| Stem definition | Drug id | CAS RN |
|---|---|---|
| peptides and glycopeptides | 5232 | 247062-33-5 |
None
None
| Date | Agency | Company | Orphan |
|---|---|---|---|
| Dec. 12, 2022 | EMA | Radius Health Ireland Ltd | |
| April 28, 2017 | FDA | RADIUS HEALTH INC | |
| March 23, 2021 | PMDA | Teijin Pharma Limited |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Product quality issue | 1140.54 | 37.91 | 382 | 12610 | 35483 | 63440547 |
| Product dose omission issue | 1080.16 | 37.91 | 640 | 12352 | 233673 | 63242357 |
| Headache | 672.24 | 37.91 | 728 | 12264 | 632513 | 62843517 |
| Palpitations | 648.21 | 37.91 | 357 | 12635 | 112413 | 63363617 |
| Wrong technique in product usage process | 594.16 | 37.91 | 278 | 12714 | 62062 | 63413968 |
| Heart rate increased | 565.14 | 37.91 | 307 | 12685 | 93931 | 63382099 |
| Dizziness | 482.99 | 37.91 | 511 | 12481 | 429414 | 63046616 |
| Bone pain | 340.85 | 37.91 | 183 | 12809 | 54458 | 63421572 |
| Injection site bruising | 326.49 | 37.91 | 163 | 12829 | 41747 | 63434283 |
| Nausea | 316.72 | 37.91 | 596 | 12396 | 853875 | 62622155 |
| Product storage error | 298.32 | 37.91 | 113 | 12879 | 14843 | 63461187 |
| Needle issue | 198.24 | 37.91 | 76 | 12916 | 10300 | 63465730 |
| Back pain | 168.66 | 37.91 | 237 | 12755 | 263908 | 63212122 |
| Fatigue | 146.33 | 37.91 | 454 | 12538 | 887574 | 62588456 |
| Injection site pain | 131.64 | 37.91 | 147 | 12845 | 129653 | 63346377 |
| Drug ineffective | 126.20 | 37.91 | 30 | 12962 | 1044735 | 62431295 |
| Product administered at inappropriate site | 125.84 | 37.91 | 40 | 12952 | 3109 | 63472921 |
| Injection site haemorrhage | 104.59 | 37.91 | 64 | 12928 | 24250 | 63451780 |
| Feeling abnormal | 103.26 | 37.91 | 139 | 12853 | 148253 | 63327777 |
| Muscle spasms | 97.75 | 37.91 | 139 | 12853 | 156011 | 63320019 |
| Blood calcium increased | 95.94 | 37.91 | 44 | 12948 | 9306 | 63466724 |
| Intentional dose omission | 92.38 | 37.91 | 41 | 12951 | 8034 | 63467996 |
| Vertigo | 80.65 | 37.91 | 79 | 12913 | 59808 | 63416222 |
| Sensory disturbance | 74.63 | 37.91 | 42 | 12950 | 13630 | 63462400 |
| Product use complaint | 73.02 | 37.91 | 25 | 12967 | 2449 | 63473581 |
| Pain in extremity | 46.33 | 37.91 | 161 | 12831 | 331325 | 63144705 |
| Flushing | 42.77 | 37.91 | 64 | 12928 | 75023 | 63401007 |
| Myalgia | 41.27 | 37.91 | 92 | 12900 | 146437 | 63329593 |
| Adverse event | 40.52 | 37.91 | 59 | 12933 | 67500 | 63408530 |
| Product dose omission in error | 40.50 | 37.91 | 23 | 12969 | 7589 | 63468441 |
| Anaemia | 40.34 | 37.91 | 6 | 12986 | 293424 | 63182606 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Off label use | 186.85 | 74.73 | 64 | 77 | 419460 | 34537330 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Product quality issue | 875.34 | 48.98 | 260 | 7723 | 33680 | 79702725 |
| Product dose omission issue | 826.58 | 48.98 | 428 | 7555 | 247109 | 79489296 |
| Headache | 506.44 | 48.98 | 457 | 7526 | 653315 | 79083090 |
| Palpitations | 426.16 | 48.98 | 221 | 7762 | 126389 | 79610016 |
| Wrong technique in product usage process | 378.33 | 48.98 | 172 | 7811 | 73703 | 79662702 |
| Heart rate increased | 372.76 | 48.98 | 199 | 7784 | 120525 | 79615880 |
| Dizziness | 321.82 | 48.98 | 324 | 7659 | 526117 | 79210288 |
| Nausea | 240.29 | 48.98 | 377 | 7606 | 956819 | 78779586 |
