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Pharmacokinetics and Pharmacodynamics of Mycophenolic Acid and Individualized Therapy

Research Project

Project/Area Number 25460210
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical pharmacy
Research InstitutionKyoto University

Principal Investigator

Yano Ikuko  京都大学, 薬学研究科(研究院), 准教授 (50273446)

Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2013: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords免疫抑制薬 / 母集団解析 / M & S / 造血幹細胞移植 / ミコフェノール酸 / IMPDH / M&S / ポピュレーション解析 / PK/PD解析 / TDM / NAR / 免疫抑制剤
Outline of Final Research Achievements

The experimental data obtained from Nagase analbuminemic rats showed that the free mycophenolic acid (MPA) concentration was suitable for the biomarker of immunosuppressive effect of MPA. Simulations based on the obtained pharmacokinetic and pharmacodynamic parameters showed that the pharmacological marker IMPDH activity decreased non-linearly according to the increase in free fraction of MPA, although the area under the concentration-time curve of free MPA increased linearly.Population pharmacokinetic and pharmacodynamic analyses using clinical data obtained from hematopoietic stem cell transplant patients showed that the decreased renal failure increased the MPA concentration by the increased enterohepatic circulation of the accumulated metabolite, but scarcely affected the pharmacological effects.
In conclusion, since the pharmacodynamics of MPA was non-linear, the increased MPA concentration has a limited effect on the pharmacological effects of MPA.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (22 results)

All 2015 2014 2013 Other

All Journal Article (7 results) (of which Peer Reviewed: 7 results,  Open Access: 3 results,  Acknowledgement Compliant: 3 results) Presentation (12 results) (of which Invited: 6 results) Book (1 results) Remarks (2 results)

  • [Journal Article] Pharmacokinetics and pharmacodynamics of mycophenolic acid in Nagase analbuminemic rats: Evaluation of protein binding effects using the modeling and simulation approach.2015

    • Author(s)
      Yoshimura, K., Yano, I., Kawanishi, M., Nakagawa, S., Yonezawa, A., Matsubara, K.
    • Journal Title

      Drug Metab. Pharmacokinet.

      Volume: 30 Issue: 6 Pages: 441-448

    • DOI

      10.1016/j.dmpk.2015.10.004

    • NAID

      50014429985

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Sensitive and validated LC-MS/MS methods to evaluate mycophenolic acid pharmacokinetics and pharmacodynamics in hematopoietic stem cell transplant patients.2015

    • Author(s)
      Kawanishi, M., Yano, I., Yoshimura, K., Yamamoto, T., Hashi, S., Masuda, S., Kondo, T., Takaori-Kondo, A., Matsubara, K.
    • Journal Title

      Biomed. Chromatogr.

      Volume: 印刷中 Issue: 9 Pages: 1309-1316

    • DOI

      10.1002/bmc.3423

    • NAID

      120005676648

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Monitoring mycophenolate mofetil is necessary for the effective prophylaxis of acute graft versus host disease after cord blood transplantation.2015

    • Author(s)
      Arai, Y., Kondo, T., Kitano, T., Hishizawa, M., Yamashita, K., Kadowaki, N., Yamamoto, T., Yano, I., Matsubara, K., Takaori-Kondo, A.
    • Journal Title

      Bone Barrow Transplant.

      Volume: 50 Issue: 2 Pages: 312-314

    • DOI

      10.1038/bmt.2014.258

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Effectiveness of everolimus in combination with cyclosporine as treatment for chronic rejection in a pediatric patient undergoing liver transplantation.2014

    • Author(s)
      Sato E, Hashi S, Taniguchi R, Yano I, Matsubara K, Ogawa E, Yoshizawa A, Okamoto S, Uemoto S, Masuda S
    • Journal Title

      Jpn. J. Ther. Drug Monit.

      Volume: 31 Pages: 1-5

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Assessment of four methodologies (MEIA, CLIA, ACMIA, and FIA-MS/MS) for measuring tacrolimus blood concentration in Japanese liver transplant patients.2014

    • Author(s)
      Hashi S, Masuda S, Kikuchi M, Uesugi M. Yano I, Omura T, Yonezawa A, Fujimoto Y, Ogawa K, Kaido T, Uemoto S, Matsubara K
    • Journal Title

      Transplant Proc.

      Volume: 未定

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Impact of P-glycoprotein and breast cancer resistance protein on the brain distribution of antiepileptic drugs in knockout mouse models.2013

    • Author(s)
      Nakanishi H, Yonezawa A, Matsubara K, Yano I.
    • Journal Title

      Eur J Pharmacol

      Volume: 710 Issue: 1-3 Pages: 20-28

    • DOI

      10.1016/j.ejphar.2013.03.049

    • NAID

      120005289852

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 非小細胞肺がん患者に対する簡易懸濁法を用いたエルロチニブ投与に関する検討2013

    • Author(s)
      髙田哲也, 池見泰明, 福土将秀, 杉本充弘, 石橋直哉, 小林政彦, 矢野育子, 金 永学, 三嶋理晃, 芦原英司, 松原和夫
    • Journal Title

      医療薬学

      Volume: 39 Pages: 565-570

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 造血幹細胞移植患者におけるミコフェノール酸の母集団PK-PD解析2015

