The correlation between plasma aprepitant concentration and antiemetic effect in Japanese gastric or esophageal cancer patients

Verfasser / Beitragende:
[Kosuke Nishizawa, Hideaki Shimada, Masaaki Ito, Yoko Oshima, Satoshi Yajima, Yoshinori Kikuchi, Yasukiyo Sumino, Hironori Kaneko, Kenji Nishizawa, Masahiko Obayashi]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/3(2015-06-01), 538-542
Format:
Artikel (online)
ID: 605490988
LEADER caa a22 4500
001 605490988
003 CHVBK
005 20210128100507.0
007 cr unu---uuuuu
008 210128e20150601xx s 000 0 eng
024 7 0 |a 10.1007/s10147-014-0747-6  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10147-014-0747-6 
245 0 4 |a The correlation between plasma aprepitant concentration and antiemetic effect in Japanese gastric or esophageal cancer patients  |h [Elektronische Daten]  |c [Kosuke Nishizawa, Hideaki Shimada, Masaaki Ito, Yoko Oshima, Satoshi Yajima, Yoshinori Kikuchi, Yasukiyo Sumino, Hironori Kaneko, Kenji Nishizawa, Masahiko Obayashi] 
520 3 |a Background: Chemotherapy-induced nausea and vomiting (CINV) are significant problems in cancer patients, but a correlation between plasma aprepitant concentration and antiemetic effect has not been reported. This study aimed to characterize the correlation between plasma aprepitant concentration and clinical antiemetic effect in a limited group of Japanese gastric or esophageal cancer patients. Methods: Thirty-three Japanese cancer patients receiving cisplatin-based chemotherapy for the first time following oral aprepitant (125mg on day 1 and 80mg on days 2 and 3) were enrolled. The plasma aprepitant concentrations 48h after the first administration were determined using liquid chromatography-mass spectrometry. Patients were allocated to the high-concentration group (plasma aprepitant concentration was >331.1ng/ml) or the low-concentration group (plasma aprepitant concentration was ≤331.1ng/ml) to investigate the relationship between plasma aprepitant concentration and antiemetic effects. Results: No significant differences were found between the two groups in terms of percentage of CINV prevention. Of 13 patients who experienced CINV [MASCC Antiemesis Tool (MAT) score >3], those in the high-concentration group showed a significant improvement in CINV following aprepitant administration (days 1-3). Conclusion: The present study suggests that the antiemetic effect of aprepitant is associated with plasma aprepitant concentration. A plasma aprepitant concentration of 331.1ng/ml may be a valid threshold for identifying its optimal antiemetic effects in Japanese gastric or esophageal cancer patients. 
540 |a Japan Society of Clinical Oncology, 2014 
690 7 |a Chemotherapy  |2 nationallicence 
690 7 |a Nausea  |2 nationallicence 
690 7 |a Vomiting  |2 nationallicence 
690 7 |a Aprepitant  |2 nationallicence 
700 1 |a Nishizawa  |D Kosuke  |u Department of Pharmacy, Toho University Omori Medical Center, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
700 1 |a Shimada  |D Hideaki  |u Department of Surgery, School of Medicine, Toho University, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
700 1 |a Ito  |D Masaaki  |u Department of Surgery, School of Medicine, Toho University, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
700 1 |a Oshima  |D Yoko  |u Department of Surgery, School of Medicine, Toho University, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
700 1 |a Yajima  |D Satoshi  |u Department of Surgery, School of Medicine, Toho University, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
700 1 |a Kikuchi  |D Yoshinori  |u Division of Gastroenterology and Hepatology, Department of Internal Medicine (Omori), School of Medicine, Faculty of Medicine, Toho University, 5-21-16, Omori-nishi, Ota-ku, 143-8540, Tokyo, Japan  |4 aut 
700 1 |a Sumino  |D Yasukiyo  |u Division of Gastroenterology and Hepatology, Department of Internal Medicine (Omori), School of Medicine, Faculty of Medicine, Toho University, 5-21-16, Omori-nishi, Ota-ku, 143-8540, Tokyo, Japan  |4 aut 
700 1 |a Kaneko  |D Hironori  |u Department of Surgery, School of Medicine, Toho University, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
700 1 |a Nishizawa  |D Kenji  |u Department of Pharmacy, Toho University Omori Medical Center, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
700 1 |a Obayashi  |D Masahiko  |u Department of Clinical Pharmaceutics, School of Pharmaceutical Sciences, Toho University, 2-2-1, Miyama, 274-8510, Funabashi, Chiba, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/3(2015-06-01), 538-542  |x 1341-9625  |q 20:3<538  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-014-0747-6  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10147-014-0747-6  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nishizawa  |D Kosuke  |u Department of Pharmacy, Toho University Omori Medical Center, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shimada  |D Hideaki  |u Department of Surgery, School of Medicine, Toho University, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ito  |D Masaaki  |u Department of Surgery, School of Medicine, Toho University, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Oshima  |D Yoko  |u Department of Surgery, School of Medicine, Toho University, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yajima  |D Satoshi  |u Department of Surgery, School of Medicine, Toho University, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kikuchi  |D Yoshinori  |u Division of Gastroenterology and Hepatology, Department of Internal Medicine (Omori), School of Medicine, Faculty of Medicine, Toho University, 5-21-16, Omori-nishi, Ota-ku, 143-8540, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sumino  |D Yasukiyo  |u Division of Gastroenterology and Hepatology, Department of Internal Medicine (Omori), School of Medicine, Faculty of Medicine, Toho University, 5-21-16, Omori-nishi, Ota-ku, 143-8540, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kaneko  |D Hironori  |u Department of Surgery, School of Medicine, Toho University, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nishizawa  |D Kenji  |u Department of Pharmacy, Toho University Omori Medical Center, 6-11-1, Omori-nishi, Ota-ku, 143-8541, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Obayashi  |D Masahiko  |u Department of Clinical Pharmaceutics, School of Pharmaceutical Sciences, Toho University, 2-2-1, Miyama, 274-8510, Funabashi, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/3(2015-06-01), 538-542  |x 1341-9625  |q 20:3<538  |1 2015  |2 20  |o 10147