Development of a treatment for post-cardiopulmonary resuscitation encephalopathy utilizing existing approved drugs using large-scale medical claims database
Project/Area Number |
18K06785
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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 |
Review Section |
Basic Section 47060:Clinical pharmacy-related
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Research Institution | Okayama University (2021) The University of Tokushima (2018-2020) |
Principal Investigator |
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Co-Investigator(Kenkyū-buntansha) |
今西 正樹 徳島大学, 大学院医歯薬学研究部(薬学域), 助教 (00734344)
武智 研志 徳島大学, 病院, 特任助教 (90793240)
中馬 真幸 徳島大学, 病院, 特任助教 (20819289)
合田 光寛 徳島大学, 病院, 特任助教 (40585965)
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Project Period (FY) |
2018-04-01 – 2022-03-31
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Project Status |
Completed (Fiscal Year 2021)
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Budget Amount *help |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
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Keywords | ドラッグリポジショニング / 心肺蘇生 / 蘇生後脳症 / 医療情報データベース / 心肺停止 / データべース / 医療ビッグデータ / 既存承認薬 / 心肺蘇生後脳症 |
Outline of Final Research Achievements |
We searched data collected from the Japan Medical Data Center for drugs that improve the survival rate of cardiac arrest patients. Candidate drugs, which could improve the prognosis of cardiac arrest patients, were extracted using "TargetMine," a drug discovery tool. Then, we investigated whether the candidate drugs were administered to the 2,227 cardiac arrest patients included in this study. The results of the logistic regression analysis showed that three drugs (isosorbide dinitrate, nitroglycerin, and nicardipine) that were showed significant association with improvement in the proportion of survival discharge. Thus, it can be suggested that isosorbide dinitrate, nitroglycerin, and nicardipine could be novel therapeutic agents for improving the prognosis of cardiac arrest patients.
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Academic Significance and Societal Importance of the Research Achievements |
現在、心肺停止後の予後を改善する適切な治療薬はなく、蘇生後脳症などを併発することからも治療は長期にわたる。くわえて、後遺症が続く場合は介護が必要となり経済的負担が発生する。そのため、新規治療薬物の開発が望まれていた。本研究手法のドラッグリポジショニングは、既存薬を用いることから、心肺停止後の予後の改善に対して、適切かつ早期に治療法を提案することが可能となる。これにより、心肺停止後の治療に対する寄与および医療経済負担を軽減することが期待される。
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Report
(5 results)
Research Products
(57 results)
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[Journal Article] Identification of prophylactic drugs for oxaliplatin-induced peripheral neuropathy using big data.2022
Author(s)
Zamami Y, Niimura T, Kawashiri T, Goda M, Naito Y, Fukushima K, Ushio S, Aizawa F, Hamano H, Okada N, Yagi K, Miyata K, Takechi K, Chuma M, Koyama T, Kobayashi D, Shimazoe T, Fujino H, Izawa-Ishizawa Y, Ishizawa K.
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Journal Title
Biomed Pharmacother.
Volume: 148
Pages: 112744-112744
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Effects of Palonosetron on Nausea and Vomiting Induced by Multiple-Day Chemotherapy: A Retrospective Study2021
Author(s)
Hamano H, Mitsuhashi C, Suzuki Y, Zamami Y, Tsujinaka K, Okada N, Niimura T, Hayama T, Imai T, Ishida S, Sakamoto K, Goda M, Takechi K, Yagi K, Chuma M, Horinouchi Y, Shinomiya K, Ikeda Y, Kirino Y, Nakamura T, Yanagawa H, Hamada Y, Ishizawa K.
