risedronate
Trade name: actonel
Approved
Mar 27, 1998
Risedronic acid is a pyridinyl bisphosphonate that inhibits osteoclast-mediated bone resorption and modulates bone metabolism. The action of risedronate on bone tissue is based partly on its affinity for hydroxyapatite, which is part of the mineral matrix of bone. Risedronate also targets farnesyl pyrophosphate (FPP) synthase. It is FDA approved for the treatment of postmenopausal osteoporosis, osteoporosis in men, glucocorticoid-induced osteoporosis and Paget’s disease. Calcium, antacids, or oral medications containing divalent cations interfere with the absorption of Risedronic acid. Common adverse reactions include rash, abdominal pain, constipation, diarrhea, indigestion, nausea, backache, urinary tract infectious disease and influenza-like illness. — NCATS
Clinical trial activity
108 trials · 105 clinical orgs · 19 marketing orgs
Earliest trial started Aug 1, 1999 (NCT00268632)
Timeline
1990s
- Mar 27, 1998
Procter and Gamble — Earliest FDA Approval
- Mar 27, 1998
Allergan — NDA Secondary Org
- Mar 27, 1998
Procter and Gamble — NDA Organization
- Mar 27, 1998
SmithKline Beecham — NDA Secondary Org
- Jan 1, 1999
Earliest Phase 3 Sponsor(trial)
2000s
- Jan 1, 2002
Warner Chilcott — Earliest Phase 1 Sponsor(trial)
- Jan 1, 2002
Earliest Phase 2 Sponsor(trial)
- Aug 12, 2005
Warner Chilcott — Marketing Organization
- Aug 12, 2005
Warner Chilcott — NDA Secondary Org
- Oct 5, 2007
Teva — Marketing Organization
2010s
- Oct 8, 2010
GlaxoSmithKline — NDA Secondary Org
- Jun 10, 2014
Apotex — Marketing Organization
- Jun 10, 2014
Mylan — Marketing Organization
- Jun 10, 2014
Sun Pharmaceuticals — Marketing Organization
- Jun 10, 2014
PHARMOBEDIENT — Marketing Organization
- Nov 30, 2015
Aurobindo Pharma — Marketing Organization
- Dec 9, 2015
Macleods Pharmaceuticals, Ltd — Marketing Organization
- Dec 9, 2015
Neogen — Marketing Organization
- Jan 29, 2016
Orchid Pharma — Marketing Organization
- Jun 29, 2018
Impax Laboratories — Marketing Organization
- Jun 29, 2018
Amneal Pharmaceuticals — Marketing Organization
- Sep 11, 2018
Zydus Discovery DMCC — Marketing Organization
- Feb 15, 2019
Minsheng Binjiang Pharmaceuticals — Marketing Organization
- May 13, 2019
Orbion Pharms — Marketing Organization
Indications
Approved for
Studied for
- Adenocarcinoma · Phase 4
- Alveolar Bone Loss · Phase 4
- Anorexia Nervosa · Phase 2/Phase 3
- Back Pain · Phase 3
- Bariatric Surgery · Phase 4
- Biological Availability · Phase 1
- Bone Diseases, Metabolic · Phase 4
- Breast Neoplasms · Phase 4
- Bursitis · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 4
- Cesarean Section · Phase 4
- Colles' Fracture · Phase 4
- Crohn Disease · Phase 4
- Cystic Fibrosis · Phase 4
- Diabetes Mellitus, Type 2 · Phase 4
- Epilepsy · Phase 4
- Femoral Neck Fractures · Phase 4
- Fibrosis · Phase 4
- Fibrous Dysplasia of Bone · Phase 2/Phase 3
- Fractures, Bone · Phase 4
- General Surgery · Phase 1
- Healthy Volunteers · Phase 1
- Heart Failure · Phase 3
- HIV Infections · Phase 1
- Hypertension · Phase 4
- Leukemia · Phase 3
- Lung Neoplasms · Phase 2
- Lymphoma · Phase 3
- Menopause · Phase 3
- Muscular Dystrophies · Phase 4
- Osteitis Deformans · Phase 3
- Osteogenesis Imperfecta · Phase 4
- Osteoporosis, Postmenopausal · Phase 4
