Chronic kidney disease stage 3 chronic kidney disease stage 3 calcium carbonate phosphate binder Fibroblast growth factor 23
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Chronic kidney disease stage 3 defined by estimated GFR using CKD-EPI formula Age >18 years old FGF-23 > 100 RU/mL
Exclusion criteria
Exclusion criteria: 1. Serum albumin corrected calcium > 9.6 mg/dL or serum phosphate > 4.5 mg/dL or intact PTH > 65 pg/mL 2. History of symptomatic hypocalcemia 3. History of calculi in genitourinary system 4. Primary hyperparathyroidism 5. History of thyroidectomy, parathyroidectomy, or radiation of head and neck 6. Patients prescribed drugs interfering vitamin D and/or bone metabolism, for example, corticosteroids, phenytoin, calcimimetics, calcineurin inhibitor, etc. 6. Patients diagnosed osteoporosis and treated with bislphosphonates and/ or estrogen derivatives 7. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| FGF23 9 months pg/mL by Human FGF-23 (C-Term) ELISA Kit (Immunotopic, CA, USA) | — |
Secondary
| Measure | Time frame |
|---|---|
| hypercalcemia 9 months mg/dL | — |
Contacts
Mahidol University