Table 3.
Summary of calcimimetic study characteristics and VC outcome
| Author and Year | Type of Study | Study Duration (months) | Participant | Intervention (Participants at Baseline) | Comparator (Participants at Baseline) | VC as Primary or Secondary End Point | VC Imaging | VC Site | VC Outcome |
|---|---|---|---|---|---|---|---|---|---|
| Tsurata 200851a | Non-RCT | 7–13 | HD, SHPT | Cinacalcet, n=8 | Control condition undefined, n=60 | Primary | CT | Coronary artery | Less progression with cinacalcet |
| Raggi 201152 (ADVANCE) | RCT | 12 | HD, SHPT | Cinacalcet + low-dose vitamin D, n=180 | Flexible doses of vitamin D, n=180 | Primary: % change in Agatston CAC score, secondary: % & absolute change for other sites | CT | Coronary arteries, thoracic aorta, aortic valve, mitral valve | Less progression at aortic valve with cinacalcet. Primary outcome no significant difference |
| Nakayama 201453 | Non-RCT | 36 | HD, SHPT | Cinacalcet, n=23 | No control group | Primary | CT | Abdominal aorta | Less progression with cinacalcet |
| Cruzado 201654 | RCT | 12 | Kidney transplant recipients | Cinacalcet, n=15 | Subtotal parathyroidectomy, n=15 | Secondary | CT | Thoracic/abdominal aorta; iliac arteries | No significant VC attenuation at all sites |
| Susantitaphong 201955 | Non-RCT | 8.3 (36 weeks) | HD, SHPT | Phase 2: 12 weeks of cinacalcet, n=45 | Phase 2: no control group | Secondary | X-ray lateral | Not reported | Less progression with cinacalcet |
| Eddington 202156 | RCT | 12 | HD, SHPT | Cinacalcet, n=15 | Standard treatment, n=21 | Primary | CT | Coronary artery, abdominal aorta | No significant difference at both sites |
Tsurata 200851 was included in the study participants median and range, but excluded from the study duration median and range calculations due to the duration provided being a range from 7 to 13.
HD, hemodialysis.