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Fundamental & Clinical Pharmacology

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https://www.readbyqxmd.com/read/29144574/sglt-2-inhibitors-and-ketoacidosis-a-disproportionality-analysis-in-the-world-health-organization-s-adverse-drug-reactions-database
#1
Abdel Nasser Ado Moumouni, Perrine Robin, Dominique Hillaire-Buys, Jean-Luc Faillie
SGLT-2 inhibitors, also called gliflozins, are a new class of drugs used in type 2 diabetes. Since their marketing, several cases of ketoacidosis, including life-threatening conditions, were reported with their use. The objective of this study was to investigate the disproportionality of pharmacovigilance reports of ketoacidosis between gliflozins and other drugs used for type 2 diabetes. We performed a case non-case study within the World Health Organization's pharmacovigilance database, VigiBase. We selected all reports of serious adverse drug reaction associated with a glucose-lowering drug in patients aged 40 years and older, from January 2013 to March 2016...
November 16, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/29143369/detection-of-adverse-drug-reactions-evaluation-of-an-automatic-data-processing-applied-in-oncology-performed-in-the-french-drg-database
#2
Alexandre Quillet, Olivier Colin, Nicolas Bourgeois, Sylvie Favrelière, Aurélie Ferru, Laurence Boinot, Claire Lafay-Chebassier, Marie-Christine Perault-Pochat
The aim of this study was to assess an automated detection method of serious adverse reactions induced by oral targeted therapy (OTT) in patients with cancer, performed in the French Diagnosis Related Groups (DRG) database. Cancer patients of the Poitiers hospital who started an OTT between 2014 and 2015 were included. This study focused on adverse drug reaction which required inpatient hospitalization (ADRh ). All diagnoses coded in the DRG database for hospital stays that occurred within three months after OTT initiation were collected (potential ADRh )...
November 15, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/29143356/on-the-ground-application-of-the-temporary-recommendation-for-use-regulatory-measure-on-off-label-use-of-baclofen-for-alcohol-dependence-in-france-a-regional-survey-of-community-pharmacies
#3
Marine Auffret, Benjamin Rolland, Anne-Sylvie Caous, Louise Gaboriau, Sylvie Deheul, Régis Bordet, Sophie Gautier
The "temporary recommendation for use" (TRU) is a French novel regulatory measure for off-label drug. The first TRU to be issued by the French drug agency (in March 2014) pertained to the off-label use of baclofen for alcohol dependence (AD). We performed a questionnaire-based survey of the on-the-ground application of the baclofen TRU among community pharmacies in northern France. A pharmacist from 70 of the 219 pharmacies contacted (response rate: 32.0%) completed the questionnaire. The mean ± standard deviation number of off-label baclofen prescriptions for AD was 2...
November 15, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/29125648/pharmacological-effects-of-zataria-multiflora-boiss-l-and-its-constituents-focus-on-their-anti-inflammatory-antioxidant-and-immunomodulatory-effects
#4
REVIEW
Mohammad Reza Khazdair, Vahideh Ghorani, Azam Alavinezhad, Mohammad Hossein Boskabady
Zataria multiflora Boiss (Z. multiflora) belongs to the Lamiaceae family, is used traditionally for culinary and medicinal purposes. Different pharmacological effects have been described for the plant including; bronchodilation, vasodilation and effect on lung inflammation. The plant is also used as a remedy against cough in the traditional medicine. In this article, "pharmacological effects of Z. multiflora and its constituents focusing on their anti-inflammatory, antioxidant and immunomodulatory properties were reviewed" by searching various databases until "June" 2016...
November 10, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/29091319/population-pharmacokinetics-of-oral-baclofen-at-steady-state-in-alcoholic-dependent-adult-patients
#5
Lucie Chevillard, Naomi Sabo, Michel Tod, Laurence Labat, Céline Chasport, Céline Chevaleyre, Florence Thibaut, Jérôme Barré, Julien Azuar, Franck Questel, Florence Vorspan, Vanessa Bloch, Frank Bellivier, Bernard Granger, Camille Barrault, Xavier Declèves
Baclofen has been proposed for few years to help treating alcohol-dependence at higher doses than those used in neurology. Baclofen pharmacokinetics has been previously well described at low oral or intravenous doses but remains poorly investigated with such high oral doses. We here describe dose regimens of baclofen in 143 alcohol-dependent-patients treated with steady-state oral doses of baclofen. Plasma baclofen levels were measured in blood samples using liquid chromatography coupled with tandem mass spectrometry...
