Personalized medicine in depression: PK-PD-PGx model
Project/Area Number |
15H04754
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Research Category |
Grant-in-Aid for Scientific Research (B)
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Allocation Type | Single-year Grants |
Section | 一般 |
Research Field |
Applied pharmacology
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Research Institution | Hirosaki University |
Principal Investigator |
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Co-Investigator(Kenkyū-buntansha) |
猿渡 淳二 熊本大学, 大学院生命科学研究部(薬), 准教授 (30543409)
土嶺 章子 国立研究開発法人国立精神・神経医療研究センター, 神経研究所 疾病研究第三部, 科研費研究員 (60649044)
菅原 典夫 弘前大学, 医学研究科, 研究員 (80431435)
大里 絢子 弘前大学, 医学研究科, 助教 (80597162)
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Project Period (FY) |
2015-04-01 – 2019-03-31
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Project Status |
Completed (Fiscal Year 2018)
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Budget Amount *help |
¥17,160,000 (Direct Cost: ¥13,200,000、Indirect Cost: ¥3,960,000)
Fiscal Year 2018: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2017: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2016: ¥7,540,000 (Direct Cost: ¥5,800,000、Indirect Cost: ¥1,740,000)
Fiscal Year 2015: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
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Keywords | TCI / PK-PD / うつ病 / パーソナリティ / 個別化医療 / 遺伝子 / 環境 / 人格 / 遺伝子解析 / 環境因子 / 薬物応答性 / 抗うつ薬 / 薬剤反応性 |
Outline of Final Research Achievements |
We made a population PK-PD model about relationship between total exposure of paroxetine and remission rate in depression. Using logit values, we made ROC curve to predict remission of depression and we estimate total exposure of paroxetine in each patient from cut-off value of logit.
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Academic Significance and Societal Importance of the Research Achievements |
母集団 PK-PD 解析の手法により、PAX の血中濃度から総曝露量の推定値を算出することで、PK の情報から治療効果を早期に予測できることを解明した。また、PAX のPK-PD 関係に対して、うつ病の重症度や、パーソナリティーの影響を認めたことから、PAX の投与前にこれらの患者情報を収集することで、PAX の PK による治療効果の予測精度が向上することが示唆された。本研究結果は、PAX の投与初期にTDM を行うことで、治療効果の早期予測と至適投与設計が可能になることを示唆しており、日本人の 3%以上を占めるうつ病患者において、治療の最適化と QOL の向上に繋がると期待する。
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Report
(5 results)
Research Products
(71 results)
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[Journal Article] Difference in prevalence of metabolic syndrome between Japanese outpatients and inpatients with schizophrenia: A nationwide survey2016
Author(s)
Sugai T, Suzuki Y, Yamazaki M, Shimoda K, Mori T, Ozeki Y, Matsuda H, Sugawara N, Yasui-Furukori N, Minami Y, Okamoto K, Sagae T, Someya T
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Journal Title
Schizophrenia research
Volume: 171(1-3)
Issue: 1-3
Pages: 68-73
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
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[Journal Article] Attitudes toward metabolic adverse events among patients with schizophrenia in Japan.2016
Author(s)
Norio Sugawara, Nrio Yasui-Furukori, Mnabu Yamazaki, Kazutaka Shimoda, Takao Mori, Takuro Sugai, Hiroshi Matsuda, Yutaro Suzuki, Yoshitake Minami, Yuji Ozeki, Kurefu Okamoto, Toyoaki Sagae, Toshiyuki Someya.
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Journal Title
Neuropsychiatric Disease and Treatment
Volume: 12
Pages: 427-36
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Glutathione S-transferase K1 genotype and overweight status in schizophrenia patients: A pilot study.2016
Author(s)
Oniki K, Kamihashi R, Tomita T, Ishioka M, Yoshimori Y, Osaki N, Tsuchimine S, Sugawara N, Kajiwara A, Morita K, Miyata K, Otake K, Nakagawa K, Ogata Y, Saruwatari J, Yasui-Furukori N.
