U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS
Calcitonin-salmon is a polypeptide hormone secreted by the parafollicular cells of the ultimobranchial gland of salmon fish. Calcitonin-salmon Nasal Spray is a polypeptide of 32 amino acids manufactured by recombinant DNA technology and is identical to calcitonin produced by salmon fish or chemical synthesis. Calcitonin acts primarily on bone, but direct renal effects and actions on the gastrointestinal tract are also recognized. Calcitonin-salmon appears to have actions essentially identical to calcitonins of mammalian origin, but its potency per mg is greater and it has a longer duration of action. The actions of calcitonin on bone and its role in normal human bone physiology are still not completely elucidated, although calcitonin receptors have been discovered in osteoclasts and osteoblasts. Single injections of calcitonin cause a marked transient inhibition of the ongoing bone resorptive process. With prolonged use, there is a persistent, smaller decrease in the rate of bone resorption. Histologically, this is associated with a decreased number of osteoclasts and an apparent decrease in their resorptive activity. In vitro studies have shown that calcitonin-salmon causes inhibition of osteoclast function with loss of the ruffled osteoclast border responsible for resorption of bone. Calcitonin-salmon Nasal Spray is indicated for the treatment of postmenopausal osteoporosis in females greater than 5 years postmenopause with low bone mass relative to healthy premenopausal females.

Approval Year

Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Calcimar

Approved Use

Calcitonin Salmon (synthetic origin) Nasal Spray is indicated for the treatment of postmenopausal osteoporosis in women greater than 5 years postmenopause. Fracture reduction efficacy has not been demonstrated. Calcitonin Salmon (synthetic origin) Nasal Spray should be reserved for patients for whom alternative treatments are not suitable (e.g., patients for whom other therapies are contraindicated or for patients who are intolerant or unwilling to use other therapies).
PubMed

PubMed

TitleDatePubMed
Prevention of heterotopic ossification after total hip replacement: a prospective comparison of indomethacin and salmon calcitonin in 60 patients.
2001 Oct
Patents

Patents

Sample Use Guides

For intranasal use only: one spray (200 International Units) per day, alternating nostrils daily
Route of Administration: Nasal
Name Type Language
CALCITONIN SALMON ACETATE
Common Name English
CALCITONIN, SALMON ACETATE
Common Name English
CALCITONIN ACETATE (SALMON)
Common Name English
Acetylcalcitonin (salmon),
Common Name English
CALCITONIN (SALMON) IMPURITY A [EP IMPURITY]
Common Name English
Code System Code Type Description
EVMPD
SUB68992
Created by admin on Sat Dec 16 04:01:51 GMT 2023 , Edited by admin on Sat Dec 16 04:01:51 GMT 2023
PRIMARY
SMS_ID
100000134934
Created by admin on Sat Dec 16 04:01:51 GMT 2023 , Edited by admin on Sat Dec 16 04:01:51 GMT 2023
PRIMARY
CAS
1902197-00-5
Created by admin on Sat Dec 16 04:01:51 GMT 2023 , Edited by admin on Sat Dec 16 04:01:51 GMT 2023
PRIMARY
FDA UNII
PHO3A1OI4I
Created by admin on Sat Dec 16 04:01:51 GMT 2023 , Edited by admin on Sat Dec 16 04:01:51 GMT 2023
PRIMARY