Product image of Inductos (Dibotermin Alfa) supplied by GNH India

Inductos

Active Ingredient:
Dibotermin Alfa
Origin:
EU

Inductos (Dibotermin Alfa)

Dibotermin alfa, the active ingredient in Inductos, is a recombinant human bone morphogenetic protein-2 presented as an implant for implantation use. It promotes bone formation in patients undergoing spinal fusion surgery, bone defect repair, or treatment of non-union fractures.

GNH India supplies Inductos as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals worldwide, providing regulatory‑approved products for surgical orthopaedic applications.

Manufacturer / TM Owner

Medtronic Biopharma B.V.

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Indications & Clinical Uses

  • Inductos (dibotermin alfa) is employed in orthopedic and spinal surgical procedures to stimulate osteogenesis.
  • Spinal fusion surgery: enhances vertebral segment fusion and stability, reducing the risk of pseudo‑arthrosis.
  • Bone defect repair: stimulates new bone growth in critical-sized defects, facilitating structural restoration.
  • Non‑union fractures: promotes healing of fractures that have failed to unite, improving functional recovery.

How It Works

  • Dibotermin alfa is a recombinant form of human bone morphogenetic protein‑2 that binds to BMP type I and type II receptors on mesenchymal stem cells. Receptor activation triggers SMAD‑dependent signaling, leading to transcription of osteogenic genes, differentiation of progenitor cells into osteoblasts, and synthesis of extracellular matrix proteins that form new bone tissue at the implantation site.

Side Effects

Inductos may be associated with local and systemic adverse reactions following implantation.

Common Side Effects

  • Local inflammation at the implant site, presenting as redness or mild swelling.
  • Peri‑incisional edema, often transient and self‑limiting.
  • Seroma or wound drainage, typically resolving with routine postoperative care.

Serious or Rare Side Effects

  • Ectopic bone formation in adjacent soft tissues, which may require surgical revision.
  • Severe infection or osteomyelitis at the implantation site.
  • Allergic or hypersensitivity reaction, potentially leading to anaphylaxis.

Precautions & Warnings

  • Prior to using Inductos, clinicians should consider several safety measures.
  • Patient selection: assess for active infection or malignancy at the surgical site.
  • Surgical technique: ensure accurate placement to avoid ectopic bone formation.
  • Concomitant medications: avoid high‑dose NSAIDs that may impair bone healing.
  • Monitoring: observe for signs of infection, excessive swelling, or abnormal bone growth.
  • Pregnancy and lactation: use only if benefits outweigh potential risks, as safety data are lacking.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Dibotermin alfa may interact with certain systemic therapies that affect bone metabolism.

Major Interactions (Avoid)

  • Systemic corticosteroids: may suppress the osteogenic response.
  • Chemotherapeutic agents: can inhibit new bone formation.
  • Radiation therapy to the implantation site: reduces BMP‑2 efficacy.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may diminish bone healing if used long term.
  • Anticoagulants: increase risk of postoperative bleeding at the implant site.
  • Bisphosphonates: potential interference with bone remodeling processes.

Frequently Asked Questions

Inductos contains dibotermin alfa, a recombinant BMP‑2 delivered as a sterile implant. It is used to promote bone healing in spinal fusion surgery, to fill critical bone defects, and to treat fractures that have failed to unite (non‑union fractures). The implant is placed by the surgeon at the time of the procedure to stimulate new bone formation.

Dibotermin alfa mimics the natural bone morphogenetic protein‑2. After implantation, it binds to BMP receptors on local mesenchymal cells, activating SMAD signaling pathways. This triggers expression of osteogenic genes, causing stem cells to differentiate into osteoblasts that lay down extracellular matrix and mineralize, resulting in new bone at the target site.

The dose of Inductos is determined by the operating surgeon based on the size of the bone defect, the specific surgical indication, and clinical guidelines. No fixed dosing regimen is provided in the product information; the prescriber selects the appropriate amount for each patient.

Safety of dibotermin alfa in pregnancy and lactation has not been established, and the product carries an unknown pregnancy category. It should be used only if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and only after careful consideration by the treating physician.

To request Inductos, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After the enquiry, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details (including cold‑chain handling if required) and any necessary import documentation.

Inductos delivers the same recombinant human BMP‑2 protein as other BMP‑2 implants, but formulation, carrier matrix and packaging may differ. Clinical efficacy is comparable when used according to approved indications. Differences can arise in handling characteristics, storage requirements, and regulatory status in specific regions, so clinicians should review the product dossier for each option.

Inductos must be stored at 2‑8 °C. Keep the product refrigerated in its original packaging, protect it from light, and avoid freezing or shaking. Prior to use, handle the implant under aseptic conditions and allow it to equilibrate to room temperature only as directed by the surgical protocol.

Inductos is supplied as a sterile implant that the surgeon places directly into the surgical site during the procedure. It is not given systemically; the implant remains at the target location to release BMP‑2 locally and stimulate bone formation.

Serious risks include ectopic bone formation in surrounding soft tissues, which may require additional surgery; severe infection or osteomyelitis at the implantation site; and allergic or hypersensitivity reactions that can lead to anaphylaxis. Patients should be monitored closely for these events during the postoperative period.

Inductos should be avoided in patients with active infection at the intended implantation site, known hypersensitivity to dibotermin alfa or any component of the carrier matrix, malignancy in the area to be treated, or in individuals where the benefit of bone growth does not outweigh potential risks, such as certain pediatric cases without established safety data.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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