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PTH(1-84) replacement therapy in hypoparathyroidism: a randomized controlled trial on pharmacokinetic and dynamic effects after 6 months of treatment

Plain-language guide to PMID 23649554 (2013): placebo-controlled randomized controlled trial study of Parathyroid Hormone (PTH 1-84) in 38 patients.

Key Facts

PMID
23649554
Journal
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
Year
2013
Study type
Randomized Controlled Trial
Authors
Sikjaer T et al. (6 authors)
DOI
10.1002/jbmr.1964

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.

Untreated, hypoparathyroidism (hypoPT) is a state of hypocalcemia with inappropriately low plasma parathyroid hormone (PTH) levels and hyperphosphatemia.

PTH levels rose immediately, reaching a median peak level of 26.5 (interquartile range [IQR], 20.1-42.5) pmol/L 15 minutes following injection.

Who Took Part

The study group was 38 patients.

By PubMed's age tags, the people studied were adults, middle-aged adults and older adults, both men and women.

How the Study Was Run

The researchers set it up as a randomized and placebo-controlled study.

Because people in this Parathyroid Hormone (PTH 1-84) study were split into groups at random, differences between the groups are less likely to reflect who happened to join each one.

The comparison arm used a placebo, so changes seen with Parathyroid Hormone (PTH 1-84) could be set against what happens without it.

What Was Measured

Untreated, hypoparathyroidism (hypoPT) is a state of hypocalcemia with inappropriately low plasma parathyroid hormone (PTH) levels and hyperphosphatemia.

PTH levels rose immediately, reaching a median peak level of 26.5 (interquartile range [IQR], 20.1-42.5) pmol/L 15 minutes following injection.

The subject headings attached to it are Biomarkers, Blood Pressure, Circadian Rhythm, Electrocardiography, Hormone Replacement Therapy, Hypoparathyroidism and Magnesium.

The authors tagged it with the keywords CALCIUM/PHOSPHATE DISORDERS, CLINICAL TRIALS, HORMONES AND RECEPTORS, METABOLISM, PARATHYROID GLAND and PARATHYROID HORMONE.

What This Means in Plain Language

The paper is a randomized and placebo-controlled study of Parathyroid Hormone (PTH 1-84) in 38 patients.

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.

The publication is from 2013 (Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research), 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.