PMID- 31486206 OWN - NLM STAT- MEDLINE DCOM- 20211210 LR - 20221005 IS - 1744-9987 (Electronic) IS - 1744-9979 (Print) IS - 1744-9979 (Linking) VI - 24 IP - 3 DP - 2020 Jun TI - Evocalcet: A New Oral Calcimimetic for Dialysis Patients With Secondary Hyperparathyroidism. PG - 248-257 LID - 10.1111/1744-9987.13434 [doi] AB - Patients with chronic kidney disease often develop secondary hyperparathyroidism (SHPT), marked by high levels of circulating parathyroid hormone (PTH) and increased risk of morbidity and mortality. Patients with SHPT are treated with a therapeutic combination that commonly includes calcimimetics, which have recently become popular in clinical settings, and other agents such as vitamin D preparations. Calcimimetics are a drug class that reduces PTH levels by targeting the calcium-sensing receptor. Cinacalcet, a representative calcimimetic, is widely used; however, a high incidence of upper gastrointestinal (GI) tract-related adverse events (AEs) can result in insufficient dosage and poor long-term compliance. The newly approved evocalcet has equivalent efficacy to cinacalcet at a lower clinical dose, with improved bioavailability, fewer upper GI tract-related AEs, and fewer safety concerns. This review gives an overview of calcimimetic agents, with a special focus on evocalcet, and describes the clinical advantages of evocalcet in the treatment of dialysis patients with SHPT. CI - (c) 2019 The Authors. Therapeutic Apheresis and Dialysis published by John Wiley & Sons Australia, Ltd on behalf of International Society for Apheresis, Japanese Society for Apheresis, and Japanese Society for Dialysis Therapy. FAU - Akizawa, Tadao AU - Akizawa T AD - Division of Nephrology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan. FAU - Ikejiri, Kazuaki AU - Ikejiri K AUID- ORCID: 0000-0001-6096-4723 AD - R&D Division, Kyowa Kirin Co., Ltd., Tokyo, Japan. FAU - Kondo, Yuichiro AU - Kondo Y AD - R&D Division, Kyowa Kirin Co., Ltd., Tokyo, Japan. FAU - Endo, Yuichi AU - Endo Y AD - R&D Division, Kyowa Kirin Co., Ltd., Tokyo, Japan. FAU - Fukagawa, Masafumi AU - Fukagawa M AD - Division of Nephrology, Endocrinology and Metabolism, Tokai University School of Medicine, Kanagawa, Japan. LA - eng GR - Kyowa Hakko Kirin Co., Ltd./ PT - Journal Article PT - Review DEP - 20191023 PL - Australia TA - Ther Apher Dial JT - Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy JID - 101181252 RN - 0 (Calcimimetic Agents) RN - 0 (Naphthalenes) RN - 0 (Pyrrolidines) RN - 0 (Receptors, Calcium-Sensing) RN - E58MLH082P (evocalcet) SB - IM MH - Calcimimetic Agents/pharmacology MH - Drug Discovery MH - Humans MH - *Hyperparathyroidism, Secondary/drug therapy/etiology MH - Naphthalenes/*pharmacology MH - Pyrrolidines/*pharmacology MH - Receptors, Calcium-Sensing/antagonists & inhibitors MH - Renal Dialysis/methods MH - *Renal Insufficiency, Chronic/complications/metabolism/therapy MH - Treatment Outcome PMC - PMC7317959 OTO - NOTNLM OT - Calcimimetic agents OT - Calcium-sensing receptor OT - Dialysis OT - Parathyroid hormone OT - Secondary hyperparathyroidism EDAT- 2019/09/06 06:00 MHDA- 2021/12/15 06:00 PMCR- 2020/06/26 CRDT- 2019/09/06 06:00 PHST- 2019/08/26 00:00 [revised] PHST- 2019/05/30 00:00 [received] PHST- 2019/08/30 00:00 [accepted] PHST- 2019/09/06 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2019/09/06 06:00 [entrez] PHST- 2020/06/26 00:00 [pmc-release] AID - TAP13434 [pii] AID - 10.1111/1744-9987.13434 [doi] PST - ppublish SO - Ther Apher Dial. 2020 Jun;24(3):248-257. doi: 10.1111/1744-9987.13434. Epub 2019 Oct 23.