Clinical Pharmacology and TherapeuticsMedicine and Medical Science

Ph.D. Professor Tomohiro Terada

The aim of our laboratory is to contribute to the provision of pharmaceutical care with safety and high quality by 1) promoting individualization and optimization of drug therapy (Drug Fostering and Evolution), 2) to identify the mechanisms and molecules involved in the development of diseases and adverse drug reaction, and to propose new therapeutic and preventive drugs (Drug development), and 3) disseminating new evidence on pharmacist services. To this end, we are promoting so-called “Reverse Translational Research” (Fig. 1). We are convinced that the logical thinking and sense acquired through research will enable us to break new ground as clinical pharmacists.

Lab Website

Research and Education

[Research] We are promoting the following clinical problem-solving research (Fig. 2).

  1. Establishment of individualization of pharmacotherapy for immunosuppressive drugs and antibody drugs
  2. Elucidation of the mechanisms of adverse drug reactions and development of novel strategy for management
  3. Research on the optimal usage of pharmaceuticals and the establishment of novel pharmacist practices

We have identified a new mechanism of chemotherapy-induced peripheral neuropathy, and are trying to develop a causal therapy. In addition, we are conducting clinical research using medical information databases and devising patient-specific dosage design methods based on pharmacokinetic models.

[Education] The graduate students of the Graduate School of Medicine and Graduate School of Pharmaceutical Sciences are enrolled in our laboratory. They are working on the above issues in collaboration with the doctors and pharmacists. In addition, pharmacists who wish to solve clinical problems also conduct research under the guidance of faculty members.

We are looking forward to those who want to pursue the science of “Pharmacotherapy” and create new evidence for pharmacists’ work.

Figure 1. Flowchart of Reverse Translational Research Promotion

Figure 2. Themes and research goals pursued in our laboratory

Recent Publications

  1. Sukeishi A., Itohara K., Yonezawa A., Sato Y., Matsumura K., Katada Y., Nakagawa T., Hamada S., Tanabe N., Imoto E., Kai S., Hirai T., Yanagita M., Ohtsuru S., Terada T. & Ito I. Population pharmacokinetic modeling of GS-441524, the active metabolite of remdesivir, in Japanese COVID-19 patients with renal dysfunction. CPT Pharmacometrics Syst Pharmacol 11, 94-103, (2022).
  2. Hira D, Kitagawa T, Imamura T, Kakinoki M, Ueshima S, Okano T, Ohji M., Kakumoto M., & Terada T. Impact of silicone oil tamponade on intravitreally injected vancomycin pharmacokinetics in cynomolgus monkey eyes. Int J Pharm, 609: 121185 (2021)
  3. Koyanagi M, Imai S, Iwamitsu Y, Matsumoto M, Saigo M, Moriya A, Ogihara T, Nakazato Y, Yonezawa A, Nakagawa S, Nakagawa T, Matsubara K: Cilostazol is an effective causal therapy for preventing paclitaxel-induced peripheral neuropathy by suppression of Schwann cell dedifferentiation. Neuropharmacology, 188: 108514 (2021)
  4. Koyanagi M, Imai S, Matsumoto M, Iguma Y, Kawaguchi-Sakita N, Kotake T, Iwamitsu Y, Ntogwa M, Hiraiwa R, Nagayasu K, Saigo M, Ogihara T, Yonezawa A, Omura T, Nakagawa S, Nakagawa T, Matsubara K: Pro-nociceptive roles of Schwann cell-derived galectin-3 in taxane-induced peripheral neuropathy. Cancer Res, 81: 2207-2219 (2021)
  5. Ikuta K, Nakagawa S, Momo K, Yonezawa A, Itohara K, Sato Y, Imai S, Nakagawa T, Matsubara K: Association of proton pump inhibitors and concomitant drugs with risk of acute kidney injury: a nested case-control study. BMJ Open, 11: e041543 (2021)

Laboratory

Professor: Tomohiro Terada, Ph.D.
Associate Professor: Takayuki Nakagawa, Ph.D.
Senior Lecturer: Satoshi Imai, Ph.D.
Assistant Professor: Shunsaku Nakagawa, Ph.D., Daiki Hira, Ph.D.

TEL:+81-75-751-3577
FAX:+81-75-751-4207
e-mail:teradat@kuhp.kyoto-u.ac.jp
URL:http://www.kuhp.kyoto-u.ac.jp/~yakuzai/english/index.html

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