A modeling & simulation approach to develop the personalized doing system of neuropsychiatric drug therapy
Project/Area Number |
16K08406
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Research Field |
Medical pharmacy
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Research Institution | Kumamoto University |
Principal Investigator |
SARUWATARI Junji 熊本大学, 大学院生命科学研究部(薬), 准教授 (30543409)
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Co-Investigator(Kenkyū-buntansha) |
鬼木 健太郎 熊本大学, 大学院生命科学研究部(薬), 助教 (00613407)
古郡 規雄 (安井規雄) 弘前大学, 医学研究科, 准教授 (20333734)
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Research Collaborator |
ISHITSU Takateru くまもと江津湖療育医療センター, 診療センター長
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Project Period (FY) |
2016-04-01 – 2019-03-31
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Project Status |
Completed (Fiscal Year 2018)
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Budget Amount *help |
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2017: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
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Keywords | 個別医療 / 精神薬理学 / 神経薬理学 / 薬物動態―薬力学解析 / 薬理ゲノム学 / 臨床薬理学 / 至適投与設計 / 精神神経疾患 / 生活習慣病 / 精神神経薬理学 / 薬物動態ー薬力学解析 / モデリング&シミュレーション |
Outline of Final Research Achievements |
In this study, we conducted the clinical research to develop the personalized dosing system of neuropsychiatric drugs. Briefly, we determined the extent of influence of several genotypes on the pharmacokinetics and pharmacodynamics (including weight gain as an adverse reactions) of antidepressant: paroxetine, mood stabilizers: valproic acid and carbamazepine, antipsychotics: risperidone and olanzapine, and we proposed the novel dosing regimen for these drugs based on the patient information using the nonlinear mixed effect model.
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Academic Significance and Societal Importance of the Research Achievements |
本研究の対象疾患である、うつ病やてんかん、統合失調症は、発現頻度が極めて高いにも関わらず、その治療の要である薬物療法は、薬物動態(身体の中での薬の動き)並びに治療効果、副作用発現の個人差が大きいことから、さらなる有効な治療戦略の開発が望まれている。本研究により、充分な効果が得られ、かつ、副作用リスクが低い精神神経疾患治療薬の推奨投与量と、当該患者の生活習慣病予防プログラムを、遺伝子型等の患者要因毎に提案できれば、未だ一部の例で しか実用化に至っていない、遺伝情報に基づく精神神経科領域の個別化薬物療法・生活習慣病予防の拡大に繋がると期待する。
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Report
(4 results)
Research Products
(73 results)
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[Journal Article] Modeling of the Weight Status and Risk of Nonalcoholic Fatty Liver Disease in Elderly Individuals: The Potential Impact of the Disulfide Bond-Forming Oxidoreductase A-Like Protein (DsbA-L) Polymorphism on the Weight Status.2018
Author(s)
Oniki K, Watanabe T, Kudo M, Izuka T, Ono T, Matsuda K, Sakamoto Y, Nagaoka K, Imafuku T, Ishima Y, Watanabe H, Maruyama T, Otake K, Ogata Y, Saruwatari J.
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Journal Title
CPT:Pharmacometrics & Systems Pharmacology
Volume: -
Issue: 6
Pages: 384-393
DOI
NAID
Related Report
Peer Reviewed / Open Access
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[Journal Article] CYP2C19 variants and epoxyeicosatrienoic acids in patients with microvascular angina.2017
Author(s)
Akasaka T, Sueta D, Arima Y, Tabata N, Takashio S, Izumiya Y, Yamamoto E, Tsujita K, Kojima S, Kaikita K, Kajiwara A, Morita K, Oniki K, Saruwatari J, Nakagawa K, Hokimoto S.
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Journal Title
International journal of cardiology. Heart & vasculature
Volume: 15
Pages: 15-20
DOI
Related Report
Peer Reviewed
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[Journal Article] Association between oxidative stress-related genes polymorphisms and metabolic abnormalities among schizophrenia patients2017
Author(s)
Oniki K, Ishioka M, Osaki N, Sakamoto Y, Yoshimori Y, Tomita T, Kamihashi R, Tsuchimine S, Sugawara N, Otake K, Ogata Y, Saruwatari J, Yasui-Furukori N.
