Alfacalcidol, or 1-alpha-hydroxycholecalciferol or 1-alpha-hydroxyvitamin D3, is a non-endogenous analogue of vitamin D. It plays an essential function in calcium homeostasis and bone metabolism. Alfacaldisol is activated by the enzyme 25-hydroxylase in the liver to mediate its effects in the body, or most importantly, the kidneys and bones. The pharmacological actions of alfacalcidol are prolonged than vitamin D because a negative feedback mechanism regulates the final activation step of vitamin D in the kidneys.
Alfacalcidol is available in oral and intravenous formulations. In Canada, it is marketed as ONE-ALPHA, which manages hypocalcemia, secondary hyperparathyroidism, and osteodystrophy in adults with chronic renal failure. In approving European countries, alfacalcidol is also indicated for managing nutritional and malabsorptive rickets and osteomalacia, vitamin D-dependent rickets and osteomalacia, and hypophosphataemic vitamin D resistant rickets and osteomalacia.
Alfacalcidol is indicated in adult patients with chronic renal failure for the management of hypocalcemia, secondary hyperparathyroidism, or osteodystrophy.
Alfacalcidol is indicated in the management of nutritional and malabsorptive rickets and osteomalacia, vitamin D-dependent rickets and osteomalacia, and hypophosphataemic vitamin D resistant rickets and osteomalacia.
Beijing Luhe hospital, Capital Medical University, Beijing, Beijing, China
Peking Union Medical College Hospital, Beijing, Beijing, China
Beijing Shunyi hospital, Beijing, Beijing, China
Division of Endocrinology, Department of internal Medicine, Yonsei University College of Medicine, Severance Hospital, Seoul, Korea, Republic of
Sun Yat-sen Memorial Hospital, Guangzhou, Guangdong, China
Universitas Padjadjaran, Bandung, West Java, Indonesia
Rajavithi Hospital, Bangkok, Thailand
Public Health Service Clinic Reni Jaya, South Tangerang, Banten, Indonesia
El-Demerdash Cardiac Academy Hospital, Ain Shams University, Cairo, Egypt
Cipto Mangunkusumo National Hospital, Jakarta, Indonesia
Aarhus University Hospital, Aarhus, Denmark
Regional Hospital Viborg, Viborg, Denmark
Hunan Chenzhou NO.1 People's Hospital, Chenzhou, Hunan, China
The Third Xiangya Hospital of Central South University, Changsha, Hunan, China
Hunan Yiyang Central Hospital, Yiyang, Hunan, China
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