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Journal Title
Psychiatry Res.
Volume: 239
Pages: 190-195
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Influence of the cytochrome P450 2D6 *10/*10 genotype on the pharmacokinetics of paroxetine in Japanese patients with major depressive disorder: a population pharmacokinetic analysis.2016
Author(s)
Nishimura M, Ueda M, Saruwatari J, Nakashima H, Ogusu N, Aoki A, Tsuchimine S, Matsuda K, Iwashita K, Ono T, Oniki K, Shimoda K, Yasui-Furukori N.
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Journal Title
Pharmacogenet Genomics.
Volume: 26
Issue: 9
Pages: 403-13
DOI
Related Report
Peer Reviewed
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[Journal Article] The Effect of <i>Yokukansan</i>, a Traditional Herbal Preparation Used for the Behavioral and Psychological Symptoms of Dementia, on the Drug–Metabolizing Enzyme Activities in Healthy Male Volunteers2016
Author(s)
Soraoka H, Oniki K, Matsuda K, Ono T, Taharazako K, Uchiyashiki Y, Kamihashi R, Kita A, Takashima A, Nakagawa K, Yasui-Furukori N, Kadowaki D, Miyata K, Saruwatari J.
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Journal Title
Biological and Pharmaceutical Bulletin
Volume: 39
Issue: 9
Pages: 1468-1474
DOI
NAID
ISSN
0918-6158, 1347-5215
Related Report
Peer Reviewed / Open Access
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[Journal Article] High Prevalence of Obesity, Hypertension, Hyperlipidemia, and Diabetes Mellitus in Japanese Outpatients with Schizophrenia: A Nationwide Survey.2016
Author(s)
Sugai T, Suzuki Y, Yamazaki M, Shimoda K, Mori T, Ozeki Y, Matsuda H, Sugawara N, Yasui-Furukori N, Minami Y, Okamoto K, Sagae T, Someya T.
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Journal Title
PLoS One
Volume: 11
Issue: 11
Pages: e0166429-e0166429
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Relationship between occupational stress and depression among psychiatric nurses in Japan.2016
Author(s)
Yoshizawa K, Sugawara N, Yasui-Furukori N, Danjo K, Furukori H, Sato Y, Tomita T, Fujii A, Nakagam T, Sasaki M, Nakamura K.
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Journal Title
Arch Environ Occup Health
Volume: 71
Issue: 1
Pages: 10-5
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Determination of the Optimal Concentration of Valproic Acid in Patients with Epilepsy: A Population Pharmacokinetic-Pharmacodynamic Analysis.2015
Author(s)
Nakashima H, Oniki K, Nishimura M, Ogusu N, Shimomasuda M, Ono T, Matsuda K, Yasui-Furukori N, Nakagawa K, Ishitsu T, Saruwatari J.
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Journal Title
PLoS One
Volume: 10
Issue: 10
Pages: e0141266-e0141266
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Possible association between moderate intellectual disability and weight gain in valproic acid-treated patients with epilepsy.2015
Author(s)
Tanamachi Y, Saruwatari J, Noai M, Kamihashi R, Soraoka H, Yoshimori, Ogusu N, Oniki K, Yasui-Furukori N, Ishitsu T, Nakagawa K.
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Journal Title
Neuropsychiatric disease and treatment
Volume: 11
Pages: 1007-1014
DOI
Related Report
Peer Reviewed / Open Access / Acknowledgement Compliant
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[Journal Article] Factors Affecting Steady-state Plasma Concentrations of Enantiomeric Mirtazapine and its Desmethylated Metabolites in Japanese Psychiatric Patients.2015
Author(s)
Hayashi Y, Watanabe T, Aoki A, Ishiguro S, Ueda M, Akiyama K, Kato K, Inoue Y, Tsuchimine S, Yasui-Furukori N, Shimoda K.
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Journal Title
Pharmacopsychiatry
Volume: 48
Issue: 07
Pages: 279-85
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
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