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Management of adverse events associated with pharmacotherapy in cancer patients with bone metastasis

Research Project

Project/Area Number 18K06770
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 47060:Clinical pharmacy-related
Research InstitutionKobe Gakuin University

Principal Investigator

Ikesue Hiroaki  神戸学院大学, 薬学研究科, 連携准教授 (60748010)

Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords骨転移治療薬 / 副作用 / 顎骨壊死 / がん薬物療法 / 有害事象 / 副作用対策 / デノスマブ / 骨転移
Outline of Final Research Achievements

Bone metastases are common in advanced cancers, resulting in clinically important complications. The effectiveness of zoledronic acid (ZA) and denosumab in the treatment of bone metastases has been established. Despite the effectiveness of these agents, these medications often cause severe adverse events (AEs) such as medication-related osteonecrosis of the jaw (MRONJ). Accumulating the information on risk factors of AEs are useful to manage them. Therefore, we conducted researches to evaluated risk factors developing MRONJ in patients who treatment with denosumab or ZA.
In addition, we investigated the risk factors of AEs associated with chemotherapy in patients with advanced cancer. We also developed a protocol-based pharmacotherapy management to aid the administration of immunotherapy to patients with lung cancer.
The results from our researches provide information for safe and sustainable medication therapy for patients with advanced cancer.

Academic Significance and Societal Importance of the Research Achievements

骨転移治療薬の有用性が示され、骨転移を認めた段階から治療開始する症例が増えた。加えて、がん治療の進歩に伴い、抗がん薬による治療を長期継続できる様になったことで、これらの患者では、がん治療に加えて骨転移に伴う諸症状の予防と対策が加わり、より慎重な副作用管理が必要である。本研究では、がん薬物療法による副作用対策の一環として、骨転移治療薬による重大な副作用である顎骨壊死をはじめ、種々の副作用について検討を行った。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (30 results)

All 2021 2020 2019 2018

All Journal Article (12 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 12 results,  Open Access: 10 results) Presentation (14 results) (of which Int'l Joint Research: 2 results,  Invited: 10 results) Book (4 results)

  • [Journal Article] Associated characteristics and treatment outcomes of medication-related osteonecrosis of the jaw in patients receiving denosumab or zoledronic acid for bone metastases2021

    • Author(s)
      Ikesue H, Mouri M, Tomita H, Hirabatake M, Ikemura M, Muroi M, Yamamoto S, Takenobu T, Tomii K, Kawakita M, Katoh H, Ishikawa T, Yasui H, Hashida T
    • Journal Title

      Support Care Cancer

      Volume: - Issue: 8 Pages: 4763-4772

    • DOI

      10.1007/s00520-021-06018-x

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Switching from zoledronic acid to denosumab increases the risk for developing medication-related osteonecrosis of the jaw in patients with bone metastases2021

    • Author(s)
      Ikesue H, Doi K, Morimoto M, Hirabatake M, Muroi N, Yamamoto S, Takenobu T, Hashida T
    • Journal Title

      Cancer Chemother Pharmacol

      Volume: - Issue: 6 Pages: 871-877

    • DOI

      10.1007/s00280-021-04262-w

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Safety evaluation of enzalutamide dose-escalation strategy in patients with castration-resistant prostate cancer2021

    • Author(s)
      Miura R, Hirabatake M, Irie K, Ikesue H, Muroi N, Kawakita M, Hashida T
    • Journal Title

      Urol Oncol

      Volume: 233 Issue: 4 Pages: 233.e15-233.e20

    • DOI

      10.1016/j.urolonc.2020.09.013

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Risk Factors for Skin Toxicities Associated with Bendamustine-Based Chemotherapy in Patients with Non-Hodgkin Lymphoma2020

    • Author(s)
      Uchida Mayako、Mori Yasuhiro、Akiba Kenta、Miyasaka Moena、Hirano Tatsuya、Ikesue Hiroaki、Yamaguchi Yuki、Takano Aoi、Maegawa Nami、Shimomura Yoshimitsu、Hosohata Keiko、Muroi Nobuyuki、Ishikawa Takayuki、Hashida Tohru、Nakamura Tsutomu
    • Journal Title

      Biological and Pharmaceutical Bulletin

      Volume: 43 Issue: 10 Pages: 1577-1582

    • DOI

      10.1248/bpb.b20-00428

    • NAID

      130007920938

    • ISSN
      0918-6158, 1347-5215
    • Year and Date
      2020-10-01
    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Risk Factors for Major Bleeding and Clinically Relevant Non-major Bleeding in Japanese Patients Treated with Edoxaban2020

