Table 1.
Laboratory data
Date | Total Ca2+, mg/dL | Ionized Ca2+, mg/dL | PTH, pg/mL | PTHrP, pmol/L | Treatment |
---|---|---|---|---|---|
Onset of hypercalcemia (day 1) | 10.6a | ||||
Day 25 | 12.7a | 6.9c | <6.0 (nl: 18–85) | 3.3e | Pamidronate 60 mg IV |
Day 29 | 8.2# | 5.2c | 41.9f | ||
Day 42 | 6.3d | 5.8 (nl: 18.4–80.1) | Zoledronic acid 2 mg IV | ||
Day 43 | 9.2# | 5.6d | |||
Day 44 | 8.7# | ||||
Day 47 | 10.1a | Denosumab 120 mg subQ | |||
Day 50 | 11.1a | 6.6c | Zoledronic acid 2 mg IV + | ||
calcitonin 200 IU subQ × 2 doses | |||||
Day 51 | 10.6a | 6.2c | |||
Day 53 | 9.6a | 5.6c | |||
Day 54 | 9.0a | 5.4c | |||
Day 57 | 10.1b | ||||
Day 58 | 6.0d | Cinacalcet 30 mg PO b.i.d. | |||
Day 61 | 8.9a | 5.5d | |||
Day 70 | 9.4b | 5.1d | 113f | ||
Day 76 | 10.1b | 5.7d | Cinacalcet 60 mg PO b.i.d. | ||
Day 82 | 9.4b | 5.4d | 194f | ||
Day 89 | 8.9b | 4.9d | |||
Day 96 | 7.3b | ||||
Day 103 | 8.8b | 4.9d | |||
Day 110 | 8.5b | 4.7d | |||
Day 117 | 8.2b | 4.6d | 143f |
Normal range key:
8.2–10.0;
8.5–10.1;
4.5–5.3;
4.6–5.4;
<2.0; and
0.0–3.4. b.i.d., administered twice daily; IU, international units; IV, intravenous; nl, normal level; PO, oral administration; subQ, subcutaneous.