Roux-en-Y Gastric Bypass, Hyperparathyroidism, Secondary
Conditions
Brief summary
This study investigates whether calcium citrate or calcium carbonate are the optimal supplement to treat secondary hyperparathyroidism following Roux-en-Y gastric bypass operation. Half of the participants will be randomized to receive calcium citrate, while the other half will receive calcium carbonate. The study will be double blinded.
Interventions
Tablet manufactured to mimic a calcium carbonate tablet
Roux-en-Y gastric bypass surgery at least 12 months before study inclusion
Sponsors
Study design
Eligibility
Inclusion criteria
* Roux-en-Y gastric bypass operation ≥12 months ago * Parathyroid hormone \> 6.9 pmol/l * Vitamin D \> 50 nmol/l * P-Calcium \[1.18-1.32\] mmol/l
Exclusion criteria
* Liver disease * Renal disease * Hypercalcemia * Untreated thyroid disease * Parathyroid disease except secondary hyperparathyroidism * Use of diuretics, bisphosphonates, calcitonin, teriparatide, oral corticosteroids, anabolic steroids, calcimimetics, lithium, strontium, denosumab or anticonvulsants within 1 year of inclusion * abusing alcohol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Parathyroid Hormone | Change from baseline at 6 weeks and 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| P-magnesium | Change from baseline at 6 weeks and 12 weeks |
| P-phosphate | Change from baseline at 6 weeks and 12 weeks |
| P-25-OH-vitamin D | Change from baseline at 6 weeks and 12 weeks |
| P-calcitriol | Change from baseline at 6 weeks and 12 weeks |
| P-24,25-(OH)2-vitamin D | Change from baseline at 6 weeks and 12 weeks |
| Se-ion-calcium | Change from baseline at 6 weeks and 12 weeks |
| Procollagen type 1 N-terminal propeptide (P1NP) | Change from baseline at 6 weeks and 12 weeks |
| P-bone specific alkaline phosphatase | Change from baseline at 6 weeks and 12 weeks |
| Cross-linked C-telopeptide (CTX) | Change from baseline at 6 weeks and 12 weeks |
| 24h U-calcium | Change from baseline at 12 weeks |
| 24h U-phosphate | Change from baseline at 12 weeks |
| Vitamin D binding protein | Change from baseline at 6 weeks and 12 weeks |
Countries
Denmark