Biochemical Parameters and BMD Measurements Before, During, and After Cinacalcet Treatment
. | P-Ca, mmol/L . | P-Ca ion, mmol/L . | P-Pi, mmol/L . | P-PTH, ng/L . | P-ALP, U/L . | 25OHD, nmol/L . | 1,25(OH)2D3, pmol/L . | P-Cr, μmol/L . | U-Ca/Cr . | BMD Z-Score . | |||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
LS . | FH . | FN . | WB . | ||||||||||
Reference range | 2.05–2.70 | 1.16–1.30 | 1.10–1.80 | 8–73 | 115–460 | >40 | 63–228 | 10–76 | <0.6 | ||||
Before treatment | |||||||||||||
1 y, 7 mo | 2.99 | 1.39 | 22 | 386 | 44 | ||||||||
6 y, 3 mo | 3.02 | 1.43 | 0.72 | 51 | 361 | 32 | 96 | 28 | 0.04 | ||||
8 y, 2 mo | 2.81 | 1.46 | 1.10 | 72 | 182 | 20 | 110 | 30 | <0.17 | ||||
9 y, 6 mo | 2.79 | 1.51 | 1.04 | 70 | 186 | 44 | 116 | 32 | <0.13 | −3.0 | −0.3 | −1.0 | −0.3 |
Treatment with cinacalcet (starting at 10 y) | |||||||||||||
10 y, 3 mo | 2.66 | 1.40 | 1.14 | 43 | 38 | 0.07 | |||||||
10 y, 6 mo | 2.33 | 1.23 | 1.39 | 34 | 0.09 | ||||||||
10 y, 10 mo | 2.17 | 1.17 | 1.32 | 16 | 189 | 41 | 105 | <0.15 | −2.3 | −0.5 | −1.0 | −1.3 | |
12 y, 4 mo | 1.22 | 1.16 | 69 | 266 | 58 | 45 | 0.13 | −2.5 | −1.0 | −1.3 | −2.0 | ||
13 y, 5 mo | 1.38 | 1.10 | 64 | 290 | 53 | 58 | <0.09 | −2.0 | −1.4 | −1.7 | −1.8 | ||
After treatment | |||||||||||||
13 y, 10 mo | 1.45 | 0.99 | 75 | 262 | 198 | 0.02 | |||||||
14 y, 4 mo | 1.42 | 0.83 | 56 | 183 | 43 | 221 | <0.07 | ||||||
15 y, 4 mo | 2.87 | 1.47 | 1.06 | 187 | 46 | 207 | 0.06 |
. | P-Ca, mmol/L . | P-Ca ion, mmol/L . | P-Pi, mmol/L . | P-PTH, ng/L . | P-ALP, U/L . | 25OHD, nmol/L . | 1,25(OH)2D3, pmol/L . | P-Cr, μmol/L . | U-Ca/Cr . | BMD Z-Score . | |||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
LS . | FH . | FN . | WB . | ||||||||||
Reference range | 2.05–2.70 | 1.16–1.30 | 1.10–1.80 | 8–73 | 115–460 | >40 | 63–228 | 10–76 | <0.6 | ||||
Before treatment | |||||||||||||
1 y, 7 mo | 2.99 | 1.39 | 22 | 386 | 44 | ||||||||
6 y, 3 mo | 3.02 | 1.43 | 0.72 | 51 | 361 | 32 | 96 | 28 | 0.04 | ||||
8 y, 2 mo | 2.81 | 1.46 | 1.10 | 72 | 182 | 20 | 110 | 30 | <0.17 | ||||
9 y, 6 mo | 2.79 | 1.51 | 1.04 | 70 | 186 | 44 | 116 | 32 | <0.13 | −3.0 | −0.3 | −1.0 | −0.3 |
Treatment with cinacalcet (starting at 10 y) | |||||||||||||
10 y, 3 mo | 2.66 | 1.40 | 1.14 | 43 | 38 | 0.07 | |||||||
10 y, 6 mo | 2.33 | 1.23 | 1.39 | 34 | 0.09 | ||||||||
10 y, 10 mo | 2.17 | 1.17 | 1.32 | 16 | 189 | 41 | 105 | <0.15 | −2.3 | −0.5 | −1.0 | −1.3 | |
12 y, 4 mo | 1.22 | 1.16 | 69 | 266 | 58 | 45 | 0.13 | −2.5 | −1.0 | −1.3 | −2.0 | ||
13 y, 5 mo | 1.38 | 1.10 | 64 | 290 | 53 | 58 | <0.09 | −2.0 | −1.4 | −1.7 | −1.8 | ||
After treatment | |||||||||||||
13 y, 10 mo | 1.45 | 0.99 | 75 | 262 | 198 | 0.02 | |||||||
14 y, 4 mo | 1.42 | 0.83 | 56 | 183 | 43 | 221 | <0.07 | ||||||
15 y, 4 mo | 2.87 | 1.47 | 1.06 | 187 | 46 | 207 | 0.06 |
Abbreviations: FH, femoral head; FN, femoral neck; LS, lumbar spine; 25OHD, serum concentration of 25OHD; 1,25(OH)2D3, serum concentration of 1,25(OH)2D3; P-ALP, plasma alkaline phosphatase; P-Ca, plasma calcium; P-Cr, plasma creatinine; P-Pi, plasma inorganic phosphate; U-Ca/Cr, urine calcium/creatinine ratio; WB, whole body.
