[Utilization of alfacalcidol and active vitamin D analogs in chronic kidney disease].

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  • Additional Information
    • Transliterated Title:
      Utilisation de l’alfacalcidol et des analogues actifs de la vitamine D dans la maladie rénale chronique.
    • Source:
      Publisher: John Libbey Eurotext Country of Publication: France NLM ID: 101248950 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-9177 (Electronic) Linking ISSN: 17697255 NLM ISO Abbreviation: Nephrol Ther Subsets: MEDLINE
    • Publication Information:
      Publication: 2023- : Arcueil : John Libbey Eurotext
      Original Publication: Paris : Elsevier, c2005-
    • Subject Terms:
      Bone Density Conservation Agents/*therapeutic use ; Chronic Kidney Disease-Mineral and Bone Disorder/*drug therapy ; Hydroxycholecalciferols/*therapeutic use ; Hyperparathyroidism, Secondary/*drug therapy ; Renal Insufficiency, Chronic/*complications; Bone Density/drug effects ; Humans ; Hyperparathyroidism, Secondary/etiology ; Renal Insufficiency, Chronic/drug therapy ; Vitamin D/therapeutic use
    • Abstract:
      Secondary hyperparathyroidism (SHPT) is one of the most frequent and deleterious complication of chronic kidney disease (CKD). SHPT is also one of the principal components of the now called CKD-mineral and bone disorders (MBD) syndrome. It is usually prevented and treated by vitamin D derivatives. However, the rationale for the prescription of vitamin D sterols in those patients is still a matter of hotly debates, mainly because of unsatisfactory results from numerous observational and not well-controlled studies. Scanty clinical data on head-to-head comparisons between the multiple vitamin D sterols are currently available. Moreover, there is crescent expectations on nutritional vitamin D, as well as vitamin D receptor activators (VDRA), regarding their putative pleiotropic effects even in CKD patients, and the promising effects of VDRA against proteinuria and myocardial hypertrophy in diabetic CKD cohorts. Nevertheless, additional randomized controlled trials (RCT) are needed to answer to many open questions and incertitude considering the effect of nutritional vitamin D and VDRA on hard end points including the risk of skeletal fractures and of mortality in CKD patients. RCT comparing VDRA to calcimimetics in the control of SHPT are also needed in dialysis patients. The present review will visit these open questions that nephrologists should ask before starting a treatment by nutritional vitamin D or VDRA.
      (Copyright © 2017 Société francophone de néphrologie, dialyse et transplantation. Published by Elsevier Masson SAS. All rights reserved.)
    • Contributed Indexing:
      Keywords: Albuminuria; Albuminurie; Bone mineral density; Calcimimetic; Calcimimétique; Calcium; Cinacalcet; Densité minérale osseuse; Doxercalciferol; Doxercalciférol; Fractures; Fractures osseuses; Hyperparathyroïdie secondaire; Paricalcitol; Phosphate; Secondary hyperparathyroidism
    • Accession Number:
      0 (Bone Density Conservation Agents)
      0 (Hydroxycholecalciferols)
      1406-16-2 (Vitamin D)
      URQ2517572 (alfacalcidol)
    • Publication Date:
      Date Created: 20180317 Date Completed: 20181120 Latest Revision: 20220408
    • Publication Date:
      20221213
    • Accession Number:
      10.1016/j.nephro.2017.03.003
    • Accession Number:
      29545131