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Amneal Announces FDA Approval of Denosumab Biosimilars Referencing Prolia® and XGEVA®

Rhea-AI Impact
(Very High)
Rhea-AI Sentiment
(Neutral)

Amneal (NASDAQ: AMRX) announced FDA approval of two denosumab biosimilars: Boncresa (denosumab-mobz) referencing Prolia and Oziltus (denosumab-mobz) referencing XGEVA, dated Dec 22, 2025.

Under the Amneal–mAbxience partnership, mAbxience handles development and manufacturing while Amneal holds exclusive U.S. commercialization rights. The company expects to commercialize six biosimilars across eight presentations by 2027. IQVIA reports combined U.S. annual sales for Prolia and XGEVA of approximately $5.3 billion for the 12 months ended Oct 2025.

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Positive

  • FDA approval of two denosumab biosimilars (Prolia and XGEVA references)
  • Exclusive U.S. commercialization rights for Amneal under the partnership
  • Plan to commercialize 6 biosimilars across 8 presentations by 2027
  • Reference market size: $5.3B combined U.S. annual sales (Prolia and XGEVA, 12 months ended Oct 2025)

Negative

  • Prolia boxed warning for severe hypocalcemia and pregnancy precautions could limit use
  • XGEVA safety warnings include fetal harm and reports of dyspnea, fatigue, nausea
  • Reported discontinuations for some patients due to osteonecrosis or hypocalcemia

News Market Reaction

+0.16%
1 alert
+0.16% News Effect

On the day this news was published, AMRX gained 0.16%, reflecting a mild positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

Key Figures

U.S. sales reference: $5.3 billion Planned biosimilars: 6 biosimilars Presentations planned: 8 presentations +5 more
8 metrics
U.S. sales reference $5.3 billion IQVIA U.S. annual sales for Prolia and XGEVA, 12 months ended Oct 2025
Planned biosimilars 6 biosimilars Company expectation to commercialize by 2027
Presentations planned 8 presentations Planned biosimilar presentations by 2027
Current biosimilars 5 commercial biosimilars Portfolio count after denosumab approvals
Q3 2025 net revenue $784.5 million Quarter ended September 30, 2025
Q3 2025 operating income $70.3 million Down from $88.8 million year-over-year
Cash and equivalents $201.2 million As of September 30, 2025
Long-term debt $2.57 billion Net long-term debt as of September 30, 2025

Market Reality Check

Price: $14.82 Vol: Volume 2,484,936 is 1.18x...
normal vol
$14.82 Last Close
Volume Volume 2,484,936 is 1.18x the 20-day average of 2,105,774, showing modestly elevated trading ahead of this approval news. normal
Technical Shares at $12.57 are trading above the 200-day MA of $9.16 and sit 1.95% below the 52-week high of $12.82.

Peers on Argus

While AMRX was down 0.55%, key peers were mixed: PBH +0.49%, BHC +1.18%, HCM +1....

While AMRX was down 0.55%, key peers were mixed: PBH +0.49%, BHC +1.18%, HCM +1.57%, INDV -0.93%, PRGO -0.23%, suggesting today’s FDA approval impact was stock-specific rather than a broad sector move.

Historical Context

5 past events · Latest: Dec 09 (Positive)
Pattern 5 events
Date Event Sentiment Move Catalyst
Dec 09 FDA hospital injectable Positive +2.0% FDA approval of epinephrine injection vials for hospital and acute care use.
Dec 05 Clinical data update Positive +2.4% Positive interim Phase 4 ELEVATE-PD results for CREXONT in Parkinson’s disease.
Dec 02 Investor conferences Neutral -2.5% Participation in Piper Sandler and J.P. Morgan healthcare conferences with webcasts.
Dec 02 FDA respiratory approval Positive -2.5% FDA approval of albuterol sulfate inhalation aerosol, a complex respiratory generic.
Dec 01 FDA ophthalmic approval Positive -2.5% FDA approval of cyclosporine ophthalmic emulsion 0.05% as generic RESTASIS.
Pattern Detected

FDA approvals have produced mixed reactions, with slightly more divergences (negative moves on positive news) than alignments.