Biochemical Parameters and BMD Measurements Before, During, and After Cinacalcet Treatment
. | P-Ca, mmol/L . | P-Ca ion, mmol/L . | P-Pi, mmol/L . | P-PTH, ng/L . | P-ALP, U/L . | 25OHD, nmol/L . | 1,25(OH)2D3, pmol/L . | P-Cr, μmol/L . | U-Ca/Cr . | BMD Z-Score . | |||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
LS . | FH . | FN . | WB . | ||||||||||
Reference range | 2.05–2.70 | 1.16–1.30 | 1.10–1.80 | 8–73 | 115–460 | >40 | 63–228 | 10–76 | <0.6 | ||||
Before treatment | |||||||||||||
1 y, 7 mo | 2.99 | 1.39 | 22 | 386 | 44 | ||||||||
6 y, 3 mo | 3.02 | 1.43 | 0.72 | 51 | 361 | 32 | 96 | 28 | 0.04 | ||||
8 y, 2 mo | 2.81 | 1.46 | 1.10 | 72 | 182 | 20 | 110 | 30 | <0.17 | ||||
9 y, 6 mo | 2.79 | 1.51 | 1.04 | 70 | 186 | 44 | 116 | 32 | <0.13 | −3.0 | −0.3 | −1.0 | −0.3 |
Treatment with cinacalcet (starting at 10 y) | |||||||||||||
10 y, 3 mo | 2.66 | 1.40 | 1.14 | 43 | 38 | 0.07 | |||||||
10 y, 6 mo | 2.33 | 1.23 | 1.39 | 34 | 0.09 | ||||||||
10 y, 10 mo | 2.17 | 1.17 | 1.32 | 16 | 189 | 41 | 105 | <0.15 | −2.3 | −0.5 | −1.0 | −1.3 | |
12 y, 4 mo | 1.22 | 1.16 | 69 | 266 | 58 | 45 | 0.13 | −2.5 | −1.0 | −1.3 | −2.0 | ||
13 y, 5 mo | 1.38 | 1.10 | 64 | 290 | 53 | 58 | <0.09 | −2.0 | −1.4 | −1.7 | −1.8 | ||
After treatment | |||||||||||||
13 y, 10 mo | 1.45 | 0.99 | 75 | 262 | 198 | 0.02 | |||||||
14 y, 4 mo | 1.42 | 0.83 | 56 | 183 | 43 | 221 | <0.07 | ||||||
15 y, 4 mo | 2.87 | 1.47 | 1.06 | 187 | 46 | 207 | 0.06 |
. | P-Ca, mmol/L . | P-Ca ion, mmol/L . | P-Pi, mmol/L . | P-PTH, ng/L . | P-ALP, U/L . | 25OHD, nmol/L . | 1,25(OH)2D3, pmol/L . | P-Cr, μmol/L . | U-Ca/Cr . | BMD Z-Score . | |||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
LS . | FH . | FN . | WB . | ||||||||||
Reference range | 2.05–2.70 | 1.16–1.30 | 1.10–1.80 | 8–73 | 115–460 | >40 | 63–228 | 10–76 | <0.6 | ||||
Before treatment | |||||||||||||
1 y, 7 mo | 2.99 | 1.39 | 22 | 386 | 44 | ||||||||
6 y, 3 mo | 3.02 | 1.43 | 0.72 | 51 | 361 | 32 | 96 | 28 | 0.04 | ||||
8 y, 2 mo | 2.81 | 1.46 | 1.10 | 72 | 182 | 20 | 110 | 30 | <0.17 | ||||
9 y, 6 mo | 2.79 | 1.51 | 1.04 | 70 | 186 | 44 | 116 | 32 | <0.13 | −3.0 | −0.3 | −1.0 | −0.3 |
Treatment with cinacalcet (starting at 10 y) | |||||||||||||
10 y, 3 mo | 2.66 | 1.40 | 1.14 | 43 | 38 | 0.07 | |||||||
10 y, 6 mo | 2.33 | 1.23 | 1.39 | 34 | 0.09 | ||||||||
10 y, 10 mo | 2.17 | 1.17 | 1.32 | 16 | 189 | 41 | 105 | <0.15 | −2.3 | −0.5 | −1.0 | −1.3 | |
12 y, 4 mo | 1.22 | 1.16 | 69 | 266 | 58 | 45 | 0.13 | −2.5 | −1.0 | −1.3 | −2.0 | ||
13 y, 5 mo | 1.38 | 1.10 | 64 | 290 | 53 | 58 | <0.09 | −2.0 | −1.4 | −1.7 | −1.8 | ||
After treatment | |||||||||||||
13 y, 10 mo | 1.45 | 0.99 | 75 | 262 | 198 | 0.02 | |||||||
14 y, 4 mo | 1.42 | 0.83 | 56 | 183 | 43 | 221 | <0.07 | ||||||
15 y, 4 mo | 2.87 | 1.47 | 1.06 | 187 | 46 | 207 | 0.06 |
Abbreviations: FH, femoral head; FN, femoral neck; LS, lumbar spine; 25OHD, serum concentration of 25OHD; 1,25(OH)2D3, serum concentration of 1,25(OH)2D3; P-ALP, plasma alkaline phosphatase; P-Ca, plasma calcium; P-Cr, plasma creatinine; P-Pi, plasma inorganic phosphate; U-Ca/Cr, urine calcium/creatinine ratio; WB, whole body.
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