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Approved Risk Evaluation and Mitigation Strategies (REMS)

Jubbonti (denosumab-bbdz)
BLA #761362
REMS last update: 03/05/2024



What is the purpose of the REMS?

The goal of the Jubbonti REMS is to mitigate the risk of severe hypocalcemia in patients with advanced chronic kidney disease (CKD) including dialysis-dependent patients associated with Jubbonti.

Objective 1: Inform healthcare providers on:

  • Risk of severe hypocalcemia with advanced chronic kidney disease (estimated glomerular filtration rate [eGFR] < 30 ml/min/1.73 m2)
  • Need to assess for presence of chronic kidney disease-mineral bone disorder (CKD-MBD) before initiating Jubbonti in patients with advanced chronic kidney disease
  • What do participants need to know?

    Healthcare providers should read the relevant Medication Guide or communication materials included in the product-specific approved REMS to learn about the risk(s). See the application holder(s) REMS Website or the approved REMS materials for more information.

    View application holder(s) REMS Website See Disclaimer page regarding links to external sites

    What materials are included in the REMS?

    The REMS includes a REMS Document. In addition, the REMS includes the following materials intended for patients and healthcare providers. For a specific Medication Guide of a product in the Jubbonti REMS, see the DailyMed link(s).
    Material Name Material Name Link
    Patient Guide (PDF) https://www.accessdata.fda.gov/drugsatfda_docs/rems/Jubbonti_2024_03_05_Patient_Guide.pdf
    REMS Document (PDF) https://www.accessdata.fda.gov/drugsatfda_docs/rems/Jubbonti_2024_03_05_REMS_Document.pdf
    REMS Full (PDF) https://www.accessdata.fda.gov/drugsatfda_docs/rems/Jubbonti_2024_03_05_REMS_Full.pdf
    REMS Letter for Healthcare Providers (PDF) https://www.accessdata.fda.gov/drugsatfda_docs/rems/Jubbonti_2024_03_05_REMS_Letter_for_Healthcare_Providers.pdf
    REMS Letter for Professional Societies (PDF) https://www.accessdata.fda.gov/drugsatfda_docs/rems/Jubbonti_2024_03_05_REMS_Letter_for_Professional_Societies.pdf
    REMS Website Screenshots (PDF) https://www.accessdata.fda.gov/drugsatfda_docs/rems/Jubbonti_2024_03_05_REMS_Website.pdf

    What assessment is available to the REMS?

    Assessment Plan
    REMS assessment plan unavailable for posting at this time.

    What updates have been made to the REMS?

    Date Summary of change
    03/05/2024 Approval of the REMS

    Disclaimer: This webpage provides general information about REMS programs to various REMS participants (e.g., patients, pharmacies, and healthcare providers). The summary information provided herein is not comprehensive and may not include all of the information relevant to REMS participants. This webpage does not constitute a replacement, modification, or revision of the approved REMS document, including any appended REMS materials. Refer to the approved REMS document for complete information on the REMS requirements for each approved application.

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