Review Article

Effects of the Use of Non-Calcium Phosphate Binders in the Control and Outcome of Vascular Calcifications: A Review of Clinical Trials on CKD Patients

Table 2

A study analyzing the effect of non-calcium-based phosphate binders.

ReferenceStudyPatient populationComparisonStudy designResults

Chue et al. [51]N/APrevalent HDCalcium (13)Lanthanum (17)Randomly assignedLanthanum reduced progression of aortic VC ( ) versus calcium

Raggi et al. [25]N/APrevalent HDCalcium (130)Sevelamer (132)Observation at 52 wkSevelamer arrested the progression of valvular and vascular calcification ( ) versus calcium

Galassi et al. [28]N/AIncident HDCalcium (20ND, 25D)Sevelamer (13ND, 27D)Randomly assignedHemodialysis diabetic at 18 months, a greater progression of CACS ( ) than with sevelamer with iPTH ranges suggestive of low bone turnover

Takei et al. [45]N/APrevalent HDCalcium (21)Sevelamer (21)Randomly assignedSevelamer suppresses progressive aortic calcification more than with calcium

Raggi et al. [34]SUMMERPrevalent HDCalcium (130)Sevelamer (45)Cross-sectionalLess carotid and femoral intima media thickness, minor levels of LDL-cholesterol, higher iPTH with sevelamer versus calcium