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A simple method to evaluate pharmacokinetics in children with a reduced blood sampling and optimization of dosage of cardiovascular drugs.

Research Project

Project/Area Number 24590182
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical pharmacy
Research InstitutionUniversity of Toyama

Principal Investigator

TAGUCHI MASATO  富山大学, 大学院医学薬学研究部(薬学), 准教授 (20324056)

Co-Investigator(Kenkyū-buntansha) ICHIDA Fukiko  富山大学, 大学院医学薬学研究部(医学) (30223100)
SAITO Kazuyoshi  富山大学, 大学院医学薬学研究部(医学) (30566097)
HIRONO Keiichi  富山大学, 大学院医学薬学研究部(医学) (80456384)
ISHIDA Kazuya  富山大学, 大学院医学薬学研究部(薬学) (90550509)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords小児 / フレカイニド / タダラフィル / 薬物動態評価法 / 循環器官用薬 / 個別投与設計 / 小児薬物動態 / シルデナフィル / 治療薬物モニタリング / 薬物代謝
Outline of Final Research Achievements

There is a limited number of reports documenting the pharmacokinetics of cardiovascular drugs in children. One of the reasons is that frequent blood sampling in children is physically and ethically very difficult. On the other hand, we previously reported that the peak-and-trough sampling design is useful for the clinical repeated-dose pharmacokinetic trials. In this study, we evaluate the pharmacokinetic variability of flecainide and tadalafil in Japanese pediatric patients by the application of the recently developed method.
A large interindividual variability was observed in plasma concentrations of flecainide, and the estimated values of oral clearance (CL/F) correlated highly with those of apparent volume of distribution (V/F). The mean CL/F and V/F values of tadalafil were 0.149 L/hr/kg and 1.87 L/kg, respectively, which were higher than those reported in adults. These efforts could provide an important basis for the proper use of cardiovascular drugs in children.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (13 results)

All 2015 2014 2013 2012

All Journal Article (6 results) (of which Peer Reviewed: 6 results,  Open Access: 1 results,  Acknowledgement Compliant: 2 results) Presentation (7 results)

  • [Journal Article] Contribution of CYP3A Isoforms to Dealkylation of PDE5 Inhibitors: A Comparison between Sildenafil <i>N</i>-Demethylation and Tadalafil Demethylenation2015

    • Author(s)
      Takahiro R, Nakamura S, Kohno H, Yoshimura N, Nakamura T, Ozawa S, Hirono K, Ichida F, and Taguchi M.
    • Journal Title

      Biological and Pharmaceutical Bulletin

      Volume: 38 Issue: 1 Pages: 58-65

    • DOI

      10.1248/bpb.b14-00566

    • NAID

      130004872227

    • ISSN
      0918-6158, 1347-5215
    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Plasma concentrations of tadalafil in children with pulmonary arterial hypertension.2014

    • Author(s)
      Kohno H, Ichida F, Hirono K, Ozawa S, Yoshimura N, Nakamura T, Akita C, Ishida K, and Taguchi M.
    • Journal Title

      Ther Drug Monit.

      Volume: 36 Issue: 5 Pages: 576-83

    • DOI

      10.1097/ftd.0000000000000055

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Pharmacokinetic variability of flecainide in younger Japanese patients and mechanisms for renal excretion and intestinal absorption.2014

    • Author(s)
      Horie A., Ishida K., Taguchi M., Ozawa A., Hirono K., Ichida F., and Hashimoto Y.
    • Journal Title

      Biopharm. Drug Dispos.

      Volume: 35 Issue: 3 Pages: 145-153

    • DOI

      10.1002/bdd.1877

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of chronic hypoxic hypoxia on oxidation and glucuronidation of carvedilol in rats.2014

    • Author(s)
      Yamaura S., Fukao M., Ishida K., Taguchi M., and Hashimoto Y.
    • Journal Title

      Eur. J. Metab. Pharmacokinet.