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Journal Title
Clinical Neuropsychopharmacology and Therapeutics
Volume: 8
Issue: 0
Pages: 25-37
DOI
NAID
ISSN
1884-8826
Related Report
Peer Reviewed
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[Journal Article] The Effect of <i>Yokukansan</i>, a Traditional Herbal Preparation Used for the Behavioral and Psychological Symptoms of Dementia, on the Drug–Metabolizing Enzyme Activities in Healthy Male Volunteers2016
Author(s)
Soraoka H, Oniki K, Matsuda K, Ono T, Taharazako K, Uchiyashiki Y, Kamihashi R, Kita A, Takashima A, Nakagawa K, Yasui-Furukori N, Kadowaki D, Miyata K, Saruwatari J.
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Journal Title
Biological and Pharmaceutical Bulletin
Volume: 39
Issue: 9
Pages: 1468-1474
DOI
NAID
ISSN
0918-6158, 1347-5215
Related Report
Peer Reviewed / Open Access
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[Journal Article] Helicobacter pylori Seropositivity in Patients with Interleukin-1 Polymorphisms Is Significantly Associated with ST-Segment Elevation Myocardial Infarction.2016
Author(s)
Tabata N, Sueta D, Akasaka T, Arima Y, Sakamoto K, Yamamoto E, Izumiya Y, Yamamuro M, Tsujita K, Kojima S, Kaikita K, Morita K, Oniki K, Saruwatari J, Nakagawa K, Hokimoto S.
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Journal Title
PLoS One.
Volume: 11
Issue: 11
Pages: e0166240-e0166240
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Association of CYP2C19 variants and epoxyeicosatrienoic acids on patients with microvascular angina.2016
Author(s)
Akasaka T, Sueta D, Arima Y, Tabata N, Takashio S, Izumiya Y, Yamamoto E, Yamamuro M, Tsujita K, Kojima S, Kaikita K, Kajiwara A, Morita K, Oniki K, Saruwatari J, Nakagawa K, Ogata Y, Matsui K, Hokimoto S.
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Journal Title
Am J Physiol Heart Circ Physiol.
Volume: 311
Issue: 6
Pages: H1409-H1415
DOI
Related Report
Peer Reviewed
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[Presentation] Influence of the cytochrome P450 2D6 polymorphisms on the pharmacokinetics of paroxetine in Japanese patients with major depressive disorder: a population pharmacokinetic analysis2017
Author(s)
Iwashita K, Ueda M, Tomita T, Saruwatari J, Nakashima H, Aoki K, Ogusu N, Nishimura M, Matsuda K, Ono T, Tsuchimine S, Shimoda K, Yasui - Furukori N
Organizer
15th International Congress of Therapeutic Drug Monitoring & Clinical Toxicology
Related Report
Int'l Joint Research
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[Presentation] Developing a Prediction Model to Clarify the Relationship between the BMI and the Risk for Nonalcoholic Fatty Liver Disease Based on a Modeling and Simulation Approach2017
Author(s)
Kentaro Oniki, Yuki Sakamoto, Miku Kudo, Tatsumasa Ono, Kazuki Matsuda, Narumi Muto, Tomoko Izuka, Takehisa Watanabe, Koji Otake, Yasuhiro Ogata, Junji Saruwatari
Organizer
American Diabetes Association's 77th Scientific Sessions
Related Report
Int'l Joint Research
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[Presentation] 薬物代謝2016
Author(s)
猿渡淳二
Organizer
第50回日本てんかん学会学術集会
Place of Presentation
グランシップ静岡(静岡県)
Year and Date
2016-10-07
Related Report
Invited
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[Presentation] 抗てんかん薬のTDM2016
Author(s)
猿渡淳二
Organizer
第12回 熊本TDM研究会
Place of Presentation
熊本県薬剤師会館(熊本県)
Year and Date
2016-08-26
Related Report
Invited
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