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An FGF23-neutralizing antibody is a therapeutic modality designed to bind and neutralize fibroblast growth factor 23 (FGF23), a bone-derived hormone that regulates phosphate and vitamin D metabolism. By blocking FGF23, these antibodies increase renal phosphate reabsorption and active vitamin D production, thereby restoring phosphate homeostasis. This class of therapeutics is primarily investigated and used for the treatment of FGF23-related hypophosphatemic diseases, such as X-linked hypophosphatemia (XLH) and tumor-induced osteomalacia (TIO). Burosumab is a prominent, FDA-approved example of a fully human monoclonal antibody within this category.
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