| Bone pain | 206.41 | 48.98 | 104 | 7879 | 55638 | 79680767 |
| Product storage error | 195.36 | 48.98 | 70 | 7913 | 16156 | 79720249 |
| Injection site bruising | 186.29 | 48.98 | 88 | 7895 | 40914 | 79695491 |
| Back pain | 133.62 | 48.98 | 158 | 7825 | 304022 | 79432383 |
| Fatigue | 104.06 | 48.98 | 262 | 7721 | 929465 | 78806940 |
| Needle issue | 101.65 | 48.98 | 41 | 7942 | 13027 | 79723378 |
| Injection site pain | 91.74 | 48.98 | 87 | 7896 | 129751 | 79606654 |
| Product administered at inappropriate site | 91.62 | 48.98 | 28 | 7955 | 3937 | 79732468 |
| Feeling abnormal | 89.14 | 48.98 | 94 | 7889 | 159105 | 79577300 |
| Muscle spasms | 75.25 | 48.98 | 90 | 7893 | 174640 | 79561765 |
| Drug ineffective | 64.12 | 48.98 | 15 | 7968 | 1080898 | 78655507 |
| Injection site haemorrhage | 64.11 | 48.98 | 38 | 7945 | 27832 | 79708573 |
| Intentional dose omission | 62.88 | 48.98 | 26 | 7957 | 8791 | 79727614 |
| Blood calcium increased | 55.54 | 48.98 | 25 | 7958 | 10375 | 79726030 |
| Product use complaint | 50.90 | 48.98 | 16 | 7967 | 2467 | 79733938 |
None
| Source | Code | Description |
|---|---|---|
| ATC | H05AA04 | SYSTEMIC HORMONAL PREPARATIONS, EXCL. SEX HORMONES AND INSULINS CALCIUM HOMEOSTASIS PARATHYROID HORMONES AND ANALOGUES Parathyroid hormones and analogues |
| MeSH PA | D050071 | Bone Density Conservation Agents |
| FDA CS | M0150746 | Parathyroid Hormone-Related Protein |
| FDA EPC | N0000193453 | Parathyroid Hormone-Related Peptide Analog |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Osteoporosis | indication | 64859006 | DOID:11476 |
| At risk of osteoporotic fracture | indication | 391040000 | |
| Hypercalcemia | contraindication | 66931009 | DOID:12678 |
| Bone metastases | contraindication | 94222008 | |
| Renal impairment | contraindication | 236423003 | |
| Pregnancy, function | contraindication | 289908002 | |
| Breastfeeding (mother) | contraindication | 413712001 | |
| Skeletal malignancies | contraindication | 443679004 | |
| Risk for osteosarcoma | contraindication | ||
| Unexplained elevations of serum alkaline phosphatase | contraindication |
None
None
| Dissociation level | Dissociation constant | Type (acidic/basic) |
|---|---|---|
| pKa1 | 3.19 | acidic |
| pKa2 | 3.57 | acidic |
| pKa3 | 3.97 | acidic |
| pKa4 | 4.19 | acidic |
| pKa5 | 4.57 | acidic |
| pKa6 | 12.15 | acidic |
| pKa7 | 12.45 | acidic |
| pKa8 | 12.49 | acidic |
| pKa9 | 12.69 | acidic |
| pKa10 | 12.78 | acidic |
| pKa11 | 13.03 | acidic |
| pKa12 | 13.05 | acidic |
| pKa13 | 13.1 | acidic |
| pKa14 | 13.33 | acidic |
| pKa15 | 13.34 | acidic |
| pKa16 | 13.45 | acidic |
| pKa17 | 13.56 | acidic |
| pKa18 | 13.6 | acidic |
| pKa19 | 13.66 | acidic |
| pKa20 | 13.74 | acidic |
| pKa21 | 13.86 | acidic |
| pKa22 | 13.89 | acidic |
| pKa23 | 13.94 | acidic |
| pKa24 | 11.5 | Basic |
| pKa25 | 11.26 | Basic |
| pKa26 | 11.01 | Basic |
| pKa27 | 10.81 | Basic |
| pKa28 | 10.55 | Basic |
| pKa29 | 10.3 | Basic |
| pKa30 | 9.94 | Basic |
| pKa31 | 8.42 | Basic |
| pKa32 | 7.16 | Basic |
| pKa33 | 6.69 | Basic |
| pKa34 | 6.21 | Basic |
| Formulation strength | Trade name | Applicant | Application number | Approval date | Type | Dose form | Route | Patent number | Patent expiration date | Patent use |
|---|---|---|---|---|---|---|---|---|---|---|
