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Data updated: Jun 28, 2026

AUKELSO (denosumab-kyqq) · BIOCON BIOLOGICS INC

RANK Ligand Blocking Activity
Oncology Approved 2025-09-16

Aukelso is a RANK ligand inhibitor used to prevent skeletal-related events in patients with multiple myeloma or bone metastases from solid tumors. It is also indicated for the treatment of hypercalcemia of malignancy in cases where the condition has not responded to bisphosphonate therapy. Additionally, the drug is used to treat adults and skeletally mature adolescents with giant cell tumor of bone that is unresectable or where surgical intervention would result in severe morbidity.

Source: FDA Label • RANK Ligand Inhibitor

How AUKELSO Works

Aukelso binds to RANKL, a protein essential for the formation, function, and survival of osteoclasts, which are the cells responsible for bone resorption. By preventing RANKL from activating its receptor on the surface of osteoclasts and their precursors, the drug inhibits the breakdown of bone and the release of calcium. This process modulates bone pathology and osteolysis in patients where tumor signaling otherwise stimulates excessive osteoclast activity.

2
Indications
--
Phase 3 Trials
0
Years on Market

Details

Status
Prescription
First Approved
2025-09-16
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: DENOSUMAB-KYQQ

AUKELSO Approval History

2026
Original
New Indication
New Form
Label Update
2 FDA actions from 2025 to 2025 · 1 indication expansions
Oct 2025 ORIGINAL
Efficacy
Sep 2025 ORIGINAL
Update

What AUKELSO Treats

4 indications

AUKELSO is approved for 4 conditions since its original approval in 2025. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Multiple Myeloma
  • Bone Metastasis
  • Giant Cell Tumor of Bone
  • Hypercalcemia of Malignancy
Source: FDA Label
Auto-substitute OK for Prolia

Pharmacists can substitute AUKELSO for Prolia without calling the prescriber. This is a lower-cost alternative with no clinically meaningful differences.

AUKELSO 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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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications AUKELSO treats. First-in-class if their pivotal trials read out positive.

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Trial Timeline

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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.

AUKELSO FDA Label Details

Indications & Usage

FDA Label (PDF)

Aukelso is a RANK ligand (RANKL) inhibitor indicated for: Prevention of skeletal-related events in patients with multiple myeloma and in patients with bone metastases from solid tumors. Treatment of adults and skeletally mature adolescents with giant cell tumor of bone that is unresectable or where surgical resection is likely to result in severe morbidity. Treatment of hypercalcemia of malignancy refractory to bisphosphonate therapy. 1.1 Multiple Myeloma and Bone Metastasis from Solid Tumors Aukelso is indicated for the prevention of skeletal-related events in patients with multiple myeloma a...

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Data Sources

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