Evidence map›Paper›PMID 26224587›Full record

Trial reportEndocrine2016

Cinacalcet therapy in patients affected by primary hyperparathyroidism associated to Multiple Endocrine Neoplasia Syndrome type 1 (MEN1).

Francesca Giusti, Luisella Cianferotti, Giorgio Gronchi, Federica Cioppi, Laura Masi, Antongiulio Faggiano, Annamaria Colao, Piero Ferolla, Maria Luisa Brandi

Open access · bronzeAbstract readClinical Trial, Phase IVMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Endocrine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. American Association of Clinical Endocrinology Consensus Statement on Management of Multiple Endocrine Neoplasia Type 1.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    Guideline
  2. Pooled it
  3. EndoBridge 2025: pearls and highlights.Hormones (Athens, Greece) · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Familial states of primary hyperparathyroidism: an update.Journal of endocrinological investigation · 2024
    Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Francesca GiustiDepartment of Surgery and Translational Medicine, University of Florence, Largo Palagi 1, 50139, Florence, Italy.
Luisella CianferottiDepartment of Surgery and Translational Medicine, University of Florence, Largo Palagi 1, 50139, Florence, Italy.
Giorgio GronchiDepartment of Surgery and Translational Medicine, University of Florence, Largo Palagi 1, 50139, Florence, Italy.
Federica CioppiDepartment of Surgery and Translational Medicine, University of Florence, Largo Palagi 1, 50139, Florence, Italy.
Laura MasiDepartment of Surgery and Translational Medicine, University of Florence, Largo Palagi 1, 50139, Florence, Italy.
Antongiulio FaggianoDepartment of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Annamaria ColaoDepartment of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Piero FerollaDepartment of Internal Medicine and Endocrine Sciences, University of Perugia, Perugia, Italy.
Maria Luisa BrandiDepartment of Surgery and Translational Medicine, University of Florence, Largo Palagi 1, 50139, Florence, Italy. marialuisa.brandi@unifi.it.
University of Florence · ITFederico II University Hospital · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary hyperparathyroidism is the main endocrinopathy associated with Multiple Endocrine Neoplasia type 1 syndrome. Cinacalcet is a calcimimetic agent licensed for the treatment of secondary hyperparathyroidism in patients with end-stage renal disease, and for the reduction of marked hypercalcemia in patients with parathyroid carcinoma and sporadic hyperparathyroidism requiring surgery but for whom parathyroidectomy is contraindicated. It may provide a medical alternative for the management of primary hyperparathyroidism in subjects affected by Multiple Endocrine Neoplasia type 1. In this longitudinal, intervention study, 33 MEN1 patients had been enrolled, 10 males and 23 females with a mean age of 40 ± 11.9 years, range 20-63. Primary hyperparathyroidism was the first clinical manifestation in 12 patients. All subjects commenced with Cinacalcet 30 mg/day, 22 patients starting therapy with calcimimetics as an alternative to surgery, and 11 patients opting for the medication after the onset of persistent post-surgical primary hyperparathyroidism. Duration of follow-up was 12 months. The results of this study show significant reductions in serum calcium. The changes in hormonal secretions of pituitary and gastroenteropancreatic glands were not significant, demonstrating the overall safety of this drug in this disease. Cinacalcet has been well tolerated by 28 patients, whereas five individuals complained of heartburn and grade 1 nausea, which did not prevent the completion of the study. In conclusion, Cinacalcet has resulted to be well tolerated and safe in patients with MEN1 syndrome and the calcium homeostasis was stabilized.

Indexed as

AdenomaAdultCalciumCinacalcetFemaleHumansHyperparathyroidism, PrimaryLongitudinal StudiesMaleMiddle AgedMultiple Endocrine Neoplasia Type 1ParathyroidectomyParathyroid HormoneParathyroid NeoplasmsYoung AdultCalciumCinacalcetParathyroid HormoneCalcimimeticNeuroendocrine tumorPHPTPituitary tumor

Identifiers

PMID26224587
OpenAlexW937874774

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.