Effect of Parathyroidectomy on Cardiovascular Health
Cardiovascular Health in Patients With Primary Hyperparathyroidism: Effect of Parathyroidectomy on Cardiovascular Health: A Randomized Controlled Trial
1 other identifier
interventional
69
1 country
1
Brief Summary
The aim of this study is to establish whether patients with mild primary hyperparathyroidism (PHPT) have an increased risk of cardiovascular diseases. The primary outcome is to determine whether arterial stiffness and blood pressure will decrease in patients with mild PHPT 3-month after parathyroidectomy (PTX).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Feb 2017
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 2, 2016
CompletedFirst Posted
Study publicly available on registry
December 12, 2016
CompletedStudy Start
First participant enrolled
February 3, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2018
CompletedSeptember 30, 2019
April 1, 2018
1.6 years
December 2, 2016
September 27, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Decrease in arterial stiffness after parathyroidectomy
Decrease in arterial stiffness measured by pulse wave velocity 3 month after parathyroidectomy
3 month
Secondary Outcomes (5)
Decrease in systolic blood pressure after parathyroidectomy
3 month
Decrease in diastolic blood pressure after parathyroidectomy
3 month
Decrease in central pulse pressure after parathyroidectomy
3 month
Decrease in systolic blood pressure after parathyroidectomy
3 month
Decrease in diastolic blood pressure after parathyroidectomy
3 month
Other Outcomes (1)
Quality of Life (QoL)
3 month
Study Arms (2)
Early parathyroidectomy group
EXPERIMENTALParathyroidectomy (surgery), is performed as soon as possible in the experimental group after randomization.
Late parathyroidectomy group
NO INTERVENTIONParathyroidectomy (surgery), is performed three months after study inclusion.
Interventions
Participants will undergo parathyroidectomy as soon as possible
Eligibility Criteria
You may qualify if:
- Primary hyperparathyroidism
- Referred to Aarhus University Hospital with the diagnose; primary hyperparathyroidism
- Participant is over 18 years old, able to understand and sign consent form
You may not qualify if:
- Familial hypocalciuric hypercalcaemia
- Multiple endocrine neoplasia (MEN)
- Parathyroid cancer
- Renal disease - GFR \< 60 ml/min
- Major heart surgery
- Known coronary heart disease
- NYHA III-IV
- Known with pacemaker
- Arrhythmia e.g. atrial fibrillations or flutter, Second- and third-degree atrioventricular block, sinoatrial depolarization of \< 40 or \> 160 beats per minute.
- Ongoing treatment with beta-blockers
- Severe manifest osteoporosis with multiple fractures
- Severe hypercalcemia: p-ionised calcium \> 1.70 mmol/L
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Aarhus University Hospital
Aarhus, 8000, Denmark
Related Publications (1)
Ejlsmark-Svensson H, Rolighed L, Rejnmark L. Effect of Parathyroidectomy on Cardiovascular Risk Factors in Primary Hyperparathyroidism: A Randomized Clinical Trial. J Clin Endocrinol Metab. 2019 Aug 1;104(8):3223-3232. doi: 10.1210/jc.2018-02456.
PMID: 30860588DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lars Rejnmark, M.D, PhD
Department of Endocrinology and Internal Medicine
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 2, 2016
First Posted
December 12, 2016
Study Start
February 3, 2017
Primary Completion
September 1, 2018
Study Completion
September 1, 2018
Last Updated
September 30, 2019
Record last verified: 2018-04
Data Sharing
- IPD Sharing
- Will not share