New approaches to treatment of secondary hyperparathyroidism

Curr Opin Investig Drugs. 2008 Apr;9(4):363-70.

Abstract

A large number of patients with chronic kidney disease are affected by secondary hyperparathyroidism. The related mineral metabolism abnormalities are associated with an increased relative risk of morbidity and mortality. The management of secondary hyperparathyroidism is made more complex by the fact that the disease progresses over time. Recent approaches to its management include vitamin D analogs, non-calcium/non-aluminum containing phosphate binders and calcimimetics.

Publication types

  • Review

MeSH terms

  • Chelating Agents / adverse effects
  • Chelating Agents / therapeutic use*
  • Cinacalcet
  • Disease Progression
  • Humans
  • Hyperparathyroidism, Secondary / drug therapy*
  • Hyperparathyroidism, Secondary / etiology
  • Hyperparathyroidism, Secondary / metabolism
  • Kidney Failure, Chronic / complications*
  • Kidney Failure, Chronic / drug therapy
  • Kidney Failure, Chronic / metabolism
  • Naphthalenes / adverse effects
  • Naphthalenes / therapeutic use*
  • Phosphates / blood
  • Receptors, Calcium-Sensing / agonists
  • Receptors, Calcium-Sensing / metabolism
  • Treatment Outcome
  • Vitamin D / adverse effects
  • Vitamin D / analogs & derivatives
  • Vitamin D / therapeutic use*

Substances

  • Chelating Agents
  • Naphthalenes
  • Phosphates
  • Receptors, Calcium-Sensing
  • Vitamin D
  • Cinacalcet