TheraRadar
Data updated: May 26, 2026

BINOSTO (alendronate sodium)

Musculoskeletal Approved 2012-03-12

Binosto is an effervescent tablet used to help postmenopausal women and men who have osteoporosis. It helps patients by increasing bone mass and reducing the risk of fractures, specifically in the hip and spine. Because the ideal length of therapy is not yet determined, clinicians should re-evaluate the need for continued use every few years, especially for those at low risk for bone breaks.

Source: FDA Label • RADIUS

How BINOSTO Works

This medication works by concentrating at sites of bone resorption and inhibiting the activity of osteoclasts, the cells responsible for breaking down bone. By slowing this process, the drug allows bone formation to exceed bone resorption, which leads to progressive gains in bone mass.

1
Indication
--
Phase 3 Trials
14
Years on Market

Details

Status
Prescription
First Approved
2012-03-12
Patent Cliff
2031

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Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
TABLET, EFFERVESCENT

Companies

Active Ingredient: ALENDRONATE SODIUM

BINOSTO Approval History

2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
13 FDA actions from 2012 to 2026
Feb 2026 SUPPL
Label · Labeling
Oct 2020 SUPPL
Label · Labeling
Jun 2020 SUPPL
Label · Labeling

What BINOSTO Treats

1 indications

BINOSTO is approved for 1 conditions since its original approval in 2012. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Osteoporosis
Source: FDA Label

BINOSTO Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Clinical Trial Registry

5 trials
Trial Sponsor ID Phase Status Title
NCT06016634 1693339 5K23HL148310, 2020095 Ph 2 recruiting Alendronate for Osteonecrosis in Adults With Sickle Cell Disease
NCT05493761 OsteoNAFLD 88235 Ph 4 active not recruiting Effect of Anti-osteoporotic Medications on Nonalcoholic Fatty Liver Disease
NCT04704947 osteoprosis Ph 3 recruiting Clinical Study Evaluating Beta Blockers Use and Fracture Risk in Patients With Primary Osteoporosis
NCT02795546 PMVIDS/PER/0029/2014 Ph 4 completed Effect of Alendronate With β - TCP Bone Substitute in Surgical Therapy of Periodontal Intra-osseous Defects.
NCT00996801 results posted 5442-012 2009-014729-18, CTRI/2010/091/000258 Ph 2 completed MK-5442 in the Treatment of Osteoporosis in Postmenopausal Women Previously Treated With an Oral Bisphosphonate (MK-5442-012)
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Active Pipeline

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

BINOSTO FDA Label Details

Indications & Usage

FDA Label (PDF)

BINOSTO is indicated for the treatment of Osteoporosis.

View full patent landscape →
1 OB patents · 1 families · 28 international docs across 18 countries

BINOSTO Patents & Exclusivity

Latest Patent: Dec 2031

Patents (1 active)

US9592195 Expires Dec 5, 2031
Source: FDA Orange Book

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Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2031
  • 1 active patents

Trial Analysis

  • Clinical trial tracking
  • Development stage analysis

Competitive Landscape

  • 20 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.