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The effect of fosaprepitant, meurokinin-1 receptor antagonist, for the prevention of postoperative nausea and vomiting

Research Project

Project/Area Number 25861378
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Anesthesiology
Research InstitutionThe University of Tokushima

Principal Investigator

SOGA Tomohiro  徳島大学, ヘルスバイオサイエンス研究部, 特任助教 (20592538)

Project Period (FY) 2013-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2013: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords制吐剤 / PONV / ニューロキニン1受容体 / 嘔気 / 嘔吐 / プロイメンドニューロキニン-1 / プロイメンド / ニューロキニン1
Outline of Final Research Achievements

This prospective, double-blind, randomized study comprised patients who underwent abdominal operations. They were randomly allocated to receive intravenous fosaprepitant (NK1) or ondansetron (ONS) before anesthesia. No patient in the NKI group experienced vomiting after surgery; 20-30 % patients in the ONS group experienced vomiting. This difference was significant (at 0-2 h, 2-24 h, 24-48 h, and 48-72 h). During the study period, no significant differences existed between the NK1 and ONS groups in the incidence of PONV, complete response rate, rescue antiemetic use, nausea score, and VAS score for pain.
Additionally, NK1 was more effective than ONS in decreasing the incidence of vomiting after lower limb surgery with postoperative opioid administration as well.

Report

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

    (10 results)

All 2015 2014 2013 Other

All Journal Article (5 results) (of which Peer Reviewed: 5 results,  Open Access: 1 results,  Acknowledgement Compliant: 2 results) Presentation (5 results)

  • [Journal Article] Fosaprepitant versus ondansetron for the prevention of postoperative nausea and vomiting in patients who undergo gynecologic abdominal surgery with patient-controlled epidural analgesia: a prospective, randomized, double-blind study.2015

    • Author(s)
      Tomohiro Soga, Katsuyoshi Kume, Nami Kakuta, Eisuke Hamaguchi, Rie Tsutsumi, Ryosuke Kawanishi, Kohei Fukuta, Katsuya Tanaka, and Yasuo M. Tsutsumi
    • Journal Title

      Journal of Anesthesia

      Volume: 印刷中

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] The effects of intravenous fosaprepitant and ondansetron for the prevention of postoperative nausea and vomiting in neurosurgery patients: a prospective, randomized, double-blinded study.2014

    • Author(s)
      Yasuo M. Tsutsumi, Nami Kakuta, Tomohiro Soga, Katsuyoshi Kume, Eisuke Hamaguchi, Rie Tsutsumi, and Katsuya Tanaka.
    • Journal Title

      Biomed Research International

      Volume: 2014 Pages: 3070251-3070256

    • DOI

      10.1155/2014/307025

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] A case of placenta percreta with massive hemorrhage during cesarean section2014

    • Author(s)
      Katsuyoshi Kume, Yasuo M. Tsutsumi, Tomohiro Soga, Yoko Sakai, Noriko Kambe, Ryosuke Kawanishi, Eisuke Hamaguchi, Tomiya Kawahara, Asuka Kasai, Yoshimi Nakaji, Youske T. Horikawa, Souichiro Nakayama, Takashi Kaji, Minoru Irahara, and Katsuya Tanaka.
    • Journal Title

      The Journal of Medical Investigation

      Volume: 61 Issue: 1.2 Pages: 208-212

    • DOI

      10.2152/jmi.61.208

    • NAID

      130004822710

    • ISSN
      1343-1420, 1349-6867
    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Recent Less-invasive Circulatory Monitoring during Renal Transplantation2013

    • Author(s)
      Soga Tomohiro, Shinji Kawahito, RIe Oi, Nami Kakuta, Toshiko Katayama, Narutomo Wakamatsu, Kazumi Takaishi, Kunihisa Yamaguchi, Hirofumi Izaki, Hiro-omi Kanayama, Hiroshi Kitahata, Shuzo Oshita
    • Journal Title

      The Journal of Medical Investigation

      Volume: 60 Issue: 1.2 Pages: 159-163

    • DOI

      10.2152/jmi.60.159

    • NAID

      130004465286

    • ISSN
      1343-1420, 1349-6867
    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Usefulness of central venous oxygen saturation monitoring during bidirectional Glenn shunt2013

    • Author(s)
      Nami Kakuta, Shinji Kawahito, Naoji Mitam Noriko Kambe, Asuka Kasai, Narutomo Wakamatsu, Toshiko Katayama, Tomohiro Soga, Fumihiko Tada, Takashi Kitaichi, Tetsuya Kitagawa Hiroshi Kitahata
    • Journal Title

      The Journal of Medical Investigation

      Volume: 60 Issue: 3.4 Pages: 272-275

    • DOI

      10.2152/jmi.60.272

    • NAID

      130004822694

    • ISSN
      1343-1420, 1349-6867
    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 周術期の血漿サブスタンスP濃度の推移と術後嘔気・嘔吐 (postoperative nausea and vomiting: PONV) の関連2014

    • Author(s)
      角田奈美、濵口英佑、曽我朋宏、河原富也、小居理恵、田中克哉、堤保夫
    • Organizer
      第34回臨床麻酔学会
    • Place of Presentation
      品川プリンスホテル(東京・品川区)
    • Year and Date
      2014-11-01
    • Related Report
      2014 Annual Research Report
  • [Presentation] 下肢人工関節置換術における術後悪心・嘔吐予防のランダム化比較試験―ホスアプレピタント対オンダンセトロン―2014

    • Author(s)
      濵口英佑、角田奈美、曽我朋宏、久米克佳、植村勇太、田中克哉、堤保夫
    • Organizer
      第34回臨床麻酔学会
    • Place of Presentation
      品川プリンスホテル(東京・品川区)
    • Year and Date
      2014-11-01
    • Related Report
      2014 Annual Research Report
  • [Presentation] 脳神経外科開頭手術後の嘔気・嘔吐に対するニューロキニン1受容体拮抗剤とオンダンセトロンの有効性の比較検討2014

    • Author(s)
      堤保夫、角田奈美、久米克佳、曽我朋宏、川西良典、田中克哉
    • Organizer
      第61回日本麻酔科学会
    • Place of Presentation
      横浜コンベンションセンター(神奈川・横浜市)
    • Year and Date
      2014-05-16
    • Related Report
      2014 Annual Research Report
  • [Presentation] 脳神経外科手術後の嘔気・嘔吐に対するニューロキニン1受容体拮抗剤の有効性

    • Author(s)
      久米克佳、曽我朋宏、濵口英佑、田中克哉、河原富也、東島祥代、角田奈美、堤保夫
    • Organizer
      第33回臨床麻酔学会
    • Place of Presentation
      石川県音楽堂(石川県)
    • Related Report
      2013 Research-status Report
  • [Presentation] PONVの薬物療法‐NK1受容体拮抗剤を使用した臨床研究‐

    • Author(s)
      堤保夫、大下修造、角田奈美、曽我朋宏、田中克哉
    • Organizer
      第60回日本麻酔科学会
    • Place of Presentation
      ロイトン札幌(北海道)
    • Related Report
      2013 Research-status Report

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

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