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Volume 64, Pages S131-S136 (November 2003)

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Presentation on theme: "Volume 64, Pages S131-S136 (November 2003)"— Presentation transcript:

1 Volume 64, Pages S131-S136 (November 2003)
The impact of calcimimetics on mineral metabolism and secondary hyperparathyroidism in end-stage renal disease  Geoffrey A. Block  Kidney International  Volume 64, Pages S131-S136 (November 2003) DOI: /j s87.20.x Copyright © 2003 International Society of Nephrology Terms and Conditions

2 Figure 1 Mechanisms underlying secondary hyperparathyroidism (SHPT). Calcium is the key regulator of parathyroid hormone (PTH) secretion. Kidney International  , S131-S136DOI: ( /j s87.20.x) Copyright © 2003 International Society of Nephrology Terms and Conditions

3 Figure 2 Contrasting effects of vitamin D and calcimimetic compounds on the daily pattern of parathyroid hormone (PTH). Kidney International  , S131-S136DOI: ( /j s87.20.x) Copyright © 2003 International Society of Nephrology Terms and Conditions

4 Figure 3 Effect of calcimimetic on the sigmoidal Ca2+-parathyroid hormone (PTH) relationship. Calcimimetics result in a leftward shift of the set point, thereby resulting in greater PTH suppression at any level of ionized calcium. Kidney International  , S131-S136DOI: ( /j s87.20.x) Copyright © 2003 International Society of Nephrology Terms and Conditions

5 Figure 4 Shown is parathyroid hormone (PTH) suppression achieved with cinacalcet HCl during a 2-year trial in which patients were randomized to placebo or cinacalcet (up to 50mg/day or up to 100mg/day) during the first year and subsequently rolled over into open label therapy with cinacalcet at doses up to 180mg/day. Kidney International  , S131-S136DOI: ( /j s87.20.x) Copyright © 2003 International Society of Nephrology Terms and Conditions


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