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Multicenter clinical study with genetic polymorphisms analysis for the individualized antiemetic treatment.

Research Project

Project/Area Number 26860110
Research Category

Grant-in-Aid for Young Scientists (B)

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

Principal Investigator

Tsuji Daiki  静岡県立大学, 薬学部, 助教 (90565615)

Project Period (FY) 2014-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2014: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywordsグラニセトロン / パロノセトロン / アプレピタント / 遺伝子多型 / 制吐療法 / 薬物応答性 / オーダーメイド医療 / 化学療法誘発性悪心・嘔吐
Outline of Final Research Achievements

This study evaluated the potential roles of pharmacogenomic polymorphisms in antiemetic treatment resistance in cancer patients previously enrolled in a randomized controlled trial (granisetron vs. palonosetron). A total of 156 patients treated with cisplatin-based chemotherapy were evaluated for their responses.
In the granisetron group, the investigation of genetic polymorphisms on the pharmacokinetics of antiemetics showed that ABCB1 2677G>T/A and 3435C>T were associated with CR in overall phase. Multivariable logistic regression analysis revealed that the ABCB1 3435C>T polymorphism and cisplatin dose were significant predictors of CR. No association was found in palonosetron group.
The investigation of genetic polymorphisms on the pharmacodynamics of antiemetics showed that ERCC1 8092 G>T and HT3D 107G>C were associated with CR in acute phase. The multivariate logistic regression analysis revealed that the ERCC1 8092TT and female were significant predictors of CR in acute phase.

Report

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

    (8 results)

All 2016 2015 2014

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

  • [Journal Article] Influence of ABCB1 and ABCG2 polymorphisms on the antiemetic efficacy in patients with cancer receiving cisplatin-based chemotherapy: a TRIPLE pharmacogenomics study2016

    • Author(s)
      Tsuji D, Yokoi M, Suzuki K, Daimon T, Nakao M, Ayuhara H, Kogure Y, Shibata K, Hayashi T, Hirai K, Inoue K, Hama T, Takeda K, Nishio M, Itoh K.
    • Journal Title

      Pharmacogenomics J.

      Volume: -

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] 遺伝子多型情報を活用した有害反応発現のリスク因子解析‐薬剤部との連携による臨床研究の実践‐2015

    • Author(s)
      辻大樹、塩川満、鈴木賢一、伊藤邦彦
    • Organizer
      第25回日本医療薬学会年会
    • Place of Presentation
      横浜
    • Year and Date
      2015-11-21
    • Related Report
      2015 Annual Research Report
  • [Presentation] CDDP 誘発性悪心・嘔吐患者における ABCB1 および ABCG2 遺伝子多型の制吐効果に与える影響2015

    • Author(s)
      中尾將彦、辻 大樹、鈴木賢一、横井茉里、大門貴志、鮎原秀明、小暮友毅、柴田和彦、林 稔展、武田晃司、西尾誠人、濱 敏弘、伊藤邦彦
    • Organizer
      第53回日本癌治療学会
    • Place of Presentation
      京都
    • Year and Date
      2015-10-29 – 2015-10-31
    • Related Report
      2014 Research-status Report
  • [Presentation] CDDP 誘発性悪心・嘔吐患者における ABCB1 および ABCG2 遺伝子多型の制吐効果に与える影響2015

    • Author(s)
      中尾將彦、辻大樹、鈴木賢一、横井茉里、大門貴志、鮎原秀明、小暮友毅、柴田和彦、林稔展、武田晃司、西尾誠人、濱敏弘、伊藤邦彦
    • Organizer
      第53回年日本癌治療学会学術集会
    • Place of Presentation
      京都
    • Year and Date
      2015-10-29
    • Related Report
      2015 Annual Research Report
  • [Presentation] Influence of ABCB1 and ABCG2 polymorphisms on the antiemetic efficacy of a triple antiemetic combination in cancer patients receiving cisplatin-based chemotherapy: TRIPLE Pharmacogenomics Study2015

    • Author(s)
      K. Suzuki, D. Tsuji, M. Yokoi, T. Daimon, M. Nakao, H. Ayuhara, Y. Kogure, K. Shibata, T. Hayashi, K. Takeda, M. Nishio, T. Hama, K. Itoh
    • Organizer
      European Cancer Congress 2015
    • Place of Presentation
      Vienna
    • Year and Date
      2015-09-25 – 2015-09-29
    • Related Report
      2014 Research-status Report
  • [Presentation] Influence of ABCB1 and ABCG2 polymorphisms on the antiemetic efficacy of triple antiemetic combination with aprepitant in cancer patients receiving cisplatin-based chemotherapy: TRIPLE Pharmacogenomics Study2015

    • Author(s)
      Suzuki K, Tsuji D, Yokoi M, Daimon T, Nakao M, Ayuhara H, Kogure Y, Shibata K, Hayashi T, Hirai K, Inoue K, Hama T, Takeda K, Nishio M, Itoh K.
    • Organizer
      European Cancer Congress 2015
    • Place of Presentation
      Vienna
    • Year and Date
      2015-09-25
    • Related Report
      2015 Annual Research Report
  • [Presentation] 病院薬剤師の臨床研究はここまで来た!2014

    • Author(s)
      辻 大樹
    • Organizer
      病院・薬局薬剤師・薬学部臨床系教員のための臨床研究セミナー2014
    • Place of Presentation
      東京
    • Year and Date
      2014-11-22
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 背景となるエビデンスが乏しいとき ~薬剤師が主体となって行う臨床研究の意義~2014

    • Author(s)
      辻 大樹
    • Organizer
      第24回年日本医療薬学会年会
    • Place of Presentation
      名古屋
    • Year and Date
      2014-09-28
    • Related Report
      2014 Research-status Report
    • Invited

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Published: 2014-04-04   Modified: 2017-05-10  

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