)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](Cc5cnc[nH]5)NC(=O)[C@H](CCCCN)NC(=O)CNC(=O)[C@H](CC(C)C)NC(=O)[C@H](CC(=O)N)NC(=O)[C@H](Cc6cnc[nH]6)NC(=O)[C@H](CCSC)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CCC(=O)N)NC(=O)[C@H]([C@@H](C)CC)NC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CO)NC(=O)[C@H](C(C)C)NC(=O)[C@H](CO)N
InChI
  • InChI=1S/C181H291N55O51S2/c1-21-96(18)146(236-160(267)114(48-53-141(250)251)212-174(281)132(84-239)232-177(284)143(93(12)13)233-147(254)103(185)82-237)178(285)216-111(45-50-134(187)241)155(262)219-119(65-90(6)7)163(270)213-116(55-62-289-20)158(265)224-124(71-100-79-196-86-203-100)167(274)226-126(73-135(188)242)169(276)217-117(63-88(2)3)148(255)201-81-138(245)205-105(39-27-30-56-182)149(256)223-123(70-99-78-195-85-202-99)166(273)221-121(67-92(10)11)164(271)225-128(75-137(190)244)171(278)231-131(83-238)173(280)214-115(54-61-288-19)157(264)210-112(46-51-139(246)247)153(260)208-109(43-34-60-199-181(193)194)159(266)234-144(94(14)15)175(282)215-113(47-52-140(248)249)156(263)222-122(69-98-77-200-104-38-26-25-37-102(98)104)165(272)220-120(66-91(8)9)161(268)209-108(42-33-59-198-180(191)192)151(258)206-106(40-28-31-57-183)150(257)207-107(41-29-32-58-184)152(259)218-118(64-89(4)5)162(269)211-110(44-49-133(186)240)154(261)228-129(76-142(252)253)172(279)235-145(95(16)17)176(283)229-125(72-101-80-197-87-204-101)168(275)227-127(74-136(189)243)170(277)230-130(179(286)287)68-97-35-23-22-24-36-97/h22-26,35-38,77-80,85-96,103,105-132,143-146,200,237-239H,21,27-34,39-76,81-84,182-185H2,1-20H3,(H2,186,240)(H2,187,241)(H2,188,242)(H2,189,243)(H2,190,244)(H,195,202)(H,196,203)(H,197,204)(H,201,255)(H,205,245)(H,206,258)(H,207,257)(H,208,260)(H,209,268)(H,210,264)(H,211,269)(H,212,281)(H,213,270)(H,214,280)(H,215,282)(H,216,285)(H,217,276)(H,218,259)(H,219,262)(H,220,272)(H,221,273)(H,222,263)(H,223,256)(H,224,265)(H,225,271)(H,226,274)(H,227,275)(H,228,261)(H,229,283)(H,230,277)(H,231,278)(H,232,284)(H,233,254)(H,234,266)(H,235,279)(H,236,267)(H,246,247)(H,248,249)(H,250,251)(H,252,253)(H,286,287)(H4,191,192,198)(H4,193,194,199)/t96-,103-,105-,106-,107-,108-,109-,110-,111-,112-,113-,114-,115-,116-,117-,118-,119-,120-,121-,122-,123-,124-,125-,126-,127-,128-,129-,130-,131-,132-,143-,144-,145-,146-/m0/s1 ☒N
  • Key:OGBMKVWORPGQRR-UMXFMPSGSA-N ☒N
 ☒NcheckY (what is this?)  (verify)

Teriparatide, sold under the brand name Forteo, is a form of parathyroid hormone (PTH) consisting of the first (N-terminus) 34 amino acids, which is the bioactive portion of the hormone.[10] It is an effective anabolic (promoting bone formation) agent[12] used in the treatment of some forms of osteoporosis.[10][13] Teriparatide is a recombinant human parathyroid hormone analog (PTH 1-34).[10] It has an identical sequence to the 34 N-terminal amino acids of the 84-amino acid human parathyroid hormone.[10]

  1. ^ Cite error: The named reference FDA Bonsity approval was invoked but never defined (see the help page).
  2. ^ a b Cite error: The named reference Kauliv EPAR was invoked but never defined (see the help page).
  3. ^ Cite error: The named reference Livogiva EPAR was invoked but never defined (see the help page).
  4. ^ Cite error: The named reference Osnuvo SBD was invoked but never defined (see the help page).
  5. ^ Cite error: The named reference Qutavina EPAR was invoked but never defined (see the help page).
  6. ^ a b Cite error: The named reference Sondelbay EPAR was invoked but never defined (see the help page).
  7. ^ Lisbeth Tristan de Brea (18 September 2018). "Nota de Seguridad de Medicamentos" (PDF). Panama: Directora Nacional de Farmacia y Drogas. Archived (PDF) from the original on 4 December 2020. Retrieved 30 September 2018.
  8. ^ "Teriparatide Use During Pregnancy". Drugs.com. 25 November 2019. Archived from the original on 27 October 2020. Retrieved 14 September 2020.
  9. ^ "FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)". nctr-crs.fda.gov. FDA. Retrieved 22 October 2023.
  10. ^ a b c d e "Forteo- teriparatide injection, solution". DailyMed. 29 April 2021. Archived from the original on 19 January 2022. Retrieved 8 March 2023.
  11. ^ Cite error: The named reference Forsteo EPAR was invoked but never defined (see the help page).
  12. ^ Riek AE, Towler DA (2011). "The pharmacological management of osteoporosis". Missouri Medicine. 108 (2): 118–23. PMC 3597219. PMID 21568234.
  13. ^ Saag KG, Shane E, Boonen S, Marín F, Donley DW, Taylor KA, et al. (November 2007). "Teriparatide or alendronate in glucocorticoid-induced osteoporosis". The New England Journal of Medicine. 357 (20): 2028–39. doi:10.1056/NEJMoa071408. PMID 18003959.

