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RANKL is an important mediator for osteoclast formation, function and survival. The catabolic action of RANKL is inhibited by osteoprotectin (OPG) , a soluble decoy receptor that binds to RANKL and thus prevents the activation of its receptor RANK, which is present on osteoclasts and osteoclast precursors. Human OPG structures have been valuable research tools because they effectively inhibit bone resorption in various species. Dinosemer (AMG 162) is a fully human monoclonal antibody that binds to and inhibits RANKL. Dinosemet reduced biochemical markers of bone resorption in postmenopausal women with low bone mass and in patients with multiple myeloma or bone metastases.