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The aims of this post-marketing observational study (PMOS) are to evaluate the time period needed to achieve > 30% decrease of intact parathyroid hormone (iPTH) compared to the initial values and to provide data on the tolerability and compliance of treatment with Zemplar (paricalcitol) capsules in the therapy of secondary hyperparathyroidism (SHPT) in patients with chronic kidney disease (CKD) stage 3 or 4 in conditions of routine clinical practice.
This is a non-interventional, observational, open-label, multi-country, multicenter post-marketing study in which Zemplar (paricalcitol) is prescribed in the usual manner in accordance with the terms of the local marketing authorization. Follow up visits will occur 1, 3, 6, 9, and 12 months after screening.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chronic Kidney Disease, Secondary Hyperparathyroidism | All eligible participants with chronic kidney disease stage 3 and 4 and secondary hyperparathyroidism treated with Zemplar (paricalcitol) capsules according to the local marketing authorization |
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| Measure | Description | Time Frame |
|---|---|---|
| Time to Achieve a > 30% Decrease From Baseline in Intact Parathyroid Hormone (iPTH) Values | Mean time to achieve a > 30% decrease in intact parathyroid hormone (iPTH) compared with the initial values at baseline (screening visit). | From Baseline up to 12 Months |
| Percentage of Participants With Calcium x Phosphorus Product (CxP) Values > 65 mg˄2/dL˄2 or 5.24 mmol˄2/L˄2 | The percentage of participants with Calcium x Phosphorus Product (CxP) values > 65 mg˄2/dL˄2 or 5.24 mmol˄2/L˄2 at any timepoint during followup, up to 12 months. | From Baseline up to 12 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Who Achieved a > 30% Decrease From Baseline in Intact Parathyroid Hormone (iPTH) | The percentage of participants with a decrease in iPTH levels > 30% at any timepoint during followup, up to 12 months. | From Baseline up to 12 Months |
| Percentage of Participants With Hypercalcemia |
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Inclusion Criteria:
Exclusion Criteria:
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Zemplar capsules will be prescribed in usual manner in accordance with the terms of the local marketing authorization with regards to dose, population and indication as well as local guidelines. The decision to prescribe or not prescribe Zemplar capsules would be made prior to entry of a subject in the study.
Medical doctors with experience in treatment of patients with chronic kidney disease (CKD) stage 3 or 4 and secondary hyperparathyroidism (SHPT) will observe each enrolled patient for a period of 12 months.
Follow-up of patients should enable 6 patient visits during this period.
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| Name | Affiliation | Role |
|---|---|---|
| Corina Ionescu, MD | AbbVie | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Site Reference ID/Investigator# 66544 | Montana | 3400 | Bulgaria | |||
| Site Reference ID/Investigator# 47685 |
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| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Chronic Kidney Disease, Secondary Hyperparathyroidism | All eligible participants with chronic kidney disease stage 3 and 4 and secondary hyperparathyroidism treated with Zemplar (paricalcitol) capsules according to the local marketing authorization |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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The percentage of participants with hypercalcemia (Calcium > 2.6 mmol/L [10.5 mg/dL]) at any timepoint during followup, up to 12 months. |
| From Baseline up to 12 months |
| Mean Weekly Dose of Zemplar (Paricalcitol) | Compliance was assessed using the mean weekly total dose of Zemplar (paricalcitol). | From Baseline up to 12 months |
| Number of Participants With Adverse Events (AEs) | An AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. An Adverse Drug Reaction (ADR) is any noxious and undesired reaction related to an experimental drug or experiment. A serious adverse event (SAE) is an AE that results in death, is life-threatening, results in or prolongs hospitalization, results in congenital anomaly, persistent or significant disability/incapacity, spontaneous or elective abortion, or requires intervention to prevent a serious outcome. AEs were rated for severity as either Mild: transient and easily tolerated; Moderate: causes discomfort and interrupts usual activities; or Severe: causes considerable interference with usual activities, may be incapacitating or life-threatening. AEs related to Zemplar (paricalcitol) were assessed as being either probably or possibly related by the investigator. | Adverse events were collected from the screening visit to month 12 (total 13 months); Serious Adverse Events were collected from the time that informed consent was obtained to 30 days after last dose of study drug (up to 13 months) |
| Pleven |
| 5800 |
| Bulgaria |
| Site Reference ID/Investigator# 66546 | Plovdiv | 4001 | Bulgaria |
| Site Reference ID/Investigator# 47683 | Sofia | 1257 | Bulgaria |