Recent Company History

Over the last few months, Amneal has reported multiple U.S. FDA approvals across injectables, respiratory, and ophthalmic products, alongside positive Phase 4 data in Parkinson’s disease. Recent approvals for epinephrine, albuterol, cyclosporine, iohexol, and bimatoprost referenced U.S. annual sales ranging from $118 million to about $2.0 billion. Price reactions around these events were inconsistent, sometimes negative despite positive catalysts. Today’s denosumab biosimilar approvals continue this pattern of expanding the Affordable Medicines and biosimilars portfolio against a backdrop of varied market responses.

Market Pulse Summary

This announcement highlights FDA approval of two denosumab biosimilars that reference Prolia and XGE...
Analysis

This announcement highlights FDA approval of two denosumab biosimilars that reference Prolia and XGEVA, products with U.S. annual sales of $5.3 billion. It further extends Amneal’s biosimilars footprint, with expectations to commercialize six biosimilars across eight presentations by 2027. Historically, multiple FDA approvals have steadily broadened the portfolio, though financial filings show mixed earnings trends and substantial long-term debt of $2.57 billion, which remain key factors to monitor.

Key Terms

biosimilars, biologics licensing applications, monoclonal antibody, boxed warning, +2 more
6 terms
biosimilars medical
"Approvals expand Amneal’s biosimilars portfolioCompany expects to commercialize six biosimilars"
Biosimilars are medicines made to be highly similar to an already approved biological drug produced from living cells, with no meaningful differences in safety or effectiveness. They matter to investors because they introduce lower‑cost competition to expensive biologic treatments—similar to how generic drugs compete with brand drugs—but involve more complex manufacturing, regulatory review and patent risk, which can affect market share, pricing and profit margins across the sector.
biologics licensing applications regulatory
"FDA has approved its Biologics Licensing Applications (BLAs) for Boncresa"
A biologics licensing application (BLA) is a formal request submitted to a drug regulator asking permission to market a biological medicine—such as vaccines, therapeutic proteins, or cell therapies—after clinical testing. For investors, a BLA is like applying for a business permit: its acceptance can unlock product sales and revenue, while delays or rejection signal regulatory risk and can materially change a company’s future value.
monoclonal antibody medical
"Denosumab is a monoclonal antibody that inhibits bone resorption"
A monoclonal antibody is a laboratory-made protein designed to recognize and attach to a specific target in the body, such as a disease-causing substance or cell. It functions like a highly precise lock-and-key tool, helping to treat or detect illnesses. For investors, companies developing monoclonal antibodies can represent promising opportunities in the healthcare sector, especially as these treatments often address unmet medical needs.
boxed warning regulatory
"Prolia has a Boxed Warning for severe hypocalcemia in patients"
A boxed warning is the strongest safety alert a drug regulator places on a medication’s official label to highlight life‑threatening or very serious risks, similar to a bold red flag attached to a product. For investors, it matters because this warning can reduce sales, increase regulatory scrutiny, raise liability and monitoring costs, and change market perception of the drug’s future revenue and risk profile.
hypocalcemia medical
"Prolia has a Boxed Warning for severe hypocalcemia in patients"
Low calcium levels in the blood that can cause muscle cramps, tingling, irregular heartbeat and, in severe cases, seizures or breathing problems; think of calcium like a battery that helps nerves and muscles run, and when it’s low the body’s systems can falter. Investors care because hypocalcemia can affect clinical trial outcomes, drug safety labels, hospital admissions and treatment markets, influence regulatory reviews and liability risk, and therefore alter a healthcare company’s revenue and valuation.
osteonecrosis medical
"Discontinuation occurred in some patients due to osteonecrosis or hypocalcemia."
Osteonecrosis is the death of bone tissue that happens when blood flow to a section of bone is cut off, causing pain, weakening and sometimes collapse of the affected bone. Think of it like a plant wilting when its water supply is cut off. For investors, it matters because it can drive medical costs, trigger drug safety concerns, affect clinical trial outcomes and regulatory reviews, and create liability or revenue risks for healthcare companies.

