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Fibroblast growth factor 23 and parathyroid hormone after treatment with active vitamin D and sevelamer carbonate in patients with chronic kidney disease stage 3b, a randomized crossover trial

Plain-language guide to PMID 22742720 (2012): crossover randomized controlled trial study of Parathyroid Hormone (PTH 1-84) in 14 men.

Key Facts

PMID
22742720
Journal
BMC nephrology
Year
2012
Study type
Randomized Controlled Trial
Authors
Bleskestad IH et al. (5 authors)
DOI
10.1186/1471-2369-13-49

What This Study Did, in Plain Language

What Was Tested

The paper reports a study of Parathyroid Hormone (PTH 1-84), published as a randomized controlled trial.

The use of active vitamin D and phosphate binders as recommended in international guidelines, may affect the level of FGF23 and thereby clinical outcome.

European Clinical Trial Database (EudraCT) 2010-020415-36 and Clinical Trials.gov NCT01231438.

Who Took Part

The abstract describes 14 men taking part.

The age groups tagged for this paper are older adults, both men and women.

Seven women and 14 men were included, mean age 65.6 ± 12.2 years.

They were randomized in a 1:1 ratio to receive one of two treatment sequences.

How the Study Was Run

The researchers set it up as a randomized and crossover study.

The men were allocated by chance, so the Parathyroid Hormone (PTH 1-84) group and the comparison group should start out alike.

Each person switched between Parathyroid Hormone (PTH 1-84) and the comparison at some point, usually with a gap in between.

Group-2 (the sevelamer carbonate-alphacalcidol group): vice versa.

Nineteen patients completed the study.

What Was Measured

The use of active vitamin D and phosphate binders as recommended in international guidelines, may affect the level of FGF23 and thereby clinical outcome.

PubMed files the paper under topics including Biomarkers, Chelating Agents, Fibroblast Growth Factor-23, Fibroblast Growth Factors, Hyperparathyroidism, Secondary, Parathyroid Hormone and Polyamines.

What This Means in Plain Language

The paper is a randomized and crossover study of Parathyroid Hormone (PTH 1-84) in 14 men.

With fewer than 40 people, it is a small study, so it is better read as an early signal for further research than as a settled answer.

Results are reported in around 8 sentences of the abstract; we leave them to the paper itself rather than summarise them.

The publication is from 2012 (BMC nephrology), a journal based in England.

More context: the Parathyroid Hormone (PTH 1-84) compound page, all human trials.

Our Notes on the Compound

Parathyroid Hormone (PTH 1-84): The 84-amino-acid hormone that raises blood calcium; full-length PTH (Natpara) has been used in hypoparathyroidism. Teriparatide is its 1-34 fragment.

Related Pages

Source: PubMed record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.