Back to Test Catalogue

Collagen Cross-Linked N-Telopeptide (NTx), 24 hr Urine

Test ID: NTELOPEP U

Test

Aliases/Synonyms

Ntelopeptide

Method

Chemiluminescence

Report Includes

N-Telopeptide; Creatinine

Specimens

Urine (24hr)

Clinical Utility

NTx is useful to assess bone resorption in patients with metabolic bone disease and monitor therapy to slow or halt osteoporotic bone loss. A decline of 30% or more of NTx over a six-month period suggests effective therapy.

Test Location

Quest Diagnostics, California USA

Test Version

1-Sep-2023

Specimen

Specimens

Urine (24hr)

Collection Containers

Sterile Container

Sample Volume

2 mL

Minimum Volume

1 mL

Collection & Handling

Collection Instructions

Do not include first morning specimen; collect all subsequent voidings. The last sample collected should be the first morning specimen voided the following morning at the same time as the previous morning’s first voiding.

Handling Information

Specify 24-hour total volume on aliquot container and test requisition. Store and send frozen.

Stability

Ambient 3 days
Refrigerated 5 days
Frozen 30 days

Rejection Criteria

Specimen Preserved

Test Version

1-Sep-2023

Performance / Interpretation

Method

Chemiluminescence

Turnaround Time

6 days

Results

Name Units Reference Range Conversion Factor
N-Telopeptide, 24 hr Urine nM BCE/mM creat
  • Male:
  • 18 - 29 y: 5 - 88
  • 30 - 39 y: 7 - 51
  • 40 - 49 y: 5 - 47
  • 50 - 60 y: 6 - 43
  • Female:
  • Premenopausal: 5 - 79
Results are primarily used for monitoring the response to therapy. A value within the premenopausal reference range does not rule out osteoporosis nor the need for therapy.
Creatinine, 24-Hour Urine g/24 h
  • < 3 y: Not established
  • 3 - 8 y: 0.10 - 0.80
  • 9 - 12 y: 0.20 - 1.40
  • 13 - 17 y: 0.40 - 1.90
  • > 17 y: 0.50 - 2.15

Test Location

Quest Diagnostics, California USA

Test Version

1-Sep-2023

Interface / Setup

HL7 Interface Codes

Order Code Result Codes Units
NTELOPEP U 64479Total Volume mL
65193N-Telopeptide (NTx), 24 U nM BCE/mM creat
65194Creatinine, 24-hour Urine MG/24 hr

Test Version

1-Sep-2023