Sclerostin Antibody Therapy for the Treatment of Osteoporosis: Clinical Prospects and Challenges

It is estimated that over 200 million adults worldwide have osteoporosis, a disease that has increasing socioeconomic impact reflected by unsustainable costs associated with disability, fracture management, hospital stays, and treatment. Existing therapeutic treatments for osteoporosis are associate...

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Main Authors: Claire MacNabb, D. Patton, J. S. Hayes
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Osteoporosis
Online Access:http://dx.doi.org/10.1155/2016/6217286
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author Claire MacNabb
D. Patton
J. S. Hayes
author_facet Claire MacNabb
D. Patton
J. S. Hayes
author_sort Claire MacNabb
collection DOAJ
description It is estimated that over 200 million adults worldwide have osteoporosis, a disease that has increasing socioeconomic impact reflected by unsustainable costs associated with disability, fracture management, hospital stays, and treatment. Existing therapeutic treatments for osteoporosis are associated with a variety of issues relating to use, clinical predictability, and health risks. Consequently, additional novel therapeutic targets are increasingly sought. A promising therapeutic candidate is sclerostin, a Wnt pathway antagonist and, as such, a negative regulator of bone formation. Sclerostin antibody treatment has demonstrated efficacy and superiority compared to other anabolic treatments for increasing bone formation in both preclinical and clinical settings. Accordingly, it has been suggested that sclerostin antibody treatment is set to achieve market approval by 2017 and aggressively compete as the gold standard for osteoporotic treatment by 2021. In anticipation of phase III trial results which may potentially signify a significant step in achieving market approval here, we review the preclinical and clinical emergence of sclerostin antibody therapies for both osteoporosis and alternative applications. Potential clinical challenges are also explored as well as ongoing developments that may impact on the eventual clinical application of sclerostin antibodies as an effective treatment of osteoporosis.
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spelling doaj-art-e867eec4b60c44f8807d7f8c1b0796fe2025-02-03T01:06:52ZengWileyJournal of Osteoporosis2090-80592042-00642016-01-01201610.1155/2016/62172866217286Sclerostin Antibody Therapy for the Treatment of Osteoporosis: Clinical Prospects and ChallengesClaire MacNabb0D. Patton1J. S. Hayes2Regenerative Medicine Institute, NUI Galway, Biosciences Research Building, Corrib Village, Dangan, Galway, IrelandRegenerative Medicine Institute, NUI Galway, Biosciences Research Building, Corrib Village, Dangan, Galway, IrelandRegenerative Medicine Institute, NUI Galway, Biosciences Research Building, Corrib Village, Dangan, Galway, IrelandIt is estimated that over 200 million adults worldwide have osteoporosis, a disease that has increasing socioeconomic impact reflected by unsustainable costs associated with disability, fracture management, hospital stays, and treatment. Existing therapeutic treatments for osteoporosis are associated with a variety of issues relating to use, clinical predictability, and health risks. Consequently, additional novel therapeutic targets are increasingly sought. A promising therapeutic candidate is sclerostin, a Wnt pathway antagonist and, as such, a negative regulator of bone formation. Sclerostin antibody treatment has demonstrated efficacy and superiority compared to other anabolic treatments for increasing bone formation in both preclinical and clinical settings. Accordingly, it has been suggested that sclerostin antibody treatment is set to achieve market approval by 2017 and aggressively compete as the gold standard for osteoporotic treatment by 2021. In anticipation of phase III trial results which may potentially signify a significant step in achieving market approval here, we review the preclinical and clinical emergence of sclerostin antibody therapies for both osteoporosis and alternative applications. Potential clinical challenges are also explored as well as ongoing developments that may impact on the eventual clinical application of sclerostin antibodies as an effective treatment of osteoporosis.http://dx.doi.org/10.1155/2016/6217286
spellingShingle Claire MacNabb
D. Patton
J. S. Hayes
Sclerostin Antibody Therapy for the Treatment of Osteoporosis: Clinical Prospects and Challenges
Journal of Osteoporosis
title Sclerostin Antibody Therapy for the Treatment of Osteoporosis: Clinical Prospects and Challenges
title_full Sclerostin Antibody Therapy for the Treatment of Osteoporosis: Clinical Prospects and Challenges
title_fullStr Sclerostin Antibody Therapy for the Treatment of Osteoporosis: Clinical Prospects and Challenges
title_full_unstemmed Sclerostin Antibody Therapy for the Treatment of Osteoporosis: Clinical Prospects and Challenges
title_short Sclerostin Antibody Therapy for the Treatment of Osteoporosis: Clinical Prospects and Challenges
title_sort sclerostin antibody therapy for the treatment of osteoporosis clinical prospects and challenges
url http://dx.doi.org/10.1155/2016/6217286
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