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Investigation of interindividual factors determining the pain relief and adverse effects of opioid analgesics in cancer cachexia

Research Project

Project/Area Number 26460194
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical pharmacy
Research InstitutionHamamatsu University School of Medicine

Principal Investigator

NAITO TAKAFUMI  浜松医科大学, 医学部附属病院, 副薬剤部長 (80422749)

Co-Investigator(Kenkyū-buntansha) 川上 純一  浜松医科大学, 医学部附属病院, 教授 (50272539)
Research Collaborator SATO Hikaru  浜松医科大学, 医学部附属病院, 薬剤師
ISHIDA Takuya  浜松医科大学, 医学部附属病院, 薬剤師
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2014: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords悪液質 / オピオイド / オキシコドン / サイトカイン / 中枢症状 / 薬物動態 / 有害作用 / がん性疼痛 / がん悪液質 / 炎症性サイトカイン / 薬物代謝
Outline of Final Research Achievements

Patients with cachectic cancer experience central symptoms that include depression, somnolence, and delirium. These symptoms may be associated with elevated proinflammatory cytokines or drug treatments such as opioid analgesics. Elevated serum proinflammatory cytokines are associated with the reduction of cytochrome P450 enzymes activity. To date, the relationships between opioid pharmacokinetics, central symptoms, and serum proinflammatory cytokines have not been fully clarified at each cachexia stage. This study aimed to evaluate the oxycodone pharmacokinetics, central symptoms, and serum proinflammatory cytokines based on cachexia stage in cancer patients.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (2 results)

All 2016

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Acknowledgement Compliant: 1 results) Presentation (1 results)

  • [Journal Article] Relationships between oxycodone pharmacokinetics, central symptoms, and serum interleukin-6 in cachectic cancer patients2016

    • Author(s)
      Sato H, Naito T, Ishida T, Kawakami J.
    • Journal Title

      Eur J Clin Pharmacol

      Volume: 72(12) Issue: 12 Pages: 1463-1470

    • DOI

      10.1007/s00228-016-2116-z

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] がん悪液質の病態時における血清IL-6 の濃度上昇とオキシコドンの血中動態および中枢症状発現との関係2016

    • Author(s)
      佐藤聖, 内藤隆文, 石田卓矢, 川上純一.
    • Organizer
      第26回日本医療薬学会年会
    • Place of Presentation
      京都市
    • Year and Date
      2016-09-17
    • Related Report
      2016 Annual Research Report

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Published: 2014-04-04   Modified: 2018-03-22  

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