AI-generated analysis. Not financial advice.

  • Approvals expand Amneal’s biosimilars portfolio
  • Company expects to commercialize six biosimilars across eight presentations by 2027

BRIDGEWATER, N.J., Dec. 22, 2025 (GLOBE NEWSWIRE) -- Amneal Pharmaceuticals, Inc. (“Amneal” or the “Company”) (NASDAQ: AMRX) and mAbxience, a Fresenius Kabi majority-owned group with partial ownership from Insud Pharma, today announced that the U.S. Food and Drug Administration (FDA) has approved its Biologics Licensing Applications (BLAs) for Boncresa™ (denosumab-mobz), a biosimilar referencing Prolia®, and Oziltus™ (denosumab-mobz), a biosimilar referencing XGEVA®.

Denosumab is a monoclonal antibody that inhibits bone resorption and is widely used across oncology and osteoporosis-related conditions. Under Amneal’s partnership with mAbxience, mAbxience is responsible for development and manufacturing, while Amneal holds exclusive U.S. commercialization rights.

“Biosimilars are the next wave of affordable medicines in the U.S., expanding access to life-changing biologics for millions of patients. With the addition of two denosumab biosimilars, Amneal now has five commercial biosimilars, strengthening our position in this rapidly growing category. We view biosimilars as a major long-term growth vector within our Affordable Medicines segment,” said Chirag and Chintu Patel, Co-Chief Executive Officers of Amneal.

“The FDA approval of our denosumab biosimilars marks a significant milestone for mAbxience and for our collaboration with Amneal. It reflects the strength of our scientific capabilities, our commitment to the highest quality standards, and our shared ambition to expand access to affordable, high-quality biologic medicines in the United States. This achievement reinforces our globalization strategy and our purpose of helping address unmet patient needs through innovation and reliable manufacturing,” said Jurgen Van Broeck, Chief Executive Officer of mAbxience.

Both drugs should be administered by a healthcare provider. Patients should be advised to maintain serum calcium levels and to seek medical attention for an allergic reaction.

Prolia®: Prolia has a Boxed Warning for severe hypocalcemia in patients with advanced chronic kidney disease, which can be life-threatening. Pregnancy must be ruled out prior to administration. In postmenopausal women, reported adverse drug events included back pain, musculoskeletal pain, hypercholesterolemia, and cystitis. Back pain, joint pain, and nasopharyngitis were frequently reported by men.

XGEVA®: The most serious reported adverse drug reaction was dyspnea, with other reactions including fatigue, nausea, and hypophosphatemia. For patients been treated for bone metastases, common side effects were fatigue and nausea, while those with multiple myeloma frequently experienced gastrointestinal issues and anemia. Cases of giant cell tumor and hypercalcemia of malignancy showed frequent pain, nausea, and headache. Discontinuation occurred in some patients due to osteonecrosis or hypocalcemia. The drug can cause fetal harm and females of reproductive potential should use effective contraception.

According to IQVIA®, U.S. annual sales for Prolia® and XGEVA® for the 12 months ended October 2025 were approximately $5.3 billion.

Note: Prolia® and XGEVA® are registered trademarks of Amgen Inc.

About Amneal
Amneal Pharmaceuticals, Inc. (Nasdaq: AMRX), headquartered in Bridgewater, NJ, is a global biopharmaceutical company. We make healthy possible through the development, manufacturing, and distribution of a diverse portfolio of over 290 pharmaceuticals, primarily within the United States. In its Affordable Medicines segment, the Company is expanding across a broad range of complex product categories and therapeutic areas, including injectables and biosimilars. In its Specialty segment, Amneal has a growing portfolio of branded pharmaceuticals focused primarily on central nervous system and endocrine disorders. Through its AvKARE segment, the Company is a distributor of pharmaceuticals and other products for the U.S. federal government, retail, and institutional markets. For more information, please visit www.amneal.com and follow us on LinkedIn.

