[The new trend on the treatment of secondary hyperparathyroidism].

Recently various treatments for secondary hyperparathyroidism were developed. Those include a cation polymer as phosphate binder, active metabolite of vitamin D and its analogue, and various kinds of calcimimetics as Ca-sensing receptor agonist. For the secondary hyperparathyroidism refractory to those medication, direct injection of ethanol or vitamin D and its analogue is considered. All those treatments may contribute prevention and control of secondary hyperparathyroidism.