    • Author(s)
      吉村和晃、矢野育子、川西美咲、山本 崇、 兼吉真千子、米澤 淳、近藤忠一、高折晃史、松原和夫
    • Organizer
      第 36 回日本臨床薬理学会学術総会
    • Place of Presentation
      京王プラザホテル、東京
    • Year and Date
      2015-12-09
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] LC-MS/MSを用いたTDM2015

    • Author(s)
      矢野育子
    • Organizer
      第29回北海道TDM研究会研究発表会
    • Place of Presentation
      北海道薬科大学サテライトキャンパス、札幌
    • Year and Date
      2015-12-05
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 免疫抑制剤のPK-PD解析と個別化投与設計2015

    • Author(s)
      矢野育子
    • Organizer
      医療薬学フォーラム2015/第23回クリニカルファーマシーシンポジウム
    • Place of Presentation
      名古屋国際会議場、名古屋
    • Year and Date
      2015-07-04
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Effect of protein binding on pharmacokinetics and pharmacodynamics of mycophenolic acid using a population-modeling approach2014

    • Author(s)
      Yoshimura K, Yano I, Kawanishi M, Matsubara K
    • Organizer
      29th JSSX/19th NA ISSX Joint Meeting
    • Place of Presentation
      SanFrancisco, USA
    • Year and Date
      2014-10-19 – 2014-10-23
    • Related Report
      2014 Research-status Report
  • [Presentation] 無アルブミン血症ラットにおけるミコフェノール酸の薬物動態と薬効2014

    • Author(s)
      吉村和晃、矢野育子、川西美咲、松原和夫
    • Organizer
      医療薬学フォーラム2014
    • Place of Presentation
      ビッグサイトTFTホール、東京
    • Year and Date
      2014-06-28 – 2014-06-29
    • Related Report
      2014 Research-status Report
  • [Presentation] LC-MS/MSを用いたミコフェノール酸血中濃度及び薬効モニタリング法の構築2013

    • Author(s)
      川西 美咲、吉村和晃、山本 崇、端 幸代、増田智先、松原和夫、矢野育子
    • Organizer
      医療薬学フォーラム2013
    • Place of Presentation
      もてなしドーム地下広場、金沢
    • Related Report
      2013 Research-status Report
  • [Presentation] 移植患者におけるミコフェノール酸のAUCと臨床効果に関する検討2013

    • Author(s)
      橋本恵美奈、増田智先、端 幸代、高橋 有、西岡由貴、新迫恵子、松田裕也、河合知喜、矢野育子、松原和夫
    • Organizer
      医療薬学フォーラム2013
    • Place of Presentation
      もてなしドーム地下広場、金沢
    • Related Report
      2013 Research-status Report
  • [Presentation] Clinical significance of blood concentration monitoring of everolimus in Japanese patients with Renal Cell Carcinoma2013

    • Author(s)
      Tanaka A, Shinsako K, Sato S, Fukudo M, Masuda S, Matsubara K, Kamba T, Yamasaki T, Ogawa O, Yano I
    • Organizer
      28th JSSX annual Meeting
    • Place of Presentation
      タワーホール船堀、東京
    • Related Report
      2013 Research-status Report
  • [Presentation] The role of pharmacists in organ transplantation

    • Author(s)
      Yano I
    • Organizer
      13th Congress of the Asian Society of Transplantation (CAST2013)
    • Place of Presentation
      京都国際会館、京都
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Impact of p-glycoprotein and breast cancer resistance protein on the brain distribution of antiepileptic drugs.

    • Author(s)
      Yano I, Nakanishi H, Yonezawa A, Matsubara K
    • Organizer
      13th International congress of Therapeutic Drug Monitoring & Clinical Toxicology
    • Place of Presentation
      Grand America Hotel, Salt Lake City, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] “From Bench to Bedside”-Application of Science to Clinical Practice

    • Author(s)
      Yano I
    • Organizer
      6th Asian Association of Schools of Pharmacy Conference
    • Place of Presentation
      National Singapore University, Singapore
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] 小児医薬品評価におけるModeling and Simulationの活用について

    • Author(s)
      矢野育子
    • Organizer
      第34回日本臨床薬理学会学術総会
    • Place of Presentation
      東京フォーラム、東京
    • Related Report
      2013 Research-status Report
    • Invited
  • [Book] 医療薬学第6版2014

    • Author(s)
      石塚良子、乾 賢一、奥村勝彦、尾崎淳子、桂 敏也、木下 淳、駒田富佐夫、高山 明、谷川原祐介、寺田智祐、中尾 誠、西口工司、橋口正行、望月眞弓、本橋秀之、安原眞人、矢野育子、矢野義孝、若杉博子
    • Total Pages
      478
    • Publisher
      廣川書店
    • Related Report
      2013 Research-status Report
  • [Remarks] 京都大学大学院薬学研究科:薬学専攻:臨床薬学教育

    • URL

      http://www.pharm.kyoto-u.ac.jp/research/research-profile/bs/

    • Related Report
      2014 Research-status Report
  • [Remarks] 京都大学大学院薬学研究科:薬学専攻:臨床薬学教育

    • URL

      http://www.pharm.kyoto-u.ac.jp/wp-content/uploads/2012/12/rinshoja.pdf

    • Related Report
      2013 Research-status Report

URL: 

Published: 2014-07-25   Modified: 2019-07-29  

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