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Genesis of CKD-MBD: Calcium retention could explain the Hysteresis (Lag in Time) in PTH Involvement.
Management of CKD-MBD: intermittent administration, as early as CKD stage 2, of parathyroid hormone to prevent the hysteresis, could be an effective management strategy.
Ref: Pazianas M, Miller PD. The CKD-MBD Syndrome: Hysteresis in PTH Involvement and PTH Administration for Its Management. J Bone Miner Res. 2020 Dec;35(12):2313-2317.
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Osteoporosis in patients with Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD)
The label “CKD-MBD/osteoporosis” could be an appropriate term because it emphasizes the renal osteodystrophy component and brings osteoporosis under the official label of CKD-MBD.
Ref: Pazianas M, Miller PD. Osteoporosis and Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD): Back to Basics. Am J Kidney Dis. 2021 Mar 25:S0272-6386(21)00500-X. doi: 10.1053/j.ajkd.2020.12.024. Epub ahead of print. PMID: 33774081.
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An oral formulation of teriparatide (PTH 1-34) is being developed by Entera Bio Ltd, for the treatment of hypoparathyroidism and osteoporosis. The company is developing EB 612 (EBP 05) for hypoparathyroidism, and EB 613 for osteoporosis.