November 1, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/29091313/exenatide-upregulates-gene-expression-of-glucagon-like-peptide-1-receptor-and-nerve-growth-factor-in-streptozotocin-nicotinamide-induced-diabetic-mice
#6
Esen Gumuslu, Naci Cine, Merve Ertan, Oguz Mutlu, Ipek Komsuoglu Celikyurt, Guner Ulak
Glucagon like peptide-1 (GLP-1) is an incretine hormon that has modulating effects on insulin release. GLP-1 and receptors for GLP-1 are widely expressed throughout the body including brain.The expression of GLP-1 receptors is very specific to large neurons in hippocampus, neocortex and cerebellum. GLP-1 receptor stimulation enhances glucose-dependent insulin secretion and lowers blood glucose in type 2 diabetes mellitus. Studies on adipobiology of neurotrophins have focused on nerve growth factor (NGF) as an example of adipose-derived neurotrophins...
November 1, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/29069531/factors-associated-with-the-variability-of-cni-blood-levels-in-kidney-recipients-grafted-for-more-than-1-year
#7
Stéphanie Belaiche, Bertrand Décaudin, Sébastien Dharancy, Sophie Gautier, Christian Noel, Pascal Odou, Marc Hazzan
The study of calcineurin inhibitor (CNI) blood level variability to evaluate adherence in transplantation has improved over the years. The aim of our study was to assess factors associated with this variability using the coefficient of variation (CV). A cross-sectional sample of kidney recipients grafted for more than 1 year was recruited. We recorded clinical data, data from a clinical pharmacist interview and from 6 questionnaires measuring adherence, satisfaction, behaviours, beliefs, perception of the illness and social vulnerability...
October 25, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/29059499/oligomeric-proanthocyanidins-protect-myocardium-by-mitigating-left-ventricular-remodeling-in-isoproterenol-induced-post-myocardial-infarction
#8
Ashokkumar Rathinavel, Jamuna Sankar, M S Sakeena Sadullah, Sivasithamparam Niranjali Devaraj
Extracellular matrix (ECM) remodeling is a major pathophysiological process during post myocardial infarction (MI). The activation, differentiation and proliferation of cardiac fibroblasts to myofibroblasts regulate the expression of ECM proteins. The signalling by Bone morphogenetic protein (BMP-4), an extra cellular ligand of the TGF-β family, has recently been identified as an essential pathway in regulating cardiovascular dysfunctions including myocardial fibrosis. Oligomeric proanthocyanidins (OPC) are well known for their cardioprotective activity...
October 23, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/29055166/drug-monitoring-of-sunitinib-in-patients-with-advanced-solid-tumors-a-monocentric-observational-french-study
#9
Luc Cabel, Benoit Blanchet, Audrey Thomas-Schoemann, Olivier Huillard, Audrey Bellesoeur, Anatole Cessot, Julie Giroux, Pascaline Boudou-Rouquette, Romain Coriat, Michel Vidal, Nathaniel E B Saidu, Lisa Golmard, Jérome Alexandre, Francois Goldwasser
Therapeutic drug monitoring (TDM) could be helpful in oral targeted therapies. Data are sparse to evaluate its impact on treatment management. This study aimed to determine a threshold value of plasma drug exposure associated with the occurrence of grade 3-4 toxicity, then the potential impact of TDM on clinical decision. Consecutive outpatients treated with sunitinib were prospectively monitored between days 21-28 of the first cycle, then monthly until disease progression. At each consultation, the composite AUCƬ,ss (sunitinib + active metabolite SU12662) was assayed...