    • Author(s)
      Takase Tomoki、Ikesue Hiroaki、Nakagawa Haruna、Kinoshita Megumi、Muroi Nobuyuki、Kitai Takeshi、Furukawa Yutaka、Hashida Tohru
    • Journal Title

      Biological and Pharmaceutical Bulletin

      Volume: 43 Issue: 3 Pages: 458-462

    • DOI

      10.1248/bpb.b19-00799

    • NAID

      130007804462

    • ISSN
      0918-6158, 1347-5215
    • Year and Date
      2020-03-01
    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Evaluation of the usefulness of protocol-based pharmacist-facilitated laboratory monitoring to ensure the safety of immune checkpoint inhibitors in patients with lung cancer2020

    • Author(s)
      Ikesue H, Kusuda K, Satsuma Y, Nishiwaki F, Miura R, Masuda Y, Hirabatake M, Muroi N, Fujimoto D, Morimoto T , Tomii K, Hashida T
    • Journal Title

      J Clin Pharm Ther

      Volume: 45 Issue: 6 Pages: 1288-1294

    • DOI

      10.1111/jcpt.13207

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effectiveness of Pharmacist-Physician Collaborative Management for Patients With Idiopathic Pulmonary Fibrosis Receiving Pirfenidone2020

    • Author(s)
      Satsuma Y, Ikesue H, Kusuda K, Maeda M, Muroi N, Mori R, Kogo M, Hirabayashi R, Nagata K, Nakagawa A, Tachikawa R, Tomii K, Hashida T
    • Journal Title

      Front Pharmacol

      Volume: - Pages: 529654-529654

    • DOI

      10.3389/fphar.2020.529654

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effect of the number of dose adjustment factors on bleeding risk in patients receiving 30?mg/day edoxaban2020

    • Author(s)
      Takase Tomoki、Ikesue Hiroaki、Nakagawa Haruna、Kinoshita Megumi、Muroi Nobuyuki、Kitai Takeshi、Furukawa Yutaka、Hashida Tohru
    • Journal Title

      Journal of Clinical Pharmacy and Therapeutics

      Volume: 45 Issue: 2 Pages: 298-302

    • DOI

      10.1111/jcpt.13065

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Risk factors for febrile neutropenia induced by docetaxel chemotherapy in patients with non-small cell lung cancer2020

    • Author(s)
      Uchida M, Yamaguchi Y, Hosomi S, Ikesue H, Mori Y, Maegawa N, Takano A, Sato Y, Hosohata K, Muroi N, Tomii K, Hashida T, Nakamura T
    • Journal Title

      Biological and Pharmaceutical Bulletin

      Volume: 45 Pages: 00-00

    • NAID

      130007883886

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] A case of acute kidney injury associated with dabrafenib and trametinib treatment for metastatic melanoma.2018

    • Author(s)
      Ikesue H, Nagano T, Hashida T
    • Journal Title

      Ann Pharmacother

      Volume: 52 Issue: 10 Pages: 1051-2

    • DOI

      10.1177/1060028018782985

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Interaction between warfarin and short-term intravenous amiodarone in intensive care unit patients after cardiac surgery2018

    • Author(s)
      Takase Tomoki、Ikesue Hiroaki、Tohi Makiko、Ueta Hiroshi、Mima Hiroyuki、Koyama Tadaaki、Hashida Tohru
    • Journal Title

      Journal of Pharmaceutical Health Care and Sciences

      Volume: 4 Issue: 1 Pages: 1-8

    • DOI

      10.1186/s40780-018-0110-6

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Evaluation of pharmaceutical intervention in direct-acting antiviral agents for hepatitis C virus infected patients in an ambulatory setting: a retrospective analysis2018

    • Author(s)
      Yamamoto Haruna、Ikesue Hiroaki、Ikemura Mai、Miura Rieko、Fujita Kazumi、Chung Hobyung、Suginoshita Yoshiki、Inokuma Tetsuro、Hashida Tohru
    • Journal Title

      Journal of Pharmaceutical Health Care and Sciences

      Volume: 4 Issue: 1 Pages: 1-8

    • DOI

      10.1186/s40780-018-0113-3

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 臨床現場で取り組むエビデンス創出と人材育成2021

    • Author(s)
      池末裕明
    • Organizer
      日本臨床腫瘍薬学会学術大会2021
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] Population pharmacokinetics and clinical outcome of nivolumab in Japanese patients with non-small cell lung cancer2020

