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Pharmacokinetic/pharmacodynamic investigation for BPSD in dementia patients receiving donepezil.

Research Project

Project/Area Number 25460215
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

Kagawa Yoshiyuki  静岡県立大学, 薬学部, 教授 (90397505)

Co-Investigator(Kenkyū-buntansha) YAMAMOTO Yoshiaki  国立病院機構, 静岡てんかん神経医療センター, 治験管理室主任 (60596245)
Research Collaborator SAKAKIBARA Ayami  
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
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: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywordsdonepezil / BPSD / dementia / 認知症 / アルツハイマー病 / ドネペジル
Outline of Final Research Achievements

Behavioral and psychological symptoms of dementia (BPSD) are big problem for the treatment of dementia. We investigated relationship between plasma concentration of donepezil, the most popular drug for dementia and the development of BPSD. First we developed the highly sensitive LC-MS/MS method for donepezil and its active metabolite, 6-O-desmethyldonepezil. Using this method we achieved the quantitation limits of both two drugs under 0.1 ng/mL. In the clinical study, although plasma concentration of 6-O-desmethyldonepezil did not correlated with development of BPSD, patients whose plasma concentration of donepezil were above 75 ng/mL did not developed BPSD. These results indicated that plasma concentration of donepezil influences the development of BPSD.

Report

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

    (8 results)

All 2015 2014 2013

All Journal Article (4 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 4 results,  Acknowledgement Compliant: 2 results) Presentation (2 results) Book (2 results)

  • [Journal Article] Changing incidence of hyperammonemia in Japan from 2006 to 2013: expansion of new antiepileptic drugs reduces the risk of hyperammonemia.2015

    • Author(s)
      Yamamoto Y, Takahashi Y, Imai K, Mishima N, Kagawa Y, Inoue Y.
    • Journal Title

      Eur J Clin Pharmacol.

      Volume: 71 Issue: 12 Pages: 1517-1524

    • DOI

      10.1007/s00228-015-1939-3

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Influence of uridine diphosphate glucuronosyltransferase inducers and inhibitors on the plasma lamotrigine concentration in pediatric patients with refractory epilepsy.2015

    • Author(s)
      Yamamoto Y, Takahashi Y, Imai K, Takahashi M, Nakai M, Inoue Y, Kagawa Y.
    • Journal Title

      Drug Metab Pharmacokinet

      Volume: 30 Issue: 3 Pages: 214-220

    • DOI

      10.1016/j.dmpk.2015.01.001

    • NAID

      50014429953

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Interaction between sulthiame and clobazam: Sulthiame inhibits the metabolism of clobazam, possibly via an action on CYP2C19.2014

    • Author(s)
      Yoshiaki Yamamoto, Yukitoshi Takahashi, Katsumi Imai, Yukiko Mogami, Kazumi Matsuda, Masahiko Nakai, Yoshiyuki Kagawab, Yushi Inoue
    • Journal Title

      Epilepsy & Behavior

      Volume: 34 Pages: 124-126

    • DOI

      10.1016/j.yebeh.2014.03.018

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Impact of genetic and non-genetic factors on clinical responses to prochlorperazine in oxycodone-treated cancer patients.2014

    • Author(s)
      Tashiro M, Naito T, Ohnishi K, Kagawa Y, Kawakami J.
    • Journal Title

      Clin Chim Acta.

      Volume: 429 Pages: 175-180

    • DOI

      10.1016/j.cca.2013.12.011

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 有害事象解析を志向したドネペジルおよび代謝物の血中濃度同時測定法の開発2015

    • Author(s)
      榊原綾海,山本吉章,賀川 義之
    • Organizer
      日本薬学会第135年会
    • Place of Presentation
      神戸市
    • Year and Date
      2015-03-26 – 2015-03-28
    • Related Report
      2014 Research-status Report
  • [Presentation] 小児てんかん患者に対するフェニトインの治療継続率とCYP2C9およびCYP2C19遺伝子多型の関連2013

    • Author(s)
      山本 吉章, 宮川 紘, 高橋 幸利, 今井 克美, 小山 誠一, 賀川 義之
    • Organizer
      第23回日本医療薬学会年会
    • Place of Presentation
      仙台国際センター
    • Related Report
      2013 Research-status Report
  • [Book] Visual Core Pharma 薬物治療学(改訂4版)2015

    • Author(s)
      賀川義之 他
    • Total Pages
      822
    • Publisher
      南山堂
    • Related Report
      2015 Annual Research Report
  • [Book] 薬物治療学 (VISUAL CORE PHARMA)2014

    • Author(s)
      吉尾隆、賀川義之ほか編
    • Total Pages
      854
    • Publisher
      南山堂
    • Related Report
      2013 Research-status Report

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

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