SUBJECT CONSULTANT REVIEW

Title of the article
Pharmacokinetics and pharmacodynamics of cinacalcet in patients with hyperparathyroidism after renal transplantation.
Authors

Serra AL, Braun SC, Starke A, Savoca R, Hersberger M, Russmann S, Corti N, Wüthrich RP.

Journal
Am J Transplant. 2008 Apr;8(4):803-10. Epub 2008 Mar 2.
Subject Consultant
B. Watschinger
Score (1 to 3 stars)
***
Comments
The use of cinacalcet for the treatment of persistent hyperparathyroidism in renal transplant recipients was effective in lowering iPTH and serum calcium, but the observed transient calciuria, which could potentially favor nephrocalcinosis and reduce bone mineral density, warrants cautious use of higher doses of cinacalcet.