October 21, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/29055145/positive-predictive-values-of-peripheral-arterial-and-venous-thrombosis-codes-in-french-hospital-database
#10
Mandy Prat, Hélène Derumeaux, Laurent Sailler, Maryse Lapeyre-Mestre, Guillaume Moulis
French hospital database, called Programme de Médicalisation des Systèmes d'Information (PMSI) covers all hospitals stays in France (>66 million inhabitants). The aim of this study was to estimate the positive predictive values (PPVs) of primary diagnosis codes of peripheral arterial and venous thrombosis codes in the PMSI, encoded with the International Classification of Diseases, 10(th) revision. Data were extracted from the PMSI database of Toulouse University Hospital, South of France. We identified all the hospital stays in 2015 with a code of peripheral arterial or venous thrombosis as primary diagnosis...
October 21, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/28921732/from-medico-administrative-databases-analysis-to-care-trajectories-analytics-an-example-with-the-french-snds
#11
Erwan Drezen, Thomas Guyet, André Happe
Medico-administrative data like SNDS (Système National de Données de Santé) are not collected initially for epidemiological purposes. Moreover, the data model and the tools proposed to SNDS users make their in-depth exploitation difficult. We propose a data model, called the ePEPS model, based on health care trajectories to provide a medical view of raw data. A data abstraction process enables the clinician to have an intuitive medical view of raw data and to design a study-specific view. This view is based on a generic model of care trajectory, i...
September 16, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/28921707/a-visual-approach-of-care-pathways-from-the-french-nationwide-snds-database-from-population-to-individual-records-the-epeps-toolbox
#12
André Happe, Erwan Drezen
Secondary use of medical and administrative databases has become a powerful tool for epidemiological studies. In that respect, the recent access opening of French nationwide health record database or SNDS (Système National des Données de Santé) is a great opportunity to carry out comprehensive health studies at the country level. However, using this database is far from being straightforward for non-expert data scientists; so, dedicated tools needed to be developed. Our contribution is focused on data management and visualization tools able to query and cope with the complexity of care pathways of patients...
September 16, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/28921653/visualization-of-temporal-patterns-in-patient-record-data
#13
Catherine Plaisant
Visualization contributes to a variety of tasks, from reviewing individual patient records to helping researchers assess data quality, find patients of interest, review temporal patterns and anomalies or understand differences between cohorts. We review some of visualization techniques developed at the University of Maryland. This article is protected by copyright. All rights reserved.
September 16, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/28887902/atropinic-anticholinergic-burden-in-antipsychotic-treated-patients
#14
François Montastruc, Justine Benevent, Anthony Touafchia, Leila Chebane, Mélanie Araujo, Emmanuelle Guitton-Bondon, Geneviève Durrieu, Christophe Arbus, Laurent Schmitt, Bernard Begaud, Jean-Louis Montastruc
Antipsychotic drugs possess side atropinic (anticholinergic) properties that may induce several adverse drug reactions (ADRs), such as memory loss or cognitive impairment. The aim of the present study was investigating anticholinergic burden in patients treated with antipsychotic drugs. All ADR reports including at least one antipsychotic and registered between 2000 and 2015 in the Midi-Pyrénées PharmacoVigilance Database were extracted and analyzed using the Anticholinergic Duran's list. The primary objective of this cross-sectional study was to calculate anticholinergic burden in antipsychotic-treated patients; the secondary one was to investigate associated factors...
September 9, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/28856711/rationale-and-design-of-the-canari-study-a-case-control-study-investigating-the-association-between-prostate-cancer-and-5-alpha-reductase-inhibitors-for-symptomatic-benign-prostate-hypertrophy-by-linking-sniiram-and-pathology-laboratories-in-a-specific-region
#15
Lucie-Marie Scailteux, Frédéric Balusson, Sébastien Vincendeau, Nathalie Rioux-Leclercq, Emmanuel Nowak
Benign prostate hypertrophy (BPH) could be associated with low urinary symptoms requiring medical treatment: 5 alpha-reductase inhibitors (5-ARI) or ɑ-blockers. Two clinical trials investigating 5-ARI use in prostate cancer (PCa) primary prevention highlighted a potential safety signal with an increased risk of high grade PCa. Later observational studies failed to show similar results but have some limits. The present paper focuses on describing the protocol of the CANARI study and its feasibility, as regards the matching process of two pseudo-anonymous databases...