| Site Reference ID/Investigator# 66543 | Sofia | 1407 | Bulgaria |
| Site Reference ID/Investigator# 47684 | Sofia | 1431 | Bulgaria |
| Site Reference ID/Investigator# 66542 | Sofia | 1431 | Bulgaria |
| Site Reference ID/Investigator# 66545 | Sofia | 1709 | Bulgaria |
| Site Reference ID/Investigator# 47687 | Varna | 9010 | Bulgaria |
| Site Reference ID/Investigator# 43449 | Beroun | 266 01 | Czechia |
| Site Reference ID/Investigator# 46744 | Brno | 602 00 | Czechia |
| Site Reference ID/Investigator# 73353 | Brno | 602 00 | Czechia |
| Site Reference ID/Investigator# 47690 | Brno | 61500 | Czechia |
| Site Reference ID/Investigator# 46742 | České Budějovice | 370 01 | Czechia |
| Site Reference ID/Investigator# 49542 | Frýdek-Místek | 738 01 | Czechia |
| Site Reference ID/Investigator# 67442 | Jilemnice | 514 15 | Czechia |
| Site Reference ID/Investigator# 67443 | Jilemnice | 514 15 | Czechia |
| Site Reference ID/Investigator# 51003 | Karlovy Vary | 360 66 | Czechia |
| Site Reference ID/Investigator# 51004 | Mariánské Lázně | 353 01 | Czechia |
| Site Reference ID/Investigator# 43522 | Nový Jičín | 74101 | Czechia |
| Site Reference ID/Investigator# 43523 | Nový Jičín | 74101 | Czechia |
| Site Reference ID/Investigator# 43524 | Nový Jičín | 74101 | Czechia |
| Site Reference ID/Investigator# 45483 | Olomouc | 779 00 | Czechia |
| Site Reference ID/Investigator# 43453 | Ostrava | 700 30 | Czechia |
| Site Reference ID/Investigator# 46743 | Pilsen | 323 18 | Czechia |
| Site Reference ID/Investigator# 51008 | Prague | 10034 | Czechia |
| Site Reference ID/Investigator# 47842 | Prague | 118 00 | Czechia |
| Site Reference ID/Investigator# 68462 | Prague | 140 00 | Czechia |
| Site Reference ID/Investigator# 51005 | Prague | 15006 | Czechia |
| Site Reference ID/Investigator# 51009 | Prague | Czechia |
| Site Reference ID/Investigator# 51011 | Prague | Czechia |
| Site Reference ID/Investigator# 48210 | Přerov | 750 02 | Czechia |
| Site Reference ID/Investigator# 45487 | Rakovník | 269 29 | Czechia |
| Site Reference ID/Investigator# 51012 | Slaný | Czechia |
| Site Reference ID/Investigator# 51002 | Sokolov | 356 01 | Czechia |
| Site Reference ID/Investigator# 43448 | Trutnov | 541 21 | Czechia |
| Site Reference ID/Investigator# 45485 | Vyškov | 682 01 | Czechia |
| Site Reference ID/Investigator# 42992 | Bacau | Romania |
| Site Reference ID/Investigator# 42879 | Bucharest | 010731 | Romania |
| Site Reference ID/Investigator# 42880 | Bucharest | 010731 | Romania |
| Site Reference ID/Investigator# 42881 | Bucharest | 010731 | Romania |
| Site Reference ID/Investigator# 42882 | Bucharest | 010731 | Romania |
| Site Reference ID/Investigator# 42883 | Bucharest | 010731 | Romania |
| Site Reference ID/Investigator# 42963 | Bucharest | 010731 | Romania |
| Site Reference ID/Investigator# 42970 | Bucharest | 022328 | Romania |
| Site Reference ID/Investigator# 42877 | Bucharest | Romania |
| Site Reference ID/Investigator# 42878 | Bucharest | Romania |
| Site Reference ID/Investigator# 42973 | Bucharest | Romania |
| Site Reference ID/Investigator# 42975 | Bucharest | Romania |
| Site Reference ID/Investigator# 42976 | Bucharest | Romania |
| Site Reference ID/Investigator# 42981 | Cluj-Napoca | 400006 | Romania |
| Site Reference ID/Investigator# 42982 | Cluj-Napoca | 400006 | Romania |
| Site Reference ID/Investigator# 42980 | Cluj-Napoca | 400139 | Romania |
| Site Reference ID/Investigator# 63623 | Cluj-Napoca | 400139 | Romania |
| Site Reference ID/Investigator# 43009 | Constanța | 900591 | Romania |
| Site Reference ID/Investigator# 43002 | Craiova | 200642 | Romania |
| Site Reference ID/Investigator# 43003 | Craiova | 200642 | Romania |
| Site Reference ID/Investigator# 43006 | Craiova | 200642 | Romania |
| Site Reference ID/Investigator# 42991 | Iași | 700503 | Romania |
| Site Reference ID/Investigator# 42988 | Iași | Romania |
| Site Reference ID/Investigator# 42989 | Iași | Romania |
| Site Reference ID/Investigator# 42999 | Oradea | 410450 | Romania |
| Site Reference ID/Investigator# 43000 | Oradea | 410450 | Romania |
| Site Reference ID/Investigator# 42979 | Ploieşti | 100097 | Romania |
| Site Reference ID/Investigator# 42984 | Târgu Mureş | Romania |
| Site Reference ID/Investigator# 42985 | Târgu Mureş | Romania |
| Site Reference ID/Investigator# 42987 | Târgu Mureş | Romania |
| Site Reference ID/Investigator# 42994 | Timișoara | Romania |
| Site Reference ID/Investigator# 42995 | Timișoara | Romania |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Chronic Kidney Disease, Secondary Hyperparathyroidism | All eligible participants with chronic kidney disease stage 3 and 4 and secondary hyperparathyroidism treated with Zemplar (paricalcitol) capsules according to the local marketing authorization |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||||||||||||||
| Baseline Chronic Kidney Disease Stage | Stage 3: Glomerular Filtration Rate 30 - 59 mL/min/1.73 m^2; Stage 4: Glomerular Filtration Rate 15 - 29 mL/min/1.73 m^2. | Number | percentage of participants |
| ||||||||||||||||||||||
