Ibandronic acid

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Ibandronic acid
Systematic (IUPAC) name
[1-hydroxy-3-(methyl-pentyl-amino)-1-phosphono-
propyl]phosphonic acid
Identifiers
CAS number 114084-78-5
ATC code M05BA06
PubChem 60852
DrugBank APRD00231
Chemical data
Formula C9H23NO7P2 
Mol. mass 319.229 g/mol
SMILES eMolecules & PubChem
Pharmacokinetic data
Bioavailability 0.6%
Protein binding 90.9 to 99.5%
(concentration-dependent)
Metabolism Nil
Half life 10 to 60 hours
Excretion Renal
Therapeutic considerations
Licence data

EUUS

Pregnancy cat.

C(US)

Legal status

Prescription only

Routes Oral, intravenous

Ibandronic acid (INN) or ibandronate sodium (USAN), marketed under the trade names Boniva, Bondronat and Bonviva, is a potent bisphosphonate drug used in the prevention and treatment of osteoporosis. It may also be used to treat hypercalcemia (elevated blood calcium levels).

[edit] Indications

Ibandronate is indicated for the treatment and prevention of osteoporosis in post-menopausal women. In May of 2003, the U.S. Food and Drug Administration (FDA) approved Ibandronate as a daily, 2.50mg dose treatment for post-menopausal osteoporosis. The basis for this approval was a three-year, randomized, double-blind, placebo-controlled trial of 2,946 women suffering post-menopausal osteoporosis. The participants received either a placebo or an oral ibandronate dose (2.50mg), or intermittently (20mg every second day in 12 doses at the beginning of each 3-month interval). Every participant also received daily oral doses of 500mg of calcium and 400IUs [international units] of vitamin D. At the study's conclusion, both doses significantly reduced the occurrence risk of new vertebral fractures by 50–52 per cent when compared to the effects of the placebo drug.

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