August 30, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/28853229/average-spectral-power-changes-at-the-hippocampal-electroencephalogram-in-schizophrenia-model-induced-by-ketamine
#16
Luis Rafael L Sampaio, Lucas T N Borges, Joyse M F Silva, Francisca Roselin O de Andrade, Talita M Barbosa, Tatiane Q Oliveira, Danielle Macedo, Ricardo F Lima, Leonardo Pimentel Dantas, Manoel Cláudio Azevedo Patrocinio, Otoni C do Vale, Silvania Mendes M de Vasconcelos
The use of ketamine (Ket) as a pharmacological model of schizophrenia is an important tool for understanding the main mechanisms of glutamatergic regulated neural oscillations. Thus, the aim of the current study was to evaluate Ket induced changes in the average spectral power using the hippocampal quantitative electroencephalography (QEEG). To this end, male Wistar rats were submitted to a stereotactic surgery for the implantation of an electrode in the right hippocampus. After three days, the animals were divided into 4 groups that were treated for 10 consecutive days with Ket (10, 50 or 100 mg/kg)...
August 29, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/28833476/angiotensin-converting-enzyme-2-angiotensin-1-7-1-9-system-novel-promising-targets-for-heart-failure-treatment
#17
REVIEW
Naim Kittana
Cardiac remodeling (cardiac hypertrophy and fibrosis) is a hall mark of heart failure (HF). It can be induced by the abnormal elevation of several endogenous factors including angiotensin II (Ang II), which is generated from its precursor angiotensin I (Ang I) by the action of angiotensin converting enzyme (ACE). The inhibition of this enzyme or the blockade of the Ang II receptors demonstrated a high clinical value against the progression of HF. Ang I and Ang II may also be converted into angiotensin 1-7 (Ang 1-7) and angiotensin 1-9 (Ang 1-9) respectively by the action of angiotensin converting enzyme-2 (ACE2)...
August 21, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/28869349/corrigendum
#18
(no author information available yet)
No abstract text is available yet for this article.
October 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/28407406/phenobarbital-in-intensive-care-unit-pediatric-population-predictive-performances-of-population-pharmacokinetic-model
#19
Amélie Marsot, Fabrice Michel, Estelle Chasseloup, Olivier Paut, Romain Guilhaumou, Olivier Blin
An external evaluation of phenobarbital population pharmacokinetic model described by Marsot et al. was performed in pediatric intensive care unit. Model evaluation is an important issue for dose adjustment. This external evaluation should allow confirming the proposed dosage adaptation and extending these recommendations to the entire intensive care pediatric population. External evaluation of phenobarbital published population pharmacokinetic model of Marsot et al. was realized in a new retrospective dataset of 35 patients hospitalized in a pediatric intensive care unit...
October 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/28815720/pharmacological-evidence-of-involvement-of-nitric-oxide-pathway-in-anti-pruritic-effects-of-sumatriptan-in-chloroquine-induced-scratching-in-mice
#20
Nazgol-Sadat Haddadi, Sattar Ostadhadi, Saeed Shakiba, Khashayar Afshari, Nastaran Rahimi, Arash Foroutan, Ahmad-Reza Dehpour
Chloroquine (CQ) induces histamine-independent itch in human and mice. We recently reported the role of intradermal nitric oxide (NO)/ cyclic guanosine monophosphate (cGMP) pathway in CQ-evoked scratching in mice. Chloroquine stimulates neuronal nitric oxide synthase (nNOS) activity to over-producing NO in the skin. Sumatriptan, a 5-hydroxytryptamine 1b/1d receptors (5-HTR1b/1d) agonist, is involved in pain and used to treat migraine and cluster headaches. According to previous studies, sumatriptan inhibits NOS activity...
August 16, 2017: Fundamental & Clinical Pharmacology
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