Therapeutic use of the phosphate binder lanthanum carbonate.

Abstract:

:Hyperphosphatemia is recognized as a principal mineral disorder in chronic kidney disease (CKD) that leads to the development of secondary hyperparathyroidism. Recent data indicate that hyperphosphatemia is associated with accelerated cardiac calcification and increased mortality in patients with CKD. Control of serum phosphorus is accomplished with phosphate binder therapies that include calcium and aluminum salts. Recently, calcium-based binders have undergone reevaluation because of their association with cardiac calcification. The non-calcium, non-aluminum binder sevelamer hydrochloride has been associated with slower progression of cardiac calcification in clinical trials. Lanthanum carbonate is a newer phosphate binder with phosphate binding activity similar to aluminum salts making this agent a compelling alternative; however, more data are needed to evaluate long-term safety and effects on cardiovascular end points.

authors

Barton Pai A,Conner TA,McQuade CR

doi

10.1517/17425250802614886

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

71-81

issue

1

eissn

1742-5255

issn

1744-7607

journal_volume

5

pub_type

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