Table 3

Response to rhPTH1 34 20 μg Daily for 28 Days in Case 1 with X Linked Hypophosphatemia with Hypoparathyroidism

VariablesPre day 1Post day 1Pre day 28Post day 28Reference intervals
TmP/GFR, mmol/L1.141.200.660.480.81, 1.35
NcAMP, nmol/L5.785.124.5140.722.2, 30.4
cFGF23, RU/L6700730067507050<100
iFGF23, ng/L11,90012,20010,400965010, 50
α Klotho, ng/L346.4408.7407.7408.3505, 1175
Ionized calcium, mmol/L1.081.071.071.161.19, 1.35
PTH, pmol/L<0.6<0.6<0.6<0.61.6, 6.9
PINP, μg/L41.541.489.889.222, 96
OC(1–43), μg/L15.214.332.733.911, 43
Bone ALP, μg/L5.58.81615.12.9, 20.9
CTX, μg/L0.3700.4370.6411.0600.016, 0.584
uNTX/Cr, nmol BCE/mmol Cr9.93.638.238.314, 74
uCa/Cr mmol/mmol0.410.470.650.330.07, 0.41
25OHD, nmol/L98113849030, 125
24,25(OH)2D, nmol/L3.53.62.83.51.0, 13.0
1,25(OH)2D, pmol/L5763535155, 139
25OHD:24,25(OH)2D283130267, 25
1,25(OH)2D:24,25(OH)2D161819159, 132
VariablesPre day 1Post day 1Pre day 28Post day 28Reference intervals
TmP/GFR, mmol/L1.141.200.660.480.81, 1.35
NcAMP, nmol/L5.785.124.5140.722.2, 30.4
cFGF23, RU/L6700730067507050<100
iFGF23, ng/L11,90012,20010,400965010, 50
α Klotho, ng/L346.4408.7407.7408.3505, 1175
Ionized calcium, mmol/L1.081.071.071.161.19, 1.35
PTH, pmol/L<0.6<0.6<0.6<0.61.6, 6.9
PINP, μg/L41.541.489.889.222, 96
OC(1–43), μg/L15.214.332.733.911, 43
Bone ALP, μg/L5.58.81615.12.9, 20.9
CTX, μg/L0.3700.4370.6411.0600.016, 0.584
uNTX/Cr, nmol BCE/mmol Cr9.93.638.238.314, 74
uCa/Cr mmol/mmol0.410.470.650.330.07, 0.41
25OHD, nmol/L98113849030, 125
24,25(OH)2D, nmol/L3.53.62.83.51.0, 13.0
1,25(OH)2D, pmol/L5763535155, 139
25OHD:24,25(OH)2D283130267, 25
1,25(OH)2D:24,25(OH)2D161819159, 132

1,25(OH)2D = 1,25 hydroxyvitamin D; 25OHD = 25 hydroxyvitamin D; ALP = alkaline phosphatase; BAP = bone specific alkaline phosphatase; BCE = bone collagen equivalent; cFGF23 = C terminal FGF23; Ca = calcium; Cr = creatinine; CTX = C terminal telopeptide of type I collagen; iFGF23 = intact FGF23; OC(1–43) = N mid fragment osteocalcin; PINP = procollagen type I N propeptide; NcAMP = nephrogenous cyclic adenosine monophosphate; NTX = N terminal telopeptides of type I collagen; RU = relative unit; TmP/GFR = maximum renal tubular phosphate reabsorption rate per volume of glomerular filtrate; uNTX = urine N terminal telopeptides of type I collagen.

Table 3

Response to rhPTH1 34 20 μg Daily for 28 Days in Case 1 with X Linked Hypophosphatemia with Hypoparathyroidism

VariablesPre day 1Post day 1Pre day 28Post day 28Reference intervals
TmP/GFR, mmol/L1.141.200.660.480.81, 1.35
NcAMP, nmol/L5.785.124.5140.722.2, 30.4
cFGF23, RU/L6700730067507050<100
iFGF23, ng/L11,90012,20010,400965010, 50
α Klotho, ng/L346.4408.7407.7408.3505, 1175
Ionized calcium, mmol/L1.081.071.071.161.19, 1.35
PTH, pmol/L<0.6<0.6<0.6<0.61.6, 6.9
PINP, μg/L41.541.489.889.222, 96
OC(1–43), μg/L15.214.332.733.911, 43
Bone ALP, μg/L5.58.81615.12.9, 20.9
CTX, μg/L0.3700.4370.6411.0600.016, 0.584
uNTX/Cr, nmol BCE/mmol Cr9.93.638.238.314, 74
uCa/Cr mmol/mmol0.410.470.650.330.07, 0.41
25OHD, nmol/L98113849030, 125
24,25(OH)2D, nmol/L3.53.62.83.51.0, 13.0
1,25(OH)2D, pmol/L5763535155, 139
25OHD:24,25(OH)2D283130267, 25
1,25(OH)2D:24,25(OH)2D161819159, 132
VariablesPre day 1Post day 1Pre day 28Post day 28Reference intervals
TmP/GFR, mmol/L1.141.200.660.480.81, 1.35
NcAMP, nmol/L5.785.124.5140.722.2, 30.4
cFGF23, RU/L6700730067507050<100
iFGF23, ng/L11,90012,20010,400965010, 50
α Klotho, ng/L346.4408.7407.7408.3505, 1175
Ionized calcium, mmol/L1.081.071.071.161.19, 1.35
PTH, pmol/L<0.6<0.6<0.6<0.61.6, 6.9
PINP, μg/L41.541.489.889.222, 96
OC(1–43), μg/L15.214.332.733.911, 43
Bone ALP, μg/L5.58.81615.12.9, 20.9
CTX, μg/L0.3700.4370.6411.0600.016, 0.584
uNTX/Cr, nmol BCE/mmol Cr9.93.638.238.314, 74
uCa/Cr mmol/mmol0.410.470.650.330.07, 0.41
25OHD, nmol/L98113849030, 125
24,25(OH)2D, nmol/L3.53.62.83.51.0, 13.0
1,25(OH)2D, pmol/L5763535155, 139
25OHD:24,25(OH)2D283130267, 25
1,25(OH)2D:24,25(OH)2D161819159, 132

1,25(OH)2D = 1,25 hydroxyvitamin D; 25OHD = 25 hydroxyvitamin D; ALP = alkaline phosphatase; BAP = bone specific alkaline phosphatase; BCE = bone collagen equivalent; cFGF23 = C terminal FGF23; Ca = calcium; Cr = creatinine; CTX = C terminal telopeptide of type I collagen; iFGF23 = intact FGF23; OC(1–43) = N mid fragment osteocalcin; PINP = procollagen type I N propeptide; NcAMP = nephrogenous cyclic adenosine monophosphate; NTX = N terminal telopeptides of type I collagen; RU = relative unit; TmP/GFR = maximum renal tubular phosphate reabsorption rate per volume of glomerular filtrate; uNTX = urine N terminal telopeptides of type I collagen.

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