Crysvita (burosumab-twza) is an FDA-approved monoclonal antibody therapy for FGF23-mediated hypophosphatemic disorders, including X-linked hypophosphatemia and certain tumor-induced osteomalacia cases. It is administered subcutaneously and received initial U.S. approval in 2018. Current labeling includes pediatric and adult use with age thresholds depending on indication.
- Drug Class
- Fibroblast growth factor 23 (FGF23)-blocking monoclonal antibody
- Approval Status
-
FDA approved (initial U.S. approval 2018)
- Mechanism of Action
- Binds and inhibits FGF23 activity, restoring renal phosphate reabsorption and increasing serum 1,25-dihydroxy vitamin D
Indications
- \X-linked hypophosphatemia (XLH) in adult and pediatric patients 6 months of age and older\
- \FGF23-related hypophosphatemia in tumor-induced osteomalacia associated with unresectable or unlocalizable phosphaturic mesenchymal tumors in adult and pediatric patients 2 years of age and older\