Memory and dementia risk in older adults with secondary hyperparathyroidism from kidney failure

Cognitive Decline and Incident Dementia in Older Patients with Secondary Hyperparathyroidism

NIH-funded research Johns Hopkins University · NIH-11258481

This project looks at whether high parathyroid hormone and related blood markers are linked to worsening thinking and dementia in older adults with end-stage kidney disease.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionJohns Hopkins University NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11258481 on NIH RePORTER

What this research studies

You would be followed as an older adult with end-stage kidney disease while researchers measure blood levels of parathyroid hormone (PTH) and related markers like alkaline phosphatase and FGF-23. They will give regular cognitive tests and track medical records to see who develops dementia and which thinking skills decline. The team will compare biomarker levels to changes in specific domains such as executive function and explore whether PTH acts directly in the brain or indirectly through other blood markers. Blood samples and clinical data from dialysis clinics will be used to find patterns that might predict cognitive decline.

Who could benefit from this research

Good fit: Ideal candidates are adults aged 55 or older with end-stage renal disease, particularly those with secondary hyperparathyroidism or elevated PTH who are receiving dialysis.

Not a fit: People without kidney failure or elevated PTH, and those with advanced dementia, are unlikely to benefit from this research.

Why it matters

Potential benefit: If successful, this work could point to a modifiable blood marker that helps prevent or slow dementia in older adults on dialysis.

How similar studies have performed: Some prior studies in non-dialysis populations and preliminary data suggest links between PTH and cognition, but high-quality longitudinal studies in dialysis patients are scarce.

Where this research is happening

Baltimore, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.