About mAbxience
mAbxience is a Spanish-based company specializing in the development, production, and commercialization of biopharmaceuticals. In August 2022, Fresenius Kabi and Insud Pharma entered into an agreement whereby Fresenius Kabi, an operating company of Fresenius, acquired a majority stake of mAbxience, making it a global, vertically integrated biotechnology company. With over a decade of expertise, mAbxience’s mission is clear: to provide accessible, affordable medicines across the globe, aiming to enhance the quality of life by ensuring universal access to high-caliber medicines. With three approved products and a robust pipeline in development, mAbxience has established a B2B presence in over 100 markets. Alongside this, the company has formed a network with more than 30 partners and built a dedicated team of over 1,000 professionals. Its three multi-product facilities, located in Europe and South America, have obtained GMP approval from esteemed regulatory bodies, including the FDA, EMA, and others. Furthermore, as a global biopharmaceutical expert, mAbxience specializes in Contract Development and Manufacturing Organization services (CDMO), utilizing advanced technology and innovative platforms to deliver integrated manufacturing solutions. For more insights into mAbxience, our biosimilars and CDMO business, please visit our website (www.mabxience.com) or connect with us on LinkedIn.

Cautionary Statement on Forward-Looking Statements
Certain statements contained herein, regarding matters that are not historical facts, may be forward-looking statements (as defined in the U.S. Private Securities Litigation Reform Act of 1995). Such forward-looking statements include statements regarding management’s intentions, plans, beliefs, expectations, financial results, or forecasts for the future, including among other things: discussions of future operations; expected or estimated operating results and financial performance; and statements regarding our positioning, including our ability to drive sustainable long-term growth, and other non-historical statements. Words such as “plans,” “expects,” “will,” “anticipates,” “estimates,” and similar words, or the negatives thereof, are intended to identify estimates and forward-looking statements. The forward-looking statements contained herein are also subject generally to other risks and uncertainties that are described from time to time in the Company’s filings with the Securities and Exchange Commission, including under Item 1A, “Risk Factors” in the Company’s most recent Annual Report on Form 10-K and in its subsequent reports on Forms 10-Q and 8-K. Forward-looking statements included herein speak only as of the date hereof and we undertake no obligation to revise or update such statements to reflect the occurrence of events or circumstances after the date hereof.

Amneal Contact
Anthony DiMeo
VP, Investor Relations
anthony.dimeo@amneal.com

mAbxience Contact
Miguel Martínez-Cava
Corporate Affairs & Marketing Associate Director
miguel.martinezcava@mabxience.com


FAQ

What did Amneal (AMRX) announce on December 22, 2025 regarding denosumab biosimilars?

Amneal announced FDA approval of Boncresa (denosumab-mobz) referencing Prolia and Oziltus (denosumab-mobz) referencing XGEVA.

How will Amneal commercialize the approved denosumab biosimilars in the U.S. (AMRX)?

Under the partnership, mAbxience will develop and manufacture while Amneal holds exclusive U.S. commercialization rights.

What is Amneal's commercialization plan for biosimilars through 2027 (AMRX)?

Amneal expects to commercialize six biosimilars across eight presentations by 2027.

How large is the U.S. market for the referenced Prolia and XGEVA drugs?

IQVIA reported combined U.S. annual sales of approximately $5.3 billion for Prolia and XGEVA for the 12 months ended October 2025.

What safety warnings for Prolia and XGEVA were highlighted that may affect prescribing decisions?

Prolia carries a boxed warning for severe hypocalcemia and pregnancy precautions; XGEVA warnings include fetal harm and reported serious reactions such as dyspnea.
Amneal Pharmaceuticals Inc

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