Quantitative systems pharmacology (QSP) models are becoming increasingly used to understand the influence of drugs on complicated systems. Techniques have been developed to simplify these models to enable their use for data analysis. These simpler (yet mechanistic) models have been criticized as being specific for a particular drug input and response relationship. We explored the generality of the recently reported reduced bone biology model when applied to a drug affecting a different target.We recently reported a reduced version of the systems bone biology model, which focused on the input effect of denosumab (a RANKL inhibitor) to the system. The original bone biology model was developed and published by Peterson and Riggs 1 and consisted of 28 compartments (differential equations). This model has been used subsequently in both regulatory and model-based decisions. 2 In our previous work, we reduced the 28-compartment full model into a simpler 8-compartment model using proper lumping coupled to a linearization process. 3 Lumping is a process in which two or more compartments are pooled together into a single compartment while retaining the mechanistic processes relating to mass balance and mass action of the overall pooled (lumped) compartment. The purpose of reducing the systems model was to yield a smaller more agile model that can be used for estimation purposes in relation to drug development of denosumab or molecules that target the same mechanism and, similarly, to provide a basis for simulations in clinical practice.The reduced model, consisting of eight compartments in total, included a separate compartment for the output of interest (osteoblast and osteoclast) and an unlumped compartment relating to the denosumab target (RANK-RANKL complex), as per the original systems model. The reduced model was then used as is for estimation purposes. In this setting, the reduced model was trained (i.e., parameter values were estimated) using 1 year of lumbar spine bone mineral density (BMD) data and then used to predict into the following 4 years of BMD data. In addition, two standard pharmacokineticpharmacodynamic (PD) models were developed empirically based on the 1 year data and then were used to predict into the following 4 years of data. The reduced model performed better than either empirical model when extrapolating into the data from 12−48 months.These simpler reduced models, which contain the necessary mechanistic elements, have been criticized as being specific for a particular drug input and response relationship and, hence, need to be re-created each time from the original QSP model in order to explore new targets. That is the somewhat technical process of lumping, or other model simplification technique, which needs to be performed from the full model for every new application. This study aims to explore the generality of the same reduced model when applied to a drug used to prevent and treat osteoporosis that has a different target mechanism. In this case, we used alendronate (a bisphosphonate that s...