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2011 Fiscal Year Final Research Report

Investigation of interindividual variability in pharmacokinetics of and clinical responses to opioid analgesics in cancer pain patients

Research Project

  • PDF
Project/Area Number 21590155
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical pharmacy
Research InstitutionHamamatsu University School of Medicine

Principal Investigator

KAWAKAMI Junichi  浜松医科大学, 医学部・附属病院, 教授 (50272539)

Co-Investigator(Kenkyū-buntansha) NAITO Takafumi  浜松医科大学, 医学部附属病院, 副薬剤部長 (80422749)
Project Period (FY) 2009 – 2011
Keywordsオピオイド鎮痛薬 / オキシコドン / がん性疼痛 / オーダーメイド医療 / 遺伝子多 / がん悪液質 / 緩和医療
Research Abstract

Opioid analgesics possess the interindividual variations in pharmacokinetics and drug responses. Limited clinical data on the factors determining the interindividual variations are available in cancer pain patients. To date, the pain relief for cancer patients using opioid analgesics is uniformly performed according to the current Japanese package insert in clinical practices. This study evaluated the pharmacokinetics of and drug responses and tolerance to opioid analgesics based on genetic polymorphisms of drug-metabolizing enzymes, drug-transporter, and opioid receptor, and cachexia in cancer pain patients.

  • Research Products

    (9 results)

All 2012 2011 2010 2009

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (7 results)

  • [Journal Article] Impact of cachexia on pharmacokinetic disposition of and clinical responses to oxycodone in cancer patients2012

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

      Eur J Clin Pharmacol

      Volume: (in press)

    • Peer Reviewed
  • [Journal Article] CYP3A5* 3 affects plasma disposition of noroxycodone and dose escalation in cancer patients receiving oxycodone2011

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

      J Clin Pharmacol

      Volume: 51 Pages: 1529-1538

    • Peer Reviewed
  • [Presentation] がん悪液質のステージ分類に基づくオキシコドンの体内動態および臨床効果の個人差の評価2011

    • Author(s)
      内藤隆文,田代将貴,山本圭祐,賀川義之,川上純一
    • Organizer
      第32回日本臨床薬理学会年会
    • Place of Presentation
      浜松
    • Year and Date
      20111200
  • [Presentation] Impact of cachexia on pharmacokinetic disposition of and clinical responses to oxycodone in cancer patients2011

    • Author(s)
      Naito T, Tashiro M, Yamamoto K, Ohnishi K, Kagawa Y, Kawakami J
    • Organizer
      第5回次世代を担う若手医療薬科学シンポジウム
    • Place of Presentation
      名古屋
    • Year and Date
      20111100
  • [Presentation] Impact of serum albumin level on free oxycodone pharmacokinetics, dose escalation, and central adverse reaction in cancer patients2011

    • Author(s)
      Naito T, Tashiro M, Yamamoto K, Kagawa Y, Kawakami J
    • Organizer
      10th Congress of the European Association for Clinical Pharmacology and Therapeutics
    • Place of Presentation
      Budapest, Hungary
    • Year and Date
      20110600
  • [Presentation] CYP3A5* 3 affects plasma disposition of noroxycodone and dose escalation in cancer patients receiving oxycodone2010

    • Author(s)
      Takashina Y, Naito T, Tashiro M, Yamamoto K, Ohnishi K, Kagawa Y, Kawakami J
    • Organizer
      第4回次世代を担う若手医療薬科学シンポジウム
    • Place of Presentation
      東京
    • Year and Date
      20101100
  • [Presentation] Impact of CYP2D6and CYP3A5gene polymorphisms on pharmacokinetics of oxycodone and its demethylates and dose escalation rate in cancer patients2010

    • Author(s)
      Naito T, Yamamoto K, Takashina Y, Tashiro M, Kagawa Y, Ohnishi K, Kawakami J
    • Organizer
      16th World Congress of Basic and Clinical Pharmacology(WorldPharma2010)
    • Place of Presentation
      Copenhagen, Denmark
    • Year and Date
      20100700
  • [Presentation] がん患者におけるオキシコドンとその代謝物の血中動態と嘔吐出現-CYP2D6, CYP3A5, ABCB1およびOPRM1の遺伝子変異の影響-2010

    • Author(s)
      田代将貴,内藤隆文,山本圭祐,高科嘉章,賀川義之,川上純一
    • Organizer
      第130回日本薬学会年会
    • Place of Presentation
      岡山
    • Year and Date
      20100300
  • [Presentation] がん患者におけるオキシコドンの有害作用と耐性形成に及ぼすCYP3A5, CYP2D6およびOPRM1の遺伝子変異の影響2009

    • Author(s)
      山本圭祐,内藤隆文,高科嘉章,丸山修治,賀川義之,川上純一
    • Organizer
      第30回日本臨床薬理学会年会
    • Place of Presentation
      横浜
    • Year and Date
      20091200

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Published: 2013-07-31  

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