Burosumab

Hormones · In FGF23 and phosphate

Approved for a growth disorderHeight measured in peopleBy injectionAntibodyAlso Crysvita

A manufactured antibody that sticks to the hormone FGF23 and stops it reaching the kidney, so the body keeps phosphate instead of losing it in urine.

Fully human monoclonal antibody against FGF23, given subcutaneously. FDA approved in April 2018, the first drug for X-linked hypophosphataemia; the age floor was lowered in 2019 and tumour-induced osteomalacia was added in 2020. The label covers XLH in adults and children 6 months and older, and FGF23-related hypophosphataemia in tumour-induced osteomalacia from phosphaturic mesenchymal tumours that cannot be curatively resected or localised, in adults and children 2 years and older.

Lancet, 2019FDA label

Risks. More treatment-related side effects were reported on it than on the older treatment, and the phosphate and vitamin D medicines have to be stopped before it is begun.

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  • Risks and side effects, members only

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