TheraRadar
Data updated: Jun 28, 2026

ALENDRONATE SODIUM · WATSON LABS INC

Musculoskeletal Approved 1995-09-29

Alendronate sodium helps postmenopausal women and men with osteoporosis by increasing bone mass and reducing the risk of hip and spine fractures. It also treats bone loss in patients taking glucocorticoid medications and manages Paget’s disease of bone. This medication is used to strengthen the skeletal system and prevent bone-related complications in those at risk.

Source: FDA Label

How ALENDRONATE SODIUM Works

This medication works by concentrating at sites where bone is being broken down and inhibiting the activity of osteoclasts, the cells responsible for bone resorption. By reducing the rate of bone turnover, it allows bone formation to exceed bone loss, which leads to a progressive increase in overall bone mass. Because the drug becomes inactive once it is incorporated into the bone matrix, continuous administration is necessary to maintain its effects on new bone surfaces.

Source: FDA Label
NDA
Small Molecule
9
Indications
--
Phase 3 Trials
30
Years on Market

ALENDRONATE SODIUM Approval History

2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
385 FDA actions from 2008 to 2026
Jun 2026 SUPPL
Label · Labeling
May 2026 SUPPL
Label · Labeling
Apr 2026 SUPPL
Label · Labeling

What ALENDRONATE SODIUM Treats

4 indications

ALENDRONATE SODIUM is approved for 4 conditions since its original approval in 2008. These indications span multiple therapeutic areas including oncology, immunology, and more.

Source: FDA Label

ALENDRONATE SODIUM Competitive Set

Pro

Three rings of competition based on shared molecular targets and treated indications.

Unlock 8 more competitors across all three rings.
Upgrade to Pro

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

Drugs Similar to ALENDRONATE SODIUM

3 of 14

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

RECLAST
ZOLEDRONIC ACID
3 shared
Novartis
Shared indications:
Postmenopausal OsteoporosisGlucocorticoid-Induced OsteoporosisPaget's Disease of Bone
BILDYOS
DENOSUMAB-NXXP
1 shared
SHANGHAI HENLIUS BIOTECH
BONCRESA
DENOSUMAB-MOBZ
1 shared
AMNEAL PHARMS
📋

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)
🔬

Active Pipeline

Pro

Ongoing clinical trials by development phase

Loading...

Key Completed Trials

Pro

Completed studies with published results, ranked by significance

Loading...
📊

Trial Timeline

Full development history with FDA approval milestones

|
Loading...
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.

ALENDRONATE SODIUM FDA Label Details

Indications & Usage

Alendronate sodium is a bisphosphonate indicated for: Treatment and prevention of osteoporosis in postmenopausal women Treatment to increase bone mass in men with osteoporosis Treatment of glucocorticoid-induced osteoporosis Treatment of Paget's disease of bone Limitations of use: Optimal duration of use has not been determined. For patients at low- risk for fracture, consider drug discontinuation after 3 to 5 years of use. 1.1 Treatment of Osteoporosis in Postmenopausal Women Alendronate sodium tablets, USP are indicated for the treatment of osteoporosis in postmenopausal women. In postmenopa...

Looking for the branded version?

BINOSTO

Full clinical data, patents, trials, and competitive landscape for alendronate sodium.

See BINOSTO

Data Sources

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