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  1. 医学科
  2. 脳神経外科学講座
  3. 学術雑誌掲載論文等(脳神経外科学講座)
  1. 附属病院
  2. 薬剤部
  3. 学術雑誌掲載論文等(薬剤部)

Urine volume to hydration volume ratio is associated with pharmacokinetics of high-dose methotrexate in patients with primary central nervous system lymphoma.

http://hdl.handle.net/10422/00013148
http://hdl.handle.net/10422/00013148
49c6e3f0-83b2-49f9-bb7d-ab27a2ec44af
名前 / ファイル ライセンス アクション
prp2.883.pdf prp2.883 (1.1 MB)
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Item type 学術雑誌論文 / Journal Article(1)
公開日 2021-11-30
タイトル
タイトル Urine volume to hydration volume ratio is associated with pharmacokinetics of high-dose methotrexate in patients with primary central nervous system lymphoma.
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 creatinine clearance
キーワード
言語 en
主題Scheme Other
主題 high-dose methotrexate
キーワード
言語 en
主題Scheme Other
主題 hydration volume
キーワード
言語 en
主題Scheme Other
主題 population pharmacokinetics
キーワード
言語 en
主題Scheme Other
主題 primary central nervous system lymphoma
キーワード
言語 en
主題Scheme Other
主題 urine volume
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 ISONO, Tetsuichiro

× ISONO, Tetsuichiro

WEKO 7646
ORCID 0000-0001-5771-3819

ISONO, Tetsuichiro

Search repository
HIRA, Daiki

× HIRA, Daiki

WEKO 677
e-Rad 50636959
ORCID 0000-0001-8344-2469

HIRA, Daiki

Search repository
MORIKOCHI, Aya

× MORIKOCHI, Aya

WEKO 8768

MORIKOCHI, Aya

Search repository
FUKAMI, Tadateru

× FUKAMI, Tadateru

WEKO 3061
e-Rad 40378451

FUKAMI, Tadateru

Search repository
UESHIMA, Satoshi

× UESHIMA, Satoshi

WEKO 8451

UESHIMA, Satoshi

Search repository
NOZAKI, Kazuhiko

× NOZAKI, Kazuhiko

WEKO 7651
e-Rad 90252452
ORCID 0000-0003-1623-068X

NOZAKI, Kazuhiko

Search repository
TERADA, Tomohiro

× TERADA, Tomohiro

WEKO 675
e-Rad 10324641

TERADA, Tomohiro

Search repository
MORITA, Shin-ya

× MORITA, Shin-ya

WEKO 8708
e-Rad 20449870
ORCID 0000-0003-4079-707X

MORITA, Shin-ya

Search repository
著者別名 磯野, 哲一郎

× 磯野, 哲一郎

WEKO 7646
ORCID 0000-0001-5771-3819

磯野, 哲一郎

Search repository
平, 大樹

× 平, 大樹

WEKO 677
e-Rad 50636959
ORCID 0000-0001-8344-2469

平, 大樹

Search repository
森河内, 彩

× 森河内, 彩

WEKO 8768

森河内, 彩

Search repository
深見, 忠輝

× 深見, 忠輝

WEKO 3061
e-Rad 40378451

深見, 忠輝

Search repository
野﨑, 和彦

× 野﨑, 和彦

WEKO 7651
e-Rad 90252452
ORCID 0000-0003-1623-068X

野﨑, 和彦

Search repository
寺田, 智祐

× 寺田, 智祐

WEKO 675
e-Rad 10324641

寺田, 智祐

Search repository
森田, 真也

× 森田, 真也

WEKO 8708
e-Rad 20449870
ORCID 0000-0003-4079-707X

森田, 真也

Search repository
抄録
内容記述タイプ Abstract
内容記述 High-dose methotrexate (HD-MTX)-based chemotherapy is the first-line treatment for primary central nervous system lymphoma (PCNSL), but is associated with severe adverse effects, including myelosuppression and renal impairment. MTX is primarily excreted by the kidneys. Renal function calculated using serum creatinine (Scr) derived from muscle may be overestimated in elderly PCNSL patients. Therefore, we aimed to construct a population pharmacokinetic model in PCNSL patients and explore the factors associated with MTX clearance. Sixteen PCNSL patients (median age, 66 years) treated with HD-MTX were included, and serum MTX concentrations were measured at 193 points in 49 courses. A population pharmacokinetic analysis was performed using NONMEM. A Monte Carlo simulation was conducted, in which serum MTX concentrations were stratified into three groups of creatine clearance (Ccr) (50, 75, and 100 ml/min) with three groups of the urine volume to hydration volume (UV/HV) ratio (<1, 1–2, and >2). The final model was constructed as follows: MTX clearance = 4.90·(Ccr/94.5)0.456·(UV/HV)0.458. In the Monte Carlo simulation, serum MTX concentrations were below the standard values (10, 1, and 0.1 µM at 24, 48, and 72 h, respectively, after the start of the MTX administration) in most patients with UV/HV >2, even with Ccr of 50 ml/min. Conversely, half of the patients with UV/HV <1 and Ccr of 50 ml/min failed to achieve the standard values. The present results demonstrated that the UV/HV ratio was useful for describing the pharmacokinetics of MTX in PCNSL patients.
書誌情報 en : Pharmacology research & perspectives

巻 9, 号 6, p. e00883, 発行日 2021-12
出版者
出版者 Wiley
ISSN
収録物識別子タイプ ISSN
収録物識別子 2052-1707
PMID
関連タイプ isIdenticalTo
識別子タイプ PMID
関連識別子 34664791
PMCID
識別子タイプ URI
関連識別子 http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8525095/
関連名称 PMC8525095
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1002/prp2.883
関連名称 10.1002/prp2.883
権利
権利情報 © 2021 The Authors. Pharmacology Research & Perspectives published by British Pharmacological Society and American Society for Pharmacology and Experimental Therapeutics and John Wiley & Sons Ltd.
フォーマット
内容記述タイプ Other
内容記述 pdf
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
資源タイプ
内容記述タイプ Other
内容記述 Journal Article
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