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Data updated: Jun 28, 2026

OZILTUS (denosumab-mobz) · AMNEAL PHARMS

RANK Ligand Blocking Activity
Oncology Approved 2025-12-19

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

Source: FDA Label • RANK Ligand Inhibitor

How OZILTUS Works

Oziltus binds to RANKL, a protein essential for the formation, function, and survival of osteoclasts, which are the cells responsible for bone resorption. By blocking RANKL, the drug prevents the activation of the RANK receptor on the surface of osteoclasts and their precursors, thereby modulating the release of calcium from bone. In giant cell tumors of bone, this inhibition disrupts the signaling that contributes to osteolysis and tumor growth.

1
Indication
--
Phase 3 Trials
0
Years on Market

Details

Status
Prescription
First Approved
2025-12-19
Routes
SUBCUTANEOUS
Dosage Forms
INJECTABLE

Companies

Active Ingredient: DENOSUMAB-MOBZ

OZILTUS Approval History

2026
Original
New Indication
New Form
Label Update
1 FDA actions from 2025 to 2025
Dec 2025 ORIGINAL
Update

What OZILTUS Treats

4 indications

OZILTUS 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 OZILTUS for Prolia without calling the prescriber. This is a lower-cost alternative with no clinically meaningful differences.

OZILTUS 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.

What's emerging in OZILTUS's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications OZILTUS 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.

OZILTUS FDA Label Details

Indications & Usage

FDA Label (PDF)

Oziltus 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 Oziltus 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.