PRIMARY HYPERPARATHYROIDISM MedDRA version: 20.0 Level: LLT Classification code 10036693 Term: Primary hyperparathyroidism System Organ Class: 100000004860
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Postmenopausal female PHPT patients aged 45-80 years. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 180 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 120
Exclusion criteria
Exclusion criteria: familial forms of PHPT; serum calcium above 12.5 mg/dL; malignancy other than nonmelanoma skin cancer, diseases or medications known to affect mineral metabolism
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate if normal and/or high VitD3 supplementation vs no supplementation could affect the complications of PHPT in two different groups of postmenopausal patients: a)asymptomatic PHPT patients (subjects not fulfilling the surgical criteria plus osteoporosis); b)symptomatic PHPT patients that are undergoing parathyroidectomy; The end points are: - the variation of Bone Mineral Density (BMD) measured at lumbar spine / femoral neck / forearm ;Secondary Objective: - number of falls - clinical and morphometric vertebral fractures - quality of life and neuropsychological aspects - lipids and glucose metabolism - cardiac and vascular damage (diastolic dysfunction, left ventricular hypertrophy, cardiac calcium deposits in the myocardium, aortic and mitral valve calcification + carotid intima-media thickness + the presence of carotid plaque + the percent of carotid stenosis) - renal function. Finally measurement of Vitamin D Binding Protein (DBP) and the analysis of polymorphic variants of GC CYP2R1 CYP24A1 genes that could influence the effect of vitamin D supplementation, affecting the circulating levels of vitamin D, will be performed. ;Primary end point(s): To evaluate if normal and/or high VitD3 supplementation vs no supplementation could affect the variation of Bone Mineral Density (BMD) measured at lumbar spine / femoral neck / forearm;Timepoint(s) of evaluation of this end point: BASALINE, 12 MONTHS, 24 MONTHS | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): To evaluate if normal and/or high VitD3 supplementation vs no supplementation could affect in the two groups of patients: - number of falls - clinical and morphometric vertebral fractures - quality of life and neuropsychological aspects - lipids and glucose metabolism - cardiac and vascular damage (diastolic dysfunction, left ventricular hypertrophy, cardiac calcium deposits in the myocardium, aortic and mitral valve calcification + carotid intima-media thickness + the presence of carotid plaque + the percent of carotid stenosis) - renal function. - Vitamin D Binding Protein (DBP) and that could together with the analysis of polymorphic variants of GC CYP2R1 CYP24A1 genes influence the effect of vitamin D supplementation, affecting the circulating levels of vitamin D ;Timepoint(s) of evaluation of this end point: BASALINE, 12 MONTHS, 24 MONTHS | — |
Countries
Italy
Contacts
CASA SOLLIEVO DELLA SOFFERENZA IRCCS