| Baseline Intact Parathyroid Hormone (iPTH) | Mean | Standard Deviation | pmol/L |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Time to Achieve a > 30% Decrease From Baseline in Intact Parathyroid Hormone (iPTH) Values | Mean time to achieve a > 30% decrease in intact parathyroid hormone (iPTH) compared with the initial values at baseline (screening visit). | The primary analysis was conducted in the per-protocol (PP) population, which included all participants for whom all study criteria were fulfilled at the time of enrollment and who had no major protocol deviation occur in the course of the study, with a > 30% decrease in iPTH compared with the initial values at baseline. | Posted | Mean | Standard Deviation | months | From Baseline up to 12 Months |
|
|
| |||||||||||||||||||||||||
| Primary | Percentage of Participants With Calcium x Phosphorus Product (CxP) Values > 65 mg˄2/dL˄2 or 5.24 mmol˄2/L˄2 | The percentage of participants with Calcium x Phosphorus Product (CxP) values > 65 mg˄2/dL˄2 or 5.24 mmol˄2/L˄2 at any timepoint during followup, up to 12 months. | The primary analysis was conducted in the per-protocol (PP) population, which included all participants for whom all study criteria were fulfilled at the time of enrollment and who had no major protocol deviation occur in the course of the study. | Posted | Number | percentage of participants | From Baseline up to 12 Months |
|
| |||||||||||||||||||||||||||
| Secondary | Percentage of Participants Who Achieved a > 30% Decrease From Baseline in Intact Parathyroid Hormone (iPTH) | The percentage of participants with a decrease in iPTH levels > 30% at any timepoint during followup, up to 12 months. | Secondary analyses were conducted in the intent-to-treat (ITT) population, which included all participants who received at least 1 dose of study drug and with available data. | Posted | Number | percentage of participants | From Baseline up to 12 Months |
|
| |||||||||||||||||||||||||||
| Secondary | Percentage of Participants With Hypercalcemia | The percentage of participants with hypercalcemia (Calcium > 2.6 mmol/L [10.5 mg/dL]) at any timepoint during followup, up to 12 months. | The safety population included all participants who received at least 1 dose of study drug and for whom safety data was collected after administration of the first dose of study drug. | Posted | Number | percentage of participants | From Baseline up to 12 months |
|
| |||||||||||||||||||||||||||
| Secondary | Mean Weekly Dose of Zemplar (Paricalcitol) | Compliance was assessed using the mean weekly total dose of Zemplar (paricalcitol). | Secondary analyses were conducted in the intent-to-treat (ITT) population, which included all participants who received at least 1 dose of study drug and with available data. | Posted | Mean | Standard Deviation | micrograms | From Baseline up to 12 months |
|
| ||||||||||||||||||||||||||
| Secondary | Number of Participants With Adverse Events (AEs) | An AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. An Adverse Drug Reaction (ADR) is any noxious and undesired reaction related to an experimental drug or experiment. A serious adverse event (SAE) is an AE that results in death, is life-threatening, results in or prolongs hospitalization, results in congenital anomaly, persistent or significant disability/incapacity, spontaneous or elective abortion, or requires intervention to prevent a serious outcome. AEs were rated for severity as either Mild: transient and easily tolerated; Moderate: causes discomfort and interrupts usual activities; or Severe: causes considerable interference with usual activities, may be incapacitating or life-threatening. AEs related to Zemplar (paricalcitol) were assessed as being either probably or possibly related by the investigator. | The safety population included all participants who received at least 1 dose of study drug and for whom safety data was collected after administration of the first dose of study drug . | Posted | Number | participants | Adverse events were collected from the screening visit to month 12 (total 13 months); Serious Adverse Events were collected from the time that informed consent was obtained to 30 days after last dose of study drug (up to 13 months) |
|
All participants who received at least 1 dose of study drug and for whom safety data was collected after administration of the first dose of study drug.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Chronic Kidney Disease, Secondary Hyperparathyroidism | All eligible participants with chronic kidney disease stage 3 and 4 and secondary hyperparathyroidism treated with Zemplar (paricalcitol) capsules according to the local marketing authorization | 27 | 994 | 66 | 994 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Atrial flutter | Cardiac disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Cardiac arrest | Cardiac disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Cardiac failure acute | Cardiac disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Cardio-respiratory arrest | Cardiac disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Cardiorenal syndrome | Cardiac disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Chest pain | Cardiac disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Palpitations | Cardiac disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Sinus tachycardia | Cardiac disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Congenital cystic kidney disease | Congenital, familial and genetic disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Gastritis atrophic | Gastrointestinal disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Pancreatitis acute | Gastrointestinal disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Malaise | General disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Pallor | General disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Liver disorder | Hepatobiliary disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Cardiac amyloidosis | Immune system disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Renal amyloidosis | Immune system disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Metabolic acidosis | Metabolism and nutrition disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Oedema | Metabolism and nutrition disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Psychiatric symptom | Psychiatric disorders | MedDRA (13.1) | Systematic Assessment |
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| Congenital cystic kidney disease | Renal and urinary disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Renal failure | Renal and urinary disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Renal failure chronic | Renal and urinary disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Acute respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA (13.1) | Systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Orthopnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Pneumonia | Respiratory, thoracic and mediastinal disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Haemodialysis | Surgical and medical procedures | MedDRA (13.1) | Systematic Assessment |
| |
| Leg amputation | Surgical and medical procedures | MedDRA (13.1) | Systematic Assessment |
| |
| Renal transplant | Surgical and medical procedures | MedDRA (13.1) | Systematic Assessment |
| |
| Acute myocardial infarction | Vascular disorders | MedDRA (13.1) | Systematic Assessment |
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| Atherosclerosis obliterans | Vascular disorders | MedDRA (13.1) | Systematic Assessment |
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| Diabetic foot | Vascular disorders | MedDRA (13.1) | Systematic Assessment |
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| Hypertension | Vascular disorders | MedDRA (13.1) | Systematic Assessment |
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| Hypertensive nephropathy | Vascular disorders | MedDRA (13.1) | Systematic Assessment |
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| Hypotension | Vascular disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Ischaemia | Vascular disorders | MedDRA (13.1) | Systematic Assessment |
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| Myocardial infarction | Vascular disorders | MedDRA (13.1) | Systematic Assessment |
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| Pulmonary embolism | Vascular disorders | MedDRA (13.1) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA (13.1) | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA (13.1) | Systematic Assessment |
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| Hypercalcaemia | Metabolism and nutrition disorders | MedDRA (13.1) | Systematic Assessment |
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| Hyperphosphataemia | Metabolism and nutrition disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Azotaemia | Renal and urinary disorders | MedDRA (13.1) | Systematic Assessment |
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| Dysuria | Renal and urinary disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Renal failure chronic | Renal and urinary disorders | MedDRA (13.1) | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (13.1) | Systematic Assessment |
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| Haemodialysis | Surgical and medical procedures | MedDRA (13.1) | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA (13.1) | Systematic Assessment |
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AbbVie requests that any investigator or institution that plans on presenting/publishing results disclosure, provide written notification of their request 60 days prior to their presentation/publication. AbbVie requests that no presentation/publication will be instituted until 12 months after a study is completed, or after the first presentation/publication whichever occurs first. A delay may be proposed of a presentation/publication if AbbVie needs to secure patent or proprietary protection.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Medical Services | AbbVie (prior sponsor, Abbott) | 800-633-9110 |
| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| D006962 | Hyperparathyroidism, Secondary |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006961 | Hyperparathyroidism |
| D010279 | Parathyroid Diseases |
| D004700 | Endocrine System Diseases |
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