Secondary Hyperparathyroidism

Research on secondary hyperparathyroidism, a condition of elevated parathyroid hormone levels typically caused by chronic kidney disease. Studies evaluate PTH reduction, bone mineral metabolism, and cardiovascular outcomes in dialysis patients.

Quick Answer

What it is

Research on secondary hyperparathyroidism, a condition of elevated parathyroid hormone levels typically caused by chronic kidney disease. Studies evaluate PTH reduction, bone mineral metabolism, and cardiovascular outcomes in dialysis patients.

Key findings

  • Grade A: PTH Reduction (Etelcalcetide (Parsabiv))
  • Grade A: PTH Target Achievement (Etelcalcetide (Parsabiv))
  • Grade A: Serum Calcium (Etelcalcetide (Parsabiv))

Safety

  • Effective reduction in serum calcium levels, though hypocalcemia-related adverse events require monitoring and dose adjustment.
ℹ️ Quick Facts

Quick Facts: Secondary Hyperparathyroidism

  • Supplements Studied:1
1 supps · 5 outcomes

Detailed Outcomes

A
PTH Reduction
74-75% achieved >30% PTH reduction vs 8-10% placebo. Real-world: median PTH from 636 to 357 pg/mL. Superior to cinacalcet in head-to-head trial.
largeImproves
A
PTH Target Achievement
Significant increase in patients achieving PTH targets (150-600 pg/mL). Responder rate increased from 27% to 63% in real-world study.
largeImproves
A
Serum Calcium
Effective reduction in serum calcium levels, though hypocalcemia-related adverse events require monitoring and dose adjustment.
moderateImproves
A
Serum Phosphorus
Reduction in serum phosphorus levels observed alongside PTH reduction in clinical trials.
moderateImproves
B
FGF23 Levels
Secondary decrease in fibroblast growth factor-23 levels associated with improved mineral metabolism.
moderateImproves

Research Citations (43)

Adverse events reporting of Etelcalcetide: a real-word analysis from FAERS database.
(2025)
PMID: 40170738
Real-world safety profile of etelcalcetide in dialysis-related secondary hyperparathyroidism: a pharmacovigilance analysis of FAERS data.
(2025)
PMID: 40605277
The calcium-sensing receptor: a comprehensive review on its role in calcium homeostasis and therapeutic implications.
(2025)
PMID: 40226019
Calcimimetics treatment strategy for serum calcium and phosphate management in patients with secondary hyperparathyroidism undergoing dialysis: A systematic review and meta-analysis of randomized studies.
(2024)
PMID: 38499495
Effects of active vitamin D analogs and calcimimetic agents on PTH and bone mineral biomarkers in hemodialysis patients with SHPT: a network meta-analysis.
(2024)
PMID: 39002024
Effect of etelcalcetide versus alfacalcidol on left ventricular function and feature-tracking cardiac magnetic resonance imaging in hemodialysis-a post-hoc analysis of a randomized, controlled trial.
(2023)
PMID: 37932788
Etelcalcetide Utilization, Dosing Titration, and Chronic Kidney Disease-Mineral and Bone Disease (CKD-MBD) Marker Responses in US Hemodialysis Patients.
(2022)
PMID: 34273436
Cardio-renal interaction - Clinical trials update 2022.
(2022)
PMID: 36064690
Phase 1, single-dose study to assess the safety, tolerability, pharmacokinetics, and pharmacodynamics of etelcalcetide in pediatric patients with secondary hyperparathyroidism receiving hemodialysis.
(2021)
PMID: 32647975
Safety and efficacy of etelcalcetide, an intravenous calcimimetic, for up to 52 weeks in hemodialysis patients with secondary hyperparathyroidism: results of a post-marketing surveillance in Japan.
(2021)
PMID: 32816132