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The ideal treatment

approach would:1

  • Increase 25(OH)D
  • Reduce PTH
  • Minimally change calcium, phosphate and FGF-23 levels

The goals of SHPT treatment are
to regain mineral homeostasis and
potentially reduce the risks of bone
and cardiovascular complications7

Correction of SHPT requires a holistic approach that
takes into account all key CKD–MBD parameters1


25(OH)D: 25-hydroxyvitamin D; CKD–MBD: chronic kidney disease–mineral and bone disorder; FGF-23: fibroblast growth factor-23; PTH: parathyroid hormone; SHPT: secondary hyperparathyroidism.