- Osteoporotic Fractures · Phase 4
- Periodontal Diseases · Phase 4
- Peritonitis · Phase 4
- Postmenopause · Phase 2
- Prostatic Neoplasms · Phase 4
- Prosthesis Failure · Phase 3
- Renal Insufficiency, Chronic · Phase 3
- Sexual Dysfunctions, Psychological · Phase 3
- Spinal Cord Injuries · Phase 3
- Spinal Fractures · Phase 3
- Spondylitis, Ankylosing · Phase 2
- Weight Loss · Phase 4
Mechanism of action
- Farnesyl diphosphate synthaseINHIBITOR
FDPS inhibitor
Binds to the bone matrix (hydroxyapatite), and when the bone starts to be reabsorbed the compound is released and taken up by osteoclasts, inhibiting protein prenylation of the GTPases involved in the formation of the ruffled border
Combination products
actonel with calcium (copackaged)
with calcium carbonate
Approval history
- approvedMar 27, 1998
Chemistry & pharmacology
SMILES
O=P(O)(O)C(O)(Cc1cccnc1)P(=O)(O)O- Mol. weight
- 283.11 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL923 ↗
- WikipediaRisedronic acid ↗
- NCATSKM2Z91756Z ↗
- ChEMBLCHEMBL1654 ↗
Also known as
- 2-(3-pyridinyl)-2-hydroxyethylidene-1,1-bisphosphonate
- acide risédroniqe
- acide risédroniqe
- acido risedronico
- acido risedronico
- acidum risedronicum
- acidum risedronicum
- actonel
- actonel
- actonel
- actonel
- atelvia
- atelvia
- ne 58095
- ne-58095
- ne-58095
- ne-58095
- ne-58095
- phosphonic acid, (2-hydroxy-2-(3-pyridinyl)ethylidene)bis-, disodium salt
- residronate
- ridron
- ridron
- risedronate
- risedronate
- risedronate
- risedronate
- risedronate
- risedronate
- risedronate
- risedronate sodium
- risedronate sodium
- risedronate sodium
- risedronate sodium
- risedronate sodium anhydrous
- risedronate sodium hemi-pentahydrate
- risedronate sodium hemi-pentahydrate
- risedronate sodium hemi-pentahydrate
- risedronate sodium hemi-pentahydrate
- risedronate sodium hemi-pentahydrate
- risedronate sodium hemi-pentahydrate
- risedronate sodium hydrate
- risedronate sodium monohydrate
- risedronic acid
- risedronic acid
- risedronic acid
- risedronic acid
- risedronic acid
- risedronic acid monohydrate
- risedronic acid monosodium salt
- risedronsäure
- risedronsäure
- risendronate
- sodium risedronate
- sodium risedronate
- sodium risedronate
- sodium risedronate hydrate
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07242612 | N/A | Oct 1, 2025 | Khyber Medical University Peshawar |
| NCT05630768 | Phase 4 | Nov 30, 2022 | Dong-A Pharmaceutical |
| NCT04922333 | Phase 3 | Jul 31, 2022 | Wake Forest University |
| NCT05346419 | N/A | Jul 1, 2021 | Hospital Regional 10 de Octubre, ISSSTE, National Autonomous University of Mexico, National Polytechnic Institute, Mexico, Regional Hospital October 1st |
| NCT04152551 | Phase 4 | Nov 30, 2019 | Cornell University, Northwell Health, Rockefeller University, The New York Community Trust |
| NCT03861091 | Phase 2 | Jul 31, 2019 | Wake Forest University |
| NCT03411902 | Phase 4 | Jun 15, 2018 | Wake Forest University |
| NCT02317458 | Phase 3 | Jun 1, 2017 | Celyad |
| NCT03208582 | Phase 2 | Apr 1, 2017 | Sheffield Hallam University, University of Sheffield |
| NCT02744482 | Phase 3 | May 1, 2016 | University of Limoges |
| NCT02186600 | Phase 3 | Feb 1, 2015 | Creighton University, University of Nebraska |
| NCT02063854 | Phase 2/Phase 3 (Phase 3) | Feb 1, 2014 | EA Pharma Co., Ltd., Takeda |