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Journal Title
Biological and Pharmaceutical Bulletin
Volume: 44
Issue: 4
Pages: 478-484
DOI
NAID
ISSN
0918-6158, 1347-5215
Year and Date
2021-04-01
Related Report
Peer Reviewed / Open Access
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[Journal Article] Diphenhydramine may be a preventive medicine against cisplatin-induced kidney toxicity2021
Author(s)
Hamano H, Ikeda Y, Goda M, Fukushima K, Kishi S, Chuma M, Yamashita M, Niimura T, Takechi K, Imanishi M, Zamami Y, Horinouchi Y, Izawa-Ishizawa Y, Miyamoto L, Ishizawa K, Fujino H, Tamaki T, Aihara KI,
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Journal Title
Kidney International
Volume: 99
Issue: 4
Pages: 885-899
DOI
NAID
Related Report
Peer Reviewed / Open Access
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[Journal Article] Fibroblast-specific ERK5 deficiency changes tumor vasculature and exacerbates tumor progression in a mouse model.2020
Author(s)
Masaki Imanishi, Yusuke Yamakawa, Keijo Fukushima, Raiki Ikuto, Akiko Maegawa, Yuki Izawa-Ishizawa, Yuya Horinouchi, Masateru Kondo, Masatoshi Kishuku, Mitsuhiro Goda, Yoshito Zamami, Kenshi Takechi, Masayuki Chuma, Yasumasa Ikeda, Koichiro Tsuchiya, Hiromichi Fujino, Koichi Tsuneyama, Keisuke Ishizawa
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Journal Title
Naunyn-Schmiedeberg's Archives of Pharmacology
Volume: -
Issue: 7
Pages: 1239-1250
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Rho-associated protein kinase and cyclophilin A are involved in inorganic phosphate-induced calcification signaling in vascular smooth muscle cells2020
Author(s)
Tatsuya Tsuda, Masaki Imanishi, Mizuho Oogoshi, Yoshitaka Kihira, Yuya Horinouchi, Yoshito Zamami, Keisuke Ishizawa, Yasumasa Ikeda, Ichiro Hashimoto, Toshiaki Tamaki, Yuki Izawa-Ishizawa
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Journal Title
Journal of Pharmacological Sciences
Volume: 142
Issue: 3
Pages: 109-115
DOI
NAID
Related Report
Peer Reviewed / Open Access
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[Journal Article] Search for therapeutic agents for cardiac arrest using a drug discovery tool and large-scale medical information database2019
Author(s)
Yoshito Zamami, Takahiro Niimura, Toshihiro Koyama, Yuta Shigemi, Yuki Izawa-Ishizawa, Ayako Ohshima, Keisaku Harada, Toru Imai, Hiromi Hagiwara, Naoto Okada, Mitsuhiro Goda, Kenshi Takechi, Masayuki Chuma, Koichiro Tsuchiya, Yutaka Kondo, Shiro Hinotsu, Mitsunobu R Kano, Keisuke Ishizawa
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Journal Title
Frontiers in Pharmacology
Volume: 10
Pages: 109-115
DOI
NAID
Related Report
Peer Reviewed / Open Access
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[Journal Article] Relationship between the administration of nicardipine hydrochloride and the development of delirium in patients on mechanical ventilation.2018
Author(s)
Yoshito Zamami, Yuki Kouno, Takahiro Niimura, Masayuki Chuma, Toru Imai, Marin Mitsui, Toshihiro Koyama, Masahumi Kayano, Naoto Okada, Hirofumi Hamano, Mitsuhiro Goda, Masaki Imanishi, Kenshi Takechi, Yuya Horinouchi, Yutaka Kondo, Hiroaki Yanagawa, Yoshihisa Kitamura, Toshiaki Sendo, Yoshihito Ujike, Keisuke Ishizawa.
