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Recombinant Human rhPTH(1-34) VS Association Alfacalcidol/Hydrochlorothiazide in Severe Primary Hypoparathyroidism
Bu çalışma, şiddetli primer hipoparatiroidizm (primary hypoparathyroidism) olan hastalarda Teriparatide (rhPTH 1-34) ilacını Alfacalcidol/hidroklorotiyazid tedavisiyle karşılaştırmaktadır. Çalışmaya, genetik olarak kanıtlanmış veya diğer nedenlere bağlı primer hipoparatiroidizmi olan 18-80 yaş arası yetişkinler alınmıştır. Faz 2 aşamasında yürütülmüş ve tamamlanmıştır.
Yukarıdaki özet, resmî kaydın sade dile aktarılmış halidir. Orijinal İngilizce başlık referans için gösterilir.
Kriterler ClinicalTrials.gov kaydından orijinal İngilizce haliyle alınmıştır. Uygunluk kararını yalnızca deneyi yürüten ekip verebilir.
Inclusion criteria : * Patients aged from 18 to 80 years, of both sexes * Patient with primary hypoparathyroidism related to a genetically proven ADH OR primary hypoparathyroidism related to other cause but complicated by hypercalciuria under treatment * Affiliated to a French health insurance system, and who have consented to the study. Exclusion criteria : * Pregnant and breastfeeding women; * Women of childbearing age without contraception; * For men aged from 18 to 20 years, presence of cartilage of growth on X-ray of left knee; * Anuria; * Kidney failure with plasmatic creatinine \>125 mmol/l and urea \>10 mmol/l; * Long QT interval : QTc \> 450 ms (men) or 470 ms (women); * Hepatic failure; * Metabolic bone diseases (Paget's disease of bone) other than primary osteoporosis or glucocorticoid-induced osteoporosis; * Association to other potassium sparing diuretics; * Hypokalemia (\<3.5 mmol/l) without diuretic therapy; * Hyperkalemia (\>5.5 mmol/l); * Hyponatremia (\<135 mmol/l) without diuretic therapy; * Hypercalcemia (\>2.6 mmol/l); * Severe hypomagnesemia (≤ 0.5 mmol/l); * Vitamin D deficiency (25OH vit D \< 20 ng/mL); * Unexplained increase in alkaline phosphatase (\>2N); * Intolerance to sulfamide; * Intolerance to amiloride or other component of the drug; * Hypersensitivity to any active substance or excipient of one of the experimental drugs; * Gluten intolerance; * Bone break history within the three previous months; * History of radiotherapy of the skeleton; * History of bone cancer or metastasis. * Personnal or familial (first degree relatives) of skin cancer