      Volume: 39 Issue: 1 Pages: 53-59

    • DOI

      10.1007/s13318-013-0140-2

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Variability of Bioavailability and Intestinal Absorption Mechanisms of Metoprolol2014

    • Author(s)
      Fukao M., Ishida K., Horie A., Taguchi M., Nozawa T., Inoue H., and Hashimoto Y.
    • Journal Title

      Drug Metabolism and Pharmacokinetics

      Volume: 29 Issue: 2 Pages: 162-167

    • DOI

      10.2133/dmpk.DMPK-13-RG-057

    • NAID

      130004463366

    • ISSN
      1347-4367, 1880-0920
    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Plasma concentrations of tadalafil in children with pulmonary arterial hypertension2014

    • Author(s)
      Kohno H., Ichida F., Hirono K., Ozawa S., Yoshimura N., Nakamura T., Akita C., Ishida K., and Taguchi M.
    • Journal Title

      Ther. Drug Monitor.

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] ヒト肝ミクロソームのCYP3A活性に及ぼすタダラフィルとその代謝物の影響2015

    • Author(s)
      中村早稀,高広理佳子,関本真,渡辺直,廣野恵一,市田蕗子,田口雅登
    • Organizer
      日本薬学会第135年会
    • Place of Presentation
      神戸
    • Year and Date
      2015-03-25 – 2015-03-28
    • Related Report
      2014 Annual Research Report
  • [Presentation] 小児の同種造血幹細胞移植患者におけるタクロリムスの血中濃度モニタリングとバイオアベイラビリティの個体内変動2014

    • Author(s)
      田口雅登、蒲沼美里、高広理佳子、當山貴和子、渡邉柚梨、星野顕宏、野村恵子、金兼弘和、足立雄一
    • Organizer
      第31回日本TDM学会・学術大会
    • Place of Presentation
      東京
    • Year and Date
      2014-05-31 – 2014-06-01
    • Related Report
      2014 Annual Research Report
  • [Presentation] タダラフィルの脱メチレン代謝に関与するP450分子種の速度論的評価2014

    • Author(s)
      田口雅登,高広理佳子,中村早稀,河野寛之,石田和也,秋田千里,中村常之,芳村直樹,小澤綾佳,廣野恵一,市田蕗子
    • Organizer
      第20回日本小児肺循環研究会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] タダラフィルの脱メチレン代謝に関与するCYP分子種の速度論的評価2014

    • Author(s)
      高広理佳子,田口雅登,中村早稀,河野寛之,石田和也,秋田千里,中村常之,芳村直樹,小澤綾佳,廣野恵一,市田蕗子
    • Organizer
      日本薬学会第134年会
    • Place of Presentation
      熊本
    • Related Report
      2013 Research-status Report
  • [Presentation] 小児肺高血圧症患者におけるタダラフィルの体内動態解析2013

    • Author(s)
      河野寛之,高広理佳子,石田和也,田口雅登,秋田千里,中村常之,芳村直樹,廣野恵一,市田蕗子
    • Organizer
      第21回医療薬学フォーラム
    • Place of Presentation
      金沢
    • Related Report
      2013 Research-status Report
  • [Presentation] 経口肺血管拡張薬タダラフィルの小児における体内動態2013

    • Author(s)
      田口雅登,河野寛之,高広理佳子,石田和也,秋田千里,中村常之,芳村直樹,小澤綾佳,廣野恵一,市田蕗子
    • Organizer
      日本医療薬学会第23回年会
    • Place of Presentation
      仙台
    • Related Report
      2013 Research-status Report
  • [Presentation] カルベジロールの酸化・抱合代謝に及ぼす低酸素暴露の影響2012

    • Author(s)
      田口雅登、深尾美紀、山浦静、石田和也、橋本征也
    • Organizer
      第22回日本医療薬学会年会
    • Place of Presentation
      新潟
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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