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Journal Title
Pharmazie
Volume: 73
Pages: 740-743
Related Report
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[Presentation] 大規模医療情報データベースを活用した周術期領域における薬剤疫学研究2019
Author(s)
座間味 義人, 石澤 有紀, 新村 貴博, 小山 敏広, 濱野 裕章, 岡田 直人, 合田 光寛, 武智 研志, 中馬 真幸, 堀ノ内 裕也, 桐野 靖, 中村 敏己, 寺岡 和彦, 石澤 啓介
Organizer
第29回日本医療薬学会年会 シンポジウム9
Related Report
Invited
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[Presentation] 大規模医療情報を活用した多施設共同臨床研究の提案2019
Author(s)
座間味 義人, 新村 貴博, 川尻 雄大, 合田 光寛, 相澤 風花, 岡田 直人, 濱野 裕章, 武智 研志, 中馬 真幸, 石澤 有紀, 楊河 宏章, 石澤 啓介
Organizer
第3回臨床薬理学集中講座フォローアップ・セミナー
Related Report
Invited
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[Presentation] 医療ビッグデータ解析と基礎研究を融合した薬剤性副作用の機序解明および治療薬の開発2019
Author(s)
新村 貴博, 座間味 義人, 石澤 有紀, 合田 光寛, 武智 研志, 中馬 真幸, 福島 圭穣, 堀ノ内 裕也, 池田 康将, 藤野 裕道, 土屋 浩一郎, 石澤 啓介
Organizer
第29回日本医療薬学会年会 シンポジウム13
Related Report
Invited
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[Presentation] 大規模医療情報データベースを活用したオキサリプラチン誘発末梢神経障害に対する予防薬探索2019
Author(s)
合田 光寛, 座間味 義人, 新村 貴博, 川尻 雄大, 武智 研志, 中馬 真幸, 萱野 純史, 濱野 裕章, 岡田 直人, 小林 大介, 島添 隆雄, 石澤 有紀, 桐野 靖, 中村 敏己, 寺岡 和彦, 石澤 啓介
Organizer
第29回日本医療薬学会年会 シンポジウム12
Related Report
Invited
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[Presentation] ドラッグリポジショニング手法を用いたバンコマイシン関連腎障害の予防薬探索とその有用性の検討2019
Author(s)
中馬 真幸, 合田 光寛, 谷 友歩, 座間味 義人, 武智 研志, 石澤 有紀, 濱野 裕章, 石田 俊介, 新村 貴博, 近藤 正輝, 坂東 貴司, 岡田 直人, 福島 圭穣, 藤野 裕道, 土屋 浩一郎, 堀ノ内 裕也, 池田 康将, 楊河 宏章, 石澤 啓介
Organizer
第13回日本腎臓病薬物療法学会学術集会・総会
Related Report
Invited
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[Presentation] 持続的腎代替療法2019
Author(s)
中馬 真幸, 武智 研志, 座間味 義人, 合田 光寛, 岡田 直人, 近藤 正輝, 石澤 啓介, 楊河 宏章
Organizer
第67回日本化学療法学会総会 シンポジウム10
Related Report
Invited
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[Presentation] Development of therapeutic agents using drug discovery tools and large-scale medical information2019
Author(s)
Yoshito Zamami, Yuki Izawa-Ishizawa, Takahiro Niimura, Mitsuhiro Goda, Naoto Okada, Kenshi Takechi, Masayuki Chuma, Keijo Fukushima, Yuya Horinouchi, Yasumasa Ikeda, Hiromichi Fujino, Koichiro Tsuchiya, Keisuke Ishizawa
Organizer
FIP2019 Abu Dhabi
Related Report
Int'l Joint Research
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[Presentation] Successful dose adjustment of vancomycin utilizing cystatin C in septic patients with bacterial meningitis: A case report2019
Author(s)
Masayuki Chuma, Masateru Kondo, Yoshito Zamami, Kenshi Takechi, Mitsuhiro Goda, Naoto Okada, Akitomo Shibata, Mizuho Asada, Jun Oto, Hiroaki Yanagawa, Keisuke Ishizawa
Organizer
FIP2019 Abu Dhabi
Related Report
Int'l Joint Research
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[Presentation] Nicorandil improve prognosis of cardiac arrest patient: A large-scale medical information analysis2019
Author(s)
Takahiro Niimura, Yoshito Zamami, Yuki Izawa-Ishizawa, Mitsuhiro Goda, Kenshi Takechi, Masayuki Chuma, Keijo Fukushima, Yuya Horinouchi, Yasumasa Ikeda, Hiromichi Fujino, Koichiro Tsuchiya, Keisuke Ishizawa
Organizer
FIP2019 Abu Dhabi
Related Report
Int'l Joint Research
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