Investigating gut microbiota in patients with primary hyperparathyroidism

Primary Hyperparathyroidism and Gut Microbiota Unravelling an Unexpected Relationship: the HYPOGEUM Study

Observational Centre Hospitalier Universitaire Vaudois · NCT04948671

This study is trying to see how the bacteria in the gut of people with primary hyperparathyroidism might affect their bone health.

Quick facts

Study typeObservational
Enrollment90 (estimated)
Ages30 Years to 80 Years
SexAll
SponsorCentre Hospitalier Universitaire Vaudois Academic / other
Locations1 site (Lausanne)
Trial IDNCT04948671 on ClinicalTrials.gov

What this trial studies

This observational study aims to evaluate the composition of gut microbiota in patients diagnosed with primary hyperparathyroidism (PHPT) and its potential impact on bone health. Participants aged 30-80 will be categorized based on their bone mineral density and bone turnover markers, with stool and blood samples collected for analysis. The study will utilize metagenomic shotgun sequencing to assess the microbiome diversity and its relationship with immune system modulation and T cell activation. The findings could lead to novel strategies for preventing bone loss in PHPT patients.

Who should consider this trial

Good fit: Ideal candidates are adults aged 30-80 years with a clinically established diagnosis of primary hyperparathyroidism.

Not a fit: Patients with secondary hyperparathyroidism or those with significant comorbidities affecting bone health or immune function may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide a new screening tool to identify PHPT patients at risk of bone loss and suggest antimicrobial treatments to prevent skeletal complications.

How similar studies have performed: While the relationship between gut microbiota and bone health is an emerging field, this specific approach in PHPT has not been extensively tested in prior studies.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* diagnosis of primary hyperparathyroidism clinically established
* willing and able to give written informed consent
* age range 30-80 years
* commitment not to use any products that may influence the study outcome
* ability to understand and comply with the requirements of the study.

Exclusion Criteria:

* impossibility to carry out DXA
* type 1 and 2 diabetes mellitus
* malabsorption
* alcohol abuse
* renal or hepatic insufficiency
* history of any malignancies
* use of probiotic supplement within four weeks prior to baseline
* use within the past 8 weeks of medication with known influences on the immune or skeletal system
* use of antibiotics during the previous two months or frequent user of antibiotics
* secondary hyperparathyroidism
* use of glucocorticoids or cinacalcet
* history of immunological or bone-related disorders

Where this trial is running

Lausanne

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Hyperparathyroidism, PrimaryPrimary HyperparathyroidismGut microbiotaimmune system
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.