Clodronic acid is a first generation bisphosphonate similar to etidronic acid and tiludronic acid. These drugs were developed to mimic the action of pyrophosphate, a regulator of calcification and decalcification. clodronate’s use has decreased over the years in favor of the third generation, nitrogen containing bisphosphonate zoledronic acid, ibandronic acid, minodronic acid, and risedronic acid.
Clodronic acid is not FDA approved, but is approved in Canada.
Clodronic acid is indicated as an adjunct in the management of osteolysis from bone metastases of malignant tumors and for management of hypercalcemia of malignancy.
Ospedale San Pellegrino, Castiglione delle Stiviere, Mantova, Italy
Ospedale San Pietro, Rome, Italy
Centro Riabilitativo Polifunzionale Teresio Borsalino, Alessandria, Italy
AOUC Policlinico di Bari - UOC Ortopedia e Traumatologia, Bari, Italy
Hôpital Saint-Louis, Paris, France
Groupe Hospitalier Pitié-Salpêtrière, Paris, France
Lund University Hospital, Lund, Sweden
Altru Cancer Center, Grand Forks, North Dakota, United States
Fletcher Allen Health Care - University Health Center Campus, Burlington, Vermont, United States
CCOP - Mayo Clinic Scottsdale Oncology Program, Scottsdale, Arizona, United States
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