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Teriparatide

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Teriparatide, sold under the brand name Forteo, is a form of parathyroid hormone (PTH) consisting of the first (N-terminus) 34 amino acids, which is the...

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Parathyroid hormone

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women, administration of an exogenous parathyroid hormone analogue (teriparatide, by daily injection) superimposed on estrogen therapy produced increases...

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Hypoparathyroidism

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Additionally, medications such as recombinant human parathyroid hormone or teriparatide may be given by injection to replace the missing hormone. The main symptoms...

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Francesco Totti

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plate would not affect his game. He was given off-label treatments of teriparatide to speed-up his fracture recovery. The 2006–07 season was a personal...

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Bisphosphonate

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problems, intravenous pamidronate may be used. Strontium ranelate or teriparatide are used for refractory disease. The use of strontium ranelate is restricted...

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Cramp

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potassium sparing Intravenous (IV) iron sucrose Conjugated estrogens Teriparatide Naproxen Raloxifene Long acting adrenergic beta-agonists (LABAs)...

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Abaloparatide

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abaloparatide showed superior anabolic effects on the hips compared to teriparatide. In the phase III (2011-2014) Abaloparatide Comparator Trial in Vertebral...

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Osteopenia

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parathyroid hormone-related protein analogues (e.g., abaloparatide, teriparatide). These drugs are not without risks. In this complex landscape, many...

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Osteoporosis

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increases bone density, it does not decrease the risk of fractures. Teriparatide (a recombinant parathyroid hormone) has been shown to be effective in...

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ATC code H05

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which follows the WHO version. H05AA01 Parathyroid gland extract H05AA02 Teriparatide H05AA03 Parathyroid hormone H05AA04 Abaloparatide H05AA05 Palopegteriparatide...

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Biosimilar

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infliximab, insulin aspart, insulin glargine, pegfilgrastim, rituximab, teriparatide, and trastuzumab. A research article about "Maximizing the benefits of...

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Osteocalcin

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treatment with anabolic bone formation drugs for osteoporosis, such as teriparatide. In many studies, osteocalcin is used as a preliminary biomarker on the...

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Theramex

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numeric names: authors list (link) "Theramex launches Livogiva®, a new teriparatide pre-filled pen for the treatment of severe osteoporosis". Theramex. 18...

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Hypophosphatasia

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treatment of hypophosphatasia. Some evidence exists to support the use of teriparatide in adult-HPP. Current management consists of palliating symptoms, maintaining...

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Resilience engineering

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resilience. Cook uses the example of new drugs such as Abaloparatide and Teriparatide, which mimic Parathyroid hormone-related protein and are used to treat...

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Bone biopsy

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Martin, Javier San; Eriksen, Erik Fink (2005). "Differential Effects of Teriparatide and Alendronate on Bone Remodeling in Postmenopausal Women Assessed by...

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California Proposition 65 list of chemicals

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54965-24-1 Temazepam 846-50-4 Teniposide 29767-20-2 Terbacil 5902-51-2 Teriparatide 52232-67-4 Terrazole 2593-15-9 Testosterone 58-22-0 Testosterone cypionate...

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Spaceflight osteopenia

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progestin), selective estrogen receptor modulators, bisphosphonates, teriparatide, and others. Whether they can provide the same benefits for spaceflight...

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Annual pharmaceutical drug sales

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063.2 $985.2 $925.3 $1,004.7 $997.7 $1,060.4 $1,004 $1,061 $1,114.5 teriparatide Forteo Osteoporosis Eli Lilly & Co. $778.7 $709.3 $594.3 $389.3 $238...

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Felicia Cosman

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International. Her major research focus over the last decade is the use of teriparatide, a bone building medication, in combination with antiresorptive agents...

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Bone marrow adipose tissue

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exposure; and in response to pharmacological agents such as bisphosphonates, teriparatide, and metformin. Bone marrow adipocytes (BMAds) originate from mesenchymal...

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Sclerostin

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osteoporotic women increased bone density more than bisphosphonate and teriparatide treatment; it had mild injection side effects. A Phase II trial of a...

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Recombinant human parathyroid hormone

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the solvent when the ampoule is inserted into the injection device. Teriparatide, another parathyroid hormone "Natpara (parathyroid hormone)- parathyroid...

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Signaling peptide receptor

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Parathyroid hormone Parathyroid hormone-related protein (PTHrP) Semparatide Teriparatide Agonists Insulin-like factor 3 Relaxin (1, 2, 3) Serelaxin Agonists Azetirelin...

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PET for bone imaging

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Eastell, Richard; Fogelman, Ignac (May 2011). "Differential effects of teriparatide on regional bone formation using 18F-fluoride positron emission tomography"...

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