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Peptide

Abaloparatide

Abaloparatide (Tymlos) is an FDA-approved (2017) anabolic osteoporosis drug, NOT a supplement. It's a synthetic PTHrP analog that builds bone more effectively than older therapies. A-GRADE evidence for vertebral fracture reduction (86%), non-vertebral fractures (43%), and BMD increases. Requires daily subcutaneous injection. PRESCRIPTION ONLY - included here for informational purposes. Used in high-risk postmenopausal women and men. Has faster receptor kinetics than teriparatide with possibly better safety profile.

Research notice. This page is for education and research. Peptides may not be FDA-approved for human use and may only be legally available for research. Talk to a qualified clinician before considering any peptide.

Best evidence
Grade A
Conditions studied
1
Outcomes
9
Graded outcomes
4212

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

1 condition, plus general outcomes

Osteoporosis: outcomes studied for Abaloparatide
GradeOutcomeEffectSizeStudiesPeopleStudies list
Lumbar Spine BMD

8.48% increase at 12 months vs 1.17% placebo in men (ATOM trial)

Improves (the measure goes up)Large effect12 studies
Non-Vertebral Fracture Risk

ACTIVE trial: 43% reduction in non-vertebral fractures vs placebo

Improves (the measure goes down)Moderate effect10 studies

Studies that measured non-vertebral fracture risk

Total Hip BMD

2.14% increase vs 0.01% placebo at 12 months

Improves (the measure goes up)Moderate effect10 studies
Femoral Neck BMD

2.98% increase vs 0.15% placebo at 12 months

Improves (the measure goes up)Moderate effect10 studies
Vertebral Fracture Risk

ACTIVE trial: 86% reduction in new vertebral fractures vs placebo (P<0.001)

Improves (the measure goes down)Large effect7 studies

General

General: outcomes studied for Abaloparatide
GradeOutcomeEffectSizeStudiesPeopleStudies list
Bone Mineral Density

51 human trials and systematic reviews support this finding. Evidence includes systematic reviews/meta-analyses. Human clinical trial data available.

Improves (the measure goes up)Moderate effect15 studies

Studies that measured bone mineral density

and 5 more in the citations list

Safety/Tolerability

6 human trials and systematic reviews support this finding. Evidence includes systematic reviews/meta-analyses. Human clinical trial data available.

Improves (the measure goes up)Small effect8 studies

Studies that measured safety/tolerability

Wound Healing

2 preclinical studies support this finding. Primarily preclinical evidence.

Improves (the measure goes up)Small effect4 studies

Studies that measured wound healing

Kidney Function

2 human trials and systematic reviews support this finding. Evidence includes systematic reviews/meta-analyses. Human clinical trial data available.

Improves (the measure goes up)Small effect4 studies

Studies that measured kidney function

Key findings

  • Lumbar Spine BMDOsteoporosisImproves (the measure goes up)
  • Non-Vertebral Fracture RiskOsteoporosisImproves (the measure goes down)
  • Total Hip BMDOsteoporosisImproves (the measure goes up)