| 3.12MG/1.56ML (2MG/ML) | TYMLOS | RADIUS HEALTH INC | N208743 | April 28, 2017 | RX | SOLUTION | SUBCUTANEOUS | 8748382 | Oct. 3, 2027 | METHOD OF TREATING POSTMENOPAUSAL WOMEN WITH OSTEOPOROSIS AT HIGH RISK FOR FRACTURE. |
| 3.12MG/1.56ML (2MG/ML) | TYMLOS | RADIUS HEALTH INC | N208743 | April 28, 2017 | RX | SOLUTION | SUBCUTANEOUS | 8748382 | Oct. 3, 2027 | TREATMENT TO INCREASE BONE DENSITY IN MEN WITH OSTEOPOROSIS AT HIGH RISK FOR FRACTURE |
| 3.12MG/1.56ML (2MG/ML) | TYMLOS | RADIUS HEALTH INC | N208743 | April 28, 2017 | RX | SOLUTION | SUBCUTANEOUS | 7803770 | April 28, 2031 | METHOD OF TREATING POSTMENOPAUSAL WOMEN WITH OSTEOPOROSIS AT HIGH RISK FOR FRACTURE. |
| 3.12MG/1.56ML (2MG/ML) | TYMLOS | RADIUS HEALTH INC | N208743 | April 28, 2017 | RX | SOLUTION | SUBCUTANEOUS | RE49444 | April 28, 2031 | METHOD OF TREATING POSTMENOPAUSAL WOMEN WITH OSTEOPOROSIS AT HIGH RISK FOR FRACTURE. |
| 3.12MG/1.56ML (2MG/ML) | TYMLOS | RADIUS HEALTH INC | N208743 | April 28, 2017 | RX | SOLUTION | SUBCUTANEOUS | RE49444 | April 28, 2031 | TREATMENT TO INCREASE BONE DENSITY IN MEN WITH OSTEOPOROSIS AT HIGH RISK FOR FRACTURE |
| 3.12MG/1.56ML (2MG/ML) | TYMLOS | RADIUS HEALTH INC | N208743 | April 28, 2017 | RX | SOLUTION | SUBCUTANEOUS | 11255842 | Jan. 10, 2040 | USE FOR DETECTING NEUTRALIZING ANTIBODIES |
| 3.12MG/1.56ML (2MG/ML) | TYMLOS | RADIUS HEALTH INC | N208743 | April 28, 2017 | RX | SOLUTION | SUBCUTANEOUS | 11680942 | Jan. 10, 2040 | USE FOR DETECTING NEUTRALIZING ANTIBODIES |
| Formulation strength | Trade name | Applicant | Application number | Approval date | Type | Dose form | Route | Exclusivity date | Description |
|---|---|---|---|---|---|---|---|---|---|
| 3.12MG/1.56ML (2MG/ML) | TYMLOS | RADIUS HEALTH INC | N208743 | April 28, 2017 | RX | SOLUTION | SUBCUTANEOUS | Sept. 20, 2024 | INFORMATION ADDED TO CLINICAL PHARMACOLOGY SECTION |
| 3.12MG/1.56ML (2MG/ML) | TYMLOS | RADIUS HEALTH INC | N208743 | April 28, 2017 | RX | SOLUTION | SUBCUTANEOUS | Dec. 19, 2025 | TO INCREASE BONE DENSITY IN MEN WITH OSTEOPOROSIS AT HIGH RISK FOR FRACTURE (DEFINED AS A HISTORY OF OSTEOPOROTIC FRACTURE OR MULTIPLE RISK FACTORS FOR FRACTURE), OR PATIENTS WHO HAVE FAILED OR ARE INTOLERANT TO OTHER AVAILABLE OSTEOPOROSIS THERAPY |
| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Parathyroid hormone/parathyroid hormone-related peptide receptor | GPCR | AGONIST | IC50 | 9.70 | SCIENTIFIC LITERATURE | DRUG LABEL |
| ID | Source |
|---|---|
| AVK0I6HY2U | UNII |
| 4036650 | VANDF |
| C4042342 | UMLSCUI |
| CHEMBL3301581 | ChEMBL_ID |
| 76943386 | PUBCHEM_CID |
| DB05084 | DRUGBANK_ID |
| D10885 | KEGG_DRUG |
| 9794 | INN_ID |
| 8299 | IUPHAR_LIGAND_ID |
| 256732 | MMSL |
| 32684 | MMSL |
| d08578 | MMSL |
| 017204 | NDDF |
| 735229000 | SNOMEDCT_US |
| 763500008 | SNOMEDCT_US |
| 1921069 | RXNORM |
| C000596789 | MESH_SUPPLEMENTAL_RECORD_UI |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| Tymlos | HUMAN PRESCRIPTION DRUG LABEL | 1 | 70539-001 | INJECTION, SOLUTION | 2000 ug | SUBCUTANEOUS | NDA | 31 sections |
| Tymlos | HUMAN PRESCRIPTION DRUG LABEL | 1 | 70539-001 | INJECTION, SOLUTION | 2000 ug | SUBCUTANEOUS | NDA | 31 sections |
| Tymlos | HUMAN PRESCRIPTION DRUG LABEL | 1 | 70539-001 | INJECTION, SOLUTION | 2000 ug | SUBCUTANEOUS | NDA | 31 sections |