| NCT01923610 | Phase 1 | Sep 1, 2013 | University of Barcelona |
| NCT02148848 | Phase 4 | Jun 1, 2013 | Mahidol University, Siriraj Hospital |
| NCT01904110 | Phase 4 | Dec 1, 2012 | Hanlim Pharm. Co., Ltd., Sungkyunkwan University |
| NCT01709110 | Phase 4 | Oct 1, 2012 | Eli Lilly |
| NCT01665417 | Phase 4 | Aug 1, 2012 | Betta Pharmaceuticals Co.,Ltd., Hebei University, Peking University, People's Liberation Army of China, Tsinghua University |
| NCT02429596 | Phase 4 | May 1, 2012 | IRCCS National Neurological Institute C. Mondino Foundation |
| NCT02592161 | Phase 2 | Apr 1, 2012 | Korea Health Industry Development Institute |
| NCT01575873 | Phase 3 | Mar 28, 2012 | Amgen |
Organizations
Research & Development (105)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Procter and Gamble | For profit | 32 | 0 | 5 | 1999 |
| Sanofi | For profit | 30 | 15 | 4 | 1999 |
| Warner Chilcott | For profit | 17 | 17 | 4 | 2001 |
| Eli Lilly | For profit | 4 | 4 | 2 | 2006 |
| Hanlim Pharm. Co., Ltd. | For profit | 3 | 3 | 2 | 2009 |
| Harvard University | Academic/Hospital | 3 | 2 | 2 | 2003 |
| Mayo Clinic | Academic/Hospital | 3 | 0 | 1 | 2002 |
| National Cancer Institute (NCI) | Government | 3 | 2 | 1 | 2002 |
| Wake Forest University | Academic/Hospital | 3 | 3 | 3 | 2018 |
| Alliance for Better Bone Health | Academic/Hospital | 2 | 0 | 2 | 2003 |
| Amgen | For profit | 2 | 2 | 1 | 2009 |
| Chung-Ang University | Academic/Hospital | 2 | 0 | 2 | 2009 |
| Cornell University | Academic/Hospital | 2 | 1 | 1 | 2005 |
| Merck | For profit | 2 | 2 | 1 | 2002 |
| Novartis | For profit | 2 | 2 | 1 | 2001 |
| Roche | For profit | 2 | 1 | 2 | 2005 |
| Sheffield Hallam University | Academic/Hospital | 2 | 2 | 1 | 2007 |
| Takeda | For profit | 2 | 2 | 1 | 2006 |
| University of Alberta | Academic/Hospital | 2 | 2 | 2 | 2002 |
| University of Nebraska | Academic/Hospital | 2 | 2 | 2 | 2002 |
Marketing (24)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Allergan | For profit | NDA2 | Mar 27, 1998 |
| Amneal Pharmaceuticals | For profit | MKTG | Jun 29, 2018 |
| Apotex | For profit | MKTG | Jun 10, 2014 |
| Apotex | For profit | SYN | Jun 10, 2014 |
| Aurobindo Pharma | For profit | MKTG | Nov 30, 2015 |
| Aurobindo Pharma | For profit | SYN | Oct 21, 2016 |
| GlaxoSmithKline | For profit | NDA2 | Oct 8, 2010 |
| Impax Laboratories | For profit | MKTG | Jun 29, 2018 |
| Macleods Pharmaceuticals, Ltd | For profit | MKTG | Dec 9, 2015 |
| Minsheng Binjiang Pharmaceuticals | For profit | MKTG | Feb 15, 2019 |
| Mylan | For profit | MKTG | Jun 10, 2014 |
| Mylan | For profit | SYN | Jun 10, 2014 |
| Neogen | For profit | MKTG | Dec 9, 2015 |
| Orbion Pharms | For profit | MKTG | May 13, 2019 |
| Orchid Pharma | For profit | MKTG | Jan 29, 2016 |
| PHARMOBEDIENT | For profit | MKTG | Jun 10, 2014 |
| Procter and Gamble | For profit | NDA | Mar 27, 1998 |
| SmithKline Beecham | For profit | NDA2 | Mar 27, 1998 |
| Sun Pharmaceuticals | For profit | MKTG | Jun 10, 2014 |
| Sun Pharmaceuticals | For profit | SYN | Jun 10, 2014 |
| Teva | For profit | MKTG | Oct 5, 2007 |
| Warner Chilcott | For profit | MKTG | Aug 12, 2005 |
| Warner Chilcott | For profit | NDA2 | Aug 12, 2005 |
| Zydus Discovery DMCC | For profit | MKTG | Sep 11, 2018 |