Is there anyone who has been able to get Evenity approved for a man?

Posted by sal14 @sal14, Sep 17, 2024

So far, Evenity has yet to be approved for my husband. I know the FDA has not approved it for men, but we want to know if anyone has succeeded in getting approval despite the FDA or for exceptional circumstances.
My husband had a prostatectomy 11 years ago and has been on Prolia for ten years. His endocrinologist has suggested Evenity for a treatment plan to ween him off Prolia and try to build bone. He had 36 radiation treatments, which caused severe and constant back pain and some immobility. The goal is to make his bones strong enough to withstand back surgery.
Thank you in advance for your suggestions and advice.

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I appreciate the reply. I have systemic atherosclerosis, 1,100 cta score, and severe and worsening small fiber neuropathy. My cardiologist just refused doing a complete CV panel as I was trying to be proactive. Thank you

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I've already been on forteo/teriparatide for 28 months prior, then bisphosphates 13 months, couldn't handle it. They thought I had multiple myeloma at one point and had boughts of hypercalcimiam. I know black box warning off, I just can't do it anymore. I

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Profile picture for awfultruth @awfultruth

@garycorb Sorry about the rough road you've had with osteoporosis and the meds.
You are in a complicated situation. You have to weigh many factors to decide what is best and then you have your insurance and costs to factor in.
I can just say that I'm not the only guy getting Medicare to cover Evenity. And I had no prior fragility fractures. No spinal or hip fractures - just bad DXAs. It was complicated though and I do not think that Medicare will give you a definite pre approval for osteoporosis drugs. For some drugs they will give pre approvals. In my case I got it covered by Amgen Safety Net and then the docs office submitted it to Medicare after giving me the first shots and lo and behold they covered it.
As to your CV concerns that's where you have to weigh the risks of one thing vs another. In my case it was easier because I seem to be doing ok CV wise. I would not rule out Evenity due to CV concerns. Certainly carefully consider the pros and cons but don't rule it out without considering all the angles. Personally I find Prolia much more scary. In fact other than the possible very slightly elevated risk of CV events I do not find Evenity scary at all. Of course I was nervous at first.
Wishing you all the best on your decisions

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I see you are also on the Inspire site that I just went onto after years being off. Are you a moderator?

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Profile picture for garycorb @garycorb

I see you are also on the Inspire site that I just went onto after years being off. Are you a moderator?

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@garycorb No I'm not a moderator - I'm just a guy trying to turn my bone loss around.

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UPDATE: 18 mo. wasted on Boniva resulted in bone LOSS; ANOTHER 18 mo. wasted on Prolia with slight bone loss...still on it for . Thanks to being denied EVENITY, he now has a hip fracture, so Thanksgiving trip canceled and we won't be with family. BIG PHARMA SUCKS!!

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My 75 y/o husband had a hip revision this summer. The surgeon told us he has never seen such thin bones! He's been on various fosomax drugs over the many years but cannot take them. He's been on prolia injections for 12 years, and the endocrinologist told him he needs to get off for awhile so he took another drug called risdresnote (sp?). He suffered thru 9 months of pain taking it and said no more. He's now back on prolia. The doctors want him on Evenity, but he was told it hasn't been approved for men yet. This is quite the conundrum.

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I know of a thin gentleman who just completed a year on Evenity.
I don’t believe it’s specific to the female gender. I’ve seen other posts in this site from men who are on Evenity. I am in the US, just fyi.

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Profile picture for jacjac @jacjac

My 75 y/o husband had a hip revision this summer. The surgeon told us he has never seen such thin bones! He's been on various fosomax drugs over the many years but cannot take them. He's been on prolia injections for 12 years, and the endocrinologist told him he needs to get off for awhile so he took another drug called risdresnote (sp?). He suffered thru 9 months of pain taking it and said no more. He's now back on prolia. The doctors want him on Evenity, but he was told it hasn't been approved for men yet. This is quite the conundrum.

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@jacjac
I am a 71 year old male. I was diagnosed with Osteoporosis. I fractured a vertebrae in 2023. I was approved for Evenity and took it for a year. No side effects and a 35% improvement in bone density.
I’m now on Prolia with no side effects. I know the hesitation with Prolia, per comments on this site and my own research. However, I decided to trust my Rheumatologist, who has been treating Osteoporosis for many years and has had patients on Prolia for over 15 years with no problems. I know that every case can differ and there are no guarantees. Michael Lavecot, on this discussion group, has a very good YouTube video on this as well. Thank you, Michael for all of your research.
I’m on an Aetna Medicare PPO plan. The Evenity injections were 100% covered, as are the Prolia injections. I hope this is helpful and I wish you all the best with your treatment.

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Profile picture for reyge99 @reyge99

@jacjac
I am a 71 year old male. I was diagnosed with Osteoporosis. I fractured a vertebrae in 2023. I was approved for Evenity and took it for a year. No side effects and a 35% improvement in bone density.
I’m now on Prolia with no side effects. I know the hesitation with Prolia, per comments on this site and my own research. However, I decided to trust my Rheumatologist, who has been treating Osteoporosis for many years and has had patients on Prolia for over 15 years with no problems. I know that every case can differ and there are no guarantees. Michael Lavecot, on this discussion group, has a very good YouTube video on this as well. Thank you, Michael for all of your research.
I’m on an Aetna Medicare PPO plan. The Evenity injections were 100% covered, as are the Prolia injections. I hope this is helpful and I wish you all the best with your treatment.

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@reyge99
Thank you sir, for this information.
My husband has had no problems with Prolia - it seems to be the one thing that has improved his situation. The problem now is, he has been on for so long, the endo wants him to give it a break and try another drug. Hence, trying for Evenity, which she (the endo) said insurance denied since wasn't approved for men. The ortho surgeon wanted the endo doc to ask for a "peer-to-peer" with insurance but she said no it would not be approved since FDA hasn't approved it for men. Our insurance is Medicare, with the supplement being UHC thru AARP (not an advantage plan or PPO). May I ask how you were able to be approved for Evenity? That is our goal as both doctor and pharmacist said it is the most targeted drug for his situation. After his hip revision, he was in hospital rehab, a wheel chair for months, walker, and now a cane. Any direction you can give is appreciated. We are fighting for his mobility and quality of life. Thank you.

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Profile picture for ditobin @ditobin

I know of a thin gentleman who just completed a year on Evenity.
I don’t believe it’s specific to the female gender. I’ve seen other posts in this site from men who are on Evenity. I am in the US, just fyi.

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@ditobin
I wish I knew how he was approved. We too are in USA. My husband was denied by insurance a month ago and told it has not been FDA approved for men.

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