    • Author(s)
      Tohi M, Mizuno T, Irie K, Okuyoshi H, Hirabatake M, Ikesue H, Muroi N, Eto M, Fukushima S, Tomii K, Hashida T
    • Organizer
      18th International Congress of Therapeutic Drug Monitoring & Clinical Toxicology 2020
    • Related Report
      2020 Annual Research Report
    • Int'l Joint Research
  • [Presentation] ゾレドロン酸からデノスマブへの変更が顎骨壊死発症リスクに与える影響2020

    • Author(s)
      土居晃平,池末裕明,平畠正樹,室井延之,竹信俊彦,橋田亨
    • Organizer
      第12回日本がん薬剤学会学術大会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 去勢抵抗性前立腺癌におけるエンザルタミド用量漸増法の有害事象評価2020

    • Author(s)
      三浦理恵子,平畠正樹,入江慶,池末裕明,室井延之,川喜田睦司,橋田亨
    • Organizer
      日本臨床腫瘍薬学会学術大会2020
    • Related Report
      2020 Annual Research Report
  • [Presentation] 共に学び伴走する一般病院での研究支援~頼れる先輩薬剤師を目指して~2020

    • Author(s)
      池末裕明
    • Organizer
      第30回日本医療薬学会年会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] Population pharmacokinetics of nivolumab in Japanese patients with non-small cell lung cancer2020

    • Author(s)
      Makiko Tohi M, Mizuno T, Irie K, Okuyoshi H, Hirabatake M, Ikesue H, Muroi N, Eto M, Fukushima S, Tomii T, Hashida T
    • Organizer
      ASCPT 2020 annual meeting
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] がん専門薬剤師の視点から:エビデンス発信と臨床研究教育2020

    • Author(s)
      池末裕明
    • Organizer
      日本薬学会第140年会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 新たな展開を迎えたがん薬物療法を支える薬剤師の育成と広がり2020

    • Author(s)
      池末裕明
    • Organizer
      日本臨床腫瘍薬学会学術大会2020
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] がん薬物療法における薬剤師の役割:深化と広がり2020

    • Author(s)
      池末裕明
    • Organizer
      第41回日本病院薬剤師会近畿学術大会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 免疫関連有害事象(irAE)とその対策2019

    • Author(s)
      池末裕明
    • Organizer
      第29回日本医療薬学会年会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 臨床現場からのエビデンス発信に向けた教育の取り組み2019

    • Author(s)
      池末裕明
    • Organizer
      第4回日本薬学教育学会大会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] チームで取り組むirAEマネジメント2019

    • Author(s)
      池末裕明
    • Organizer
      医療薬学フォーラム2019/第27回クリニカルファーマシーシンポジウム
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] (シンポジウム)入院前から周術期、退院後をつなぐ薬物療法マネジメント2018

    • Author(s)
      池末裕明
    • Organizer
      医療薬学フォーラム2018/第26回CPシンポジウム
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] (シンポジウム)薬剤師が支えるがん薬物療法2018

    • Author(s)
      池末裕明
    • Organizer
      第11回日本在宅薬学会学術大会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Book] 薬剤師レジデントマニュアル第3版2021

    • Author(s)
      橋田亨, 室井延之, 西岡弘晶(編集), 池末裕明(分担執筆)
    • Total Pages
      422
    • Publisher
      医薬書院
    • ISBN
      4260045784
    • Related Report
      2020 Annual Research Report
  • [Book] がん化学療法ワークシート第5版2020

    • Author(s)
      池末裕明, 伊藤善規, 大石了三(編集)
    • Total Pages
      480
    • Publisher
      じほう
    • ISBN
      484075277X
    • Related Report
      2020 Annual Research Report
  • [Book] がん化学療法レジメン管理マニュアル 第3版2019

    • Author(s)
      濱 敏弘(監修)
    • Total Pages
      638
    • Publisher
      医学書院
    • ISBN
      9784260038379
    • Related Report
      2019 Research-status Report
  • [Book] 整理して理解する抗がん薬2019

    • Author(s)
      濱 敏弘、鈴木 賢一、大橋 養賢、内田 まやこ、藤田 行代志(編集)
    • Total Pages
      328
    • Publisher
      じほう
    • ISBN
      9784840752275
    • Related Report
      2019 Research-status Report

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Published: 2018-04-23   Modified: 2022-01-27  

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