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calcitonin (Fortical Injection / Forcaltonin)

✓ Approved

Kyowa Kirin Co., Ltd. · CALCR · Recombinant Proteins

What is calcitonin?

calcitonin is a recombinant proteins developed by Kyowa Kirin Co., Ltd.. It is approved for therapeutic indications via injectable (others) or subcutaneous injection.

Drug Profile

Brand NamesFortical Injection, Forcaltonin
CompanyKyowa Kirin Co., Ltd.
Drug ClassRecombinant Proteins
Molecular TargetCALCR
RouteInjectable (Others), Subcutaneous Injection
StatusApproved

Mechanism of Action

Molecular Targets

calcitonin acts on 1 molecular target:

CALCRcalcitonin receptor (CT-R, CTR)
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

calcitonin is developed for 3 unique indications across 2 therapeutic areas.

Therapeutic AreaConditionPhase
Endocrine disordersHypercalcaemia of malignancy✓ Approved
Musculoskeletal and connective tissue disordersOsteitis deformans✓ Approved
Musculoskeletal and connective tissue disordersOsteoporosis✓ Approved

Related Research Articles

PubMedSoft matter2026-11-12

Hydroxyapatite-based aqueous two-phase capillary suspensions for injectable scaffolds.

Kazama Ryotaro R, Ito Hiroki H, Shono Atsushi A

Artificial bone materials are a new therapeutic strategy to overcome the shortage of donors and the risk of complications associated with conventional bone grafting. Injectable materials are being investigated for their potential application in bone tissue regeneration as materials that can be delivered to bone defects using a minimally invasive method. Capillary suspensions are three-phase systems comprising solid particles, a dispersing medium, and a secondary immiscible fluid; they exhibit viscoelastic changes upon the addition of a small amount of secondary fluid. However, because conventional capillary suspensions rely on oils with poor biocompatibility, there are challenges in applying them as biomaterials despite their excellent characteristics. In this study, we introduced an aqueous two-phase system (ATPS) and developed an injectable capillary suspension (hydroxyapatite-polyethylene glycol (PEG)/dextran (DEX)) based on hydroxyapatite particles, which are the main components of bone. Rheological analysis showed that the yield stress of the hydroxyapatite-PEG/DEX capillary suspension varied depending on the amount of DEX-rich phase added. The hydroxyapatite-PEG/DEX capillary suspension exhibited thixotropic behavior, characterized by shear-induced structural breakdown followed by structural recovery, demonstrating superior structural stability compared to a single-fluid suspension. ATPS-based capillary suspensions incorporating hydroxyapatite particles are promising base materials for application as an injectable bone substitute that combines flowability during injection with the ability to maintain its shape after injection.

PubMedJournal of nanobiotechnology2026-11-12

Correction: Injectable hydrogels with ROS-triggered drug release enable the co-delivery of antibacterial agent and anti-inflammatory nanoparticle for periodontitis treatment.

Zhu Yujing Y, Xiu Ziliang Z, Jiang Xiaoxi X, Zhang Huifang H et al.

PubMedTherapeutic delivery2026-11-12

Alginate-based long-acting injectable formulations: recent advances, biomedical applications, and translational challenges.

Mukherjee Swarupananda S, Chakraborty Subhasis S, Bhattacharya Joyeeta J, Dutta Koustav K et al.

Currently, numerous short-acting formulations are prescribed to patients to administer various therapeutics, which requires repetition of dosage, that may lead to poor patient compliance. Long-acting injectables are such kind of controlled or sustained-release novel formulation that can be fabricated to deliver the active ingredients into the target area for a prolonged time, lasting days, weeks, or months after administration. Alginate-based long-acting injectable (LAI) formulations are comparatively new in the market. Alginate is a natural polymer and a polysaccharide obtained from brown seaweed and some special bacteria. The biocompatibility and biodegradability play an important role in long-acting injectable formulations. As a result, alginate-based LAIs may offer good biocompatibility and provide prolonged drug release, depending on the formulation design and drug release characteristics. Using the latest technology in LAIs can also control the immediate burst release of the active ingredients so that unwanted effects can be reduced. Relevant articles were taken from Google Scholar, Web of Science, and Scopus, covering studies published between 2000 and 2026. This review will focus on various latest technologies for the preparation of alginate-based LAIs and their mechanistic release profiles, and lastly, the applications and challenges toward the biomedical field will also be discussed.

PubMedDrug delivery and translational research2026-11-12

Sustained intratumoral oligonucleotide delivery via the injectable biomaterial B​ioMATA.

Björgvinsdóttir Unnur J UJ, Marchard Laura O LO, Løvschall Kaja B KB, Melander Fredrik F et al.