Studies cited

35 studies from PubMed

  1. Effect of abaloparatide on fracture incidence and bone mineral density in postmenopausal women with osteoporosis at highest risk for fractureOsteoporos Int, 2025 · PMID 39999474
  2. Efficacy and safety of abaloparatide, denosumab, teriparatide, oral bisphosphonates, and intravenous bisphosphonates in the treatment of male osteoporosis: a systematic review and Bayesian network meta-analysis.Frontiers in endocrinology, 2025 · PMID 40309441
  3. Abaloparatide Enhances Bone Regeneration in Extraction Socket Dental Implant Defects: An Experimental In Vivo Study.Clinical oral implants research, 2025 · PMID 39789749
  4. Osteoporosis: A Review.JAMA, 2025 · PMID 40587168
  5. The Safety and Efficacy of Abaloparatide on Postmenopausal Osteoporosis: A Systematic Review and Meta-analysis.Clinical therapeutics, 2024 · PMID 38307725
  6. Effectiveness and Safety of Treatments to Prevent Fractures in People With Low Bone Mass or Primary Osteoporosis: A Living Systematic Review and Network Meta-analysis for the American College of Physicians.Annals of internal medicine, 2023 · PMID 36592455
  7. Fracture risk reduction and safety by osteoporosis treatment compared with placebo or active comparator in postmenopausal women: systematic review, network meta-analysis, and meta-regression analysis of randomised clinical trials.BMJ (Clinical research ed.), 2023 · PMID 37130601
  8. Efficacy and Safety of Transdermal Abaloparatide in Postmenopausal Women with Osteoporosis: A Randomized Study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2023 · PMID 37417725
  9. Is abaloparatide more efficacious on increasing bone mineral density than teriparatide for women with postmenopausal osteoporosis? An updated meta-analysis.Journal of orthopaedic surgery and research, 2023 · PMID 36797767
  10. Abaloparatide dose-dependently increases bone mineral density in postmenopausal women with osteoporosis: a phase 2 study.Journal of bone and mineral metabolism, 2023 · PMID 37505256
  11. The Efficacy and Safety of Abaloparatide-SC in Men With Osteoporosis: A Randomized Clinical TrialJ Bone Miner Res, 2022 · PMID 36190391
  12. Diagnosis and Management of Osteoporosis in Advanced Kidney Disease: A Review.American journal of kidney diseases : the official journal of the National Kidney Foundation, 2022 · PMID 34419519
  13. Abaloparatide Increases Lumbar Spine and Hip BMD in Japanese Patients With Osteoporosis: The Phase 3 ACTIVE-J Study.The Journal of clinical endocrinology and metabolism, 2022 · PMID 35977548
  14. Abaloparatide: A review of preclinical and clinical studiesEur J Pharmacol, 2021 · PMID 34364879
  15. Early Effects of Abaloparatide on Bone Formation and Resorption Indices in Postmenopausal Women With OsteoporosisJ Bone Miner Res, 2021 · PMID 33434314
  16. Abaloparatide and the Spine: A Narrative Review.Clinical interventions in aging, 2020 · PMID 32636617
  17. Abaloparatide, the second generation osteoanabolic drug: Molecular mechanisms underlying its advantages over the first-in-class teriparatideBiochem Pharmacol, 2019 · PMID 31136739
  18. Abaloparatide, a novel osteoanabolic PTHrP analog, increases cortical and trabecular bone mass and architecture in orchiectomized rats by increasing bone formation without increasing bone resorption.Bone, 2019 · PMID 30343166
  19. Abaloparatide: A new pharmacological option for osteoporosis.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2019 · PMID 30689744
  20. Osteoporosis.Lancet (London, England), 2019 · PMID 30696576
  21. Effect of abaloparatide on vertebral, nonvertebral, major osteoporotic, and clinical fractures in a subset of postmenopausal women at increased risk of fracture by FRAX probability.Archives of osteoporosis, 2019 · PMID 30719589
  22. Efficacy and safety of abaloparatide for the treatment of post-menopausal osteoporosis.Expert opinion on pharmacotherapy, 2019 · PMID 30856013
  23. Precisely Controlled Delivery of Abaloparatide through Injectable Hydrogel to Promote Bone Regeneration.Macromolecular bioscience, 2019 · PMID 31066995
  24. Abaloparatide in patients with mild or moderate renal impairment: results from the ACTIVE phase 3 trial.Current medical research and opinion, 2019 · PMID 31418585
  25. Effects of abaloparatide on bone mineral density and risk of fracture in postmenopausal women aged 80 years or older with osteoporosisMenopause, 2018 · PMID 29462094
  26. ACTIVExtend: 24 Months of Alendronate After 18 Months of Abaloparatide or Placebo for Postmenopausal Osteoporosis.The Journal of clinical endocrinology and metabolism, 2018 · PMID 29800372
  27. Abaloparatide for the treatment of postmenopausal osteoporosis.Drugs of today (Barcelona, Spain : 1998), 2018 · PMID 29911694
  28. Abaloparatide-SC improves trabecular microarchitecture as assessed by trabecular bone score (TBS): a 24-week randomized clinical trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2018 · PMID 29167971
  29. Abaloparatide: Review of a Next-Generation Parathyroid Hormone Agonist.The Annals of pharmacotherapy, 2018 · PMID 29241341
  30. Effects of Abaloparatide-SC on Fractures and Bone Mineral Density in Subgroups of Postmenopausal Women With Osteoporosis and Varying Baseline Risk FactorsJ Bone Miner Res, 2017 · PMID 27612281
  31. Abaloparatide: Recombinant human PTHrP (1-34) anabolic therapy for osteoporosis.Maturitas, 2017 · PMID 28159062
  32. Abaloparatide (Tymlos) for postmenopausal osteoporosis.The Medical letter on drugs and therapeutics, 2017 · PMID 28609423
  33. Profile of Abaloparatide and Its Potential in the Treatment of Postmenopausal Osteoporosis.Cureus, 2017 · PMID 28680788
  34. Effect of Abaloparatide vs Placebo on New Vertebral Fractures in Postmenopausal Women With Osteoporosis: A Randomized Clinical TrialJAMA, 2016 · PMID 27533157
  35. Osteoporosis: Clinical Evaluation.2000 · PMID 25905277