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

@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.

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.

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.

@jacjac the physician who orders the medication for your husband will need to perform a prior authorization request. They fill out the extenuating circumstances and submit it electronically. That should solve the concern I’m also male 73 on Alendronate for osteoporosis. Never had any issues.

@jacjac
evenity isn't FDA approved for men. There is off-label use, so your husband could get Evenity if he can find a agile physician. There is a study of starting Evenity three months after the Prolia injection, with a return to Prolia. Risedronate isn't considered strong enough to combat Prolia rebound, so a curious choice. And, probably, a save that your husband refused to tolerate side effects. I think I'd move to find an agreeable physician. Even though it is another curious choice since Evenity basically builds the same type of bone.
The most usual choice after Prolia is Reclast infusion. It is the strongest bisphosphonate and avoids some of the oral and digestive side effects. He could use Zometa infusions. It is the same drug as Reclast, but in smaller doses and usually given more frequently. Maybe a second opinion from a different endocrinologist.
I have read that Prolia concurrently with Forteo yields better bone than either alone. If the helpful surgeon would order Forteo you might have an answer. https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2022.888208/full
The trouble with thin bone and revision surgery is the both the weakness in that bone and the failure of hardware to integrate with bone. Forteo is the one medication known to increase that integration and to increase the fixation strength of the screws.

@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.

I would hope that Amgen could provide the support necessary to get approval.

@jacjac

Did the Dr. who recommended the Evenity write to the insurer ? Like a prior authorization or something? I’m sure there must be some studies that exist out there that support this drug for males…I’ve worked in healthcare finance my entire working life. If I were you guys, I would get on the phone with Dr. , Insurance, etc & see how to remediate. Just a shot & it couldn’t hurt.

@normahorn
Sorry, what is Amgen?