Oligonucleotide therapeutics hold great promise for cancer therapy, yet their clinical translation has been limited, partly due to inefficient delivery. To address these challenges, we developed BioMATA, an injectable biomaterial technology designed for localized delivery of oligonucleotide therapeutics with minimal systemic exposure. BioMATA is a free-flowing liquid at injection, compatible with standard thin-needle administration, and forms a semi-solid depot upon injection into tissue. Through controlled diffusion, BioMATA releases oligonucleotides locally in a sustained manner. In this work, we explore the use of BioMATA for the treatment of solid cancers. We demonstrate sustained gene silencing in vitro, and multi-week release with intratumoral retention and limited systemic dissemination in vivo. Intratumoral administration of unformulated CpG oligodeoxynucleotides caused acute body weight loss that was mitigated by BioMATA delivery. BioMATA accommodates structurally distinct oligonucleotide classes and allows two cargoes to be co-formulated in a single depot, establishing it as a versatile platform for localized, sustained oligonucleotide delivery.

PubMedFrontiers in pharmacology2026-11-12

A multi-dimensional comparative evaluation of ten injectable neuroprotective agents for acute ischemic stroke based on the Chinese guideline for drug selection.

Yao Zhisheng Z, Zhang Yuxin Y, Bai Hui H, Yuan Yani Y et al.

To conduct a multi-dimensional, comparative evaluation of ten commonly used injectable neuroprotective agents to provide an evidence-based reference for rational drug selection and clinical application in treating acute ischemic stroke (AIS). In accordance with A Quick Guideline for Drug Evaluation and Selection in Chinese Medical Institutions (3rd Edition), this study quantitatively assessed ten injectable neuroprotective agents. The evaluation utilized a comprehensive, evidence-based approach, sourcing data from drug package inserts, clinical guidelines, and multiple scientific databases. Each drug was scored across five dimensions: pharmaceutical properties, efficacy, safety, cost-effectiveness, and other relevant attributes. The comprehensive evaluation yielded a ranked list of the neuroprotective agents. The top three scoring drugs were Butylphthalide and Sodium Chloride Injection (70.17 points), Urinary Kallidinogenase for Injection (69.21 points), and Edaravone and Dexborneol Concentrated Solution for Injection (67.82 points). Conversely, Citicoline Sodium Injection received the lowest score (32.97 points), primarily due to insufficient evidence supporting its clinical efficacy. Stratified recommendation levels were strictly defined based on composite scores: only Butylphthalide and Sodium Chloride Injection met the threshold for the Strongly Recommended category, while Urinary Kallidinogenase for Injection and Edaravone and Dexborneol Concentrated Solution for Injection were classified as Weakly Recommended agents. This study provides a quantitative, multi-dimensional ranking that identifies only Butylphthalide and Sodium Chloride Injection as the strongly recommended neuroprotective agent, with Urinary Kallidinogenase and Edaravone Dexborneol serving as weakly recommended alternatives for AIS within the Chinese healthcare context. These results offer a direct, evidence-based tool for hospital pharmacy committees to optimize drug formularies and for clinicians to make more standardized treatment decisions. By bridging the evidence gap between various agents, this evaluation framework supports more rational drug application and helps reduce variability in clinical neuroprotective therapy in Chinese medical institutions.

PubMedMicrosurgery2026-11-12

Perioperative Calcitonin Gene-Related Peptide Inhibitor Use and Wound Complications After Free Flap Breast Reconstruction: A Retrospective Cohort Study.

Deguchi Ayaka N AN, Li Sean S, Khan Salman S, Hornick Margaret M MM et al.

As the prevalence of migraines and breast cancer morbidity rise among women globally, it is imperative to consider that female patients undergoing breast reconstruction may also be receiving migraine treatment such as calcitonin gene-related peptide (CGRP) inhibitors. CGRP is a neuropeptide involved in migraine pathogenesis and plays a critical role in wound repair, raising concerns that CGRP inhibition may impair wound healing. This study evaluates the perioperative impact of CGRP inhibitor use following free flap breast reconstruction. A single-center retrospective study was conducted including adult female migraine patients who underwent free flap breast reconstruction between November 2018 and December 2024. Patients treated with CGRP inhibitors within 30 days before and/or after surgery were compared with those not receiving CGRP inhibitors. Demographics, comorbidities, migraine-related medications, and perioperative outcomes were collected and analyzed. Among 1338 free flap breast reconstruction patients, 81 had a documented migraine diagnosis. Thirteen patients (25 flaps) comprised the CGRP-treated cohort, and 68 patients (117 flaps) served as controls. CGRP inhibitor use was associated with significantly higher rates of flap skin necrosis (16.0% vs. 5.1%, OR 5.78, p = 0.028) and delayed wound healing (20.0% vs. 8.5%, OR 3.85, p = 0.048). Time to healing from wound complications was significantly prolonged in the CGRP group (100.1 vs. 75.7 days, adjusted β = 21.1, p = 0.008). This study represents the first comparative cohort analysis suggesting that perioperative CGRP inhibitor use was potentially associated with increased postoperative wound healing complications. Careful perioperative medication assessment may be warranted for migraine patients undergoing autologous breast reconstruction.

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