ファーマナビゲーター 抗スクレロスチン抗体編

出版社: メディカルレビュー社
著者:
発行日: 2020-08-05
分野: 臨床医学:一般  >  薬物療法
ISBN: 9784779225222
電子書籍版: 2020-08-05 (初版第1刷)
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基礎・前臨床におけるスクレロスチンの骨作用、ならびに抗スクレロスチン抗体がもたらす骨粗鬆症への影響と最新情報を網羅した一冊。

目次

  • 表紙
  • 序文
  • Contents
  • 執筆者一覧
  • 略語一覧
  • Chapter 1 スクレロスチンの骨作用 : 基礎
  • 1 骨でのWntシグナルとスクレロスチン : Overview
  • 1 Wntシグナル
  • 2 骨におけるWntシグナルと骨疾患
  • 3 骨, 軟骨におけるWnt作用
  • 4 薬剤標的としてのスクレロスチン
  • 2 スクレロスチンと骨芽細胞
  • 1 スクレロスチンとロモソズマブの作用機序
  • 2 骨芽細胞と骨細胞に対するスクレロスチンの効果
  • 3 脂肪細胞分化に対するスクレロスチンの作用
  • 4 抗スクレロスチン抗体による骨形成促進効果の時間的変動
  • 5 抗スクレロスチン抗体の自己制御の分子メカニズム
  • 3 スクレロスチンによる骨吸収の制御
  • 1 古典的Wnt経路による骨吸収抑制作用
  • 2 骨吸収によるスクレロスチンの発現制御
  • 3 抗スクレロスチン抗体による骨吸収抑制作用
  • 4 非古典的Wnt経路による骨吸収制御
  • 4 スクレロスチンと力学的負荷
  • 1 骨に埋め込まれた特殊な細胞, 骨細胞
  • 2 骨細胞におけるスクレロスチン発現の分子メカニズム
  • 3 骨細胞が力学的な環境変化を感知するメカニズム
  • 5 スクレロスチンとホルモン
  • 1 スクレロスチン産生の調節機構
  • 2 骨以外の組織におけるスクレロスチンの作用
  • 3 FGF23とWntシグナリング
  • 6 Wntシグナル・スクレロスチンと骨系統疾患
  • 1 Wntシグナル経路
  • 2 骨系統疾患
  • 1. LRP 5
  • 2. LRP 6
  • 3. LRP 4
  • 4. MESD ( mesoderm development )
  • 5. スクレロスチン
  • 6. SFRP 4
  • 7. WNT 1 ( wingless - type MMTV integration site family 1 )
  • 3 GWAS
  • 1. Estrada K, et al. 2012
  • 2. Moayyeri A, et al. 2014
  • 3. Styrkarsdottir U, et al. 2016
  • 4. Zhou H, et al. 2016
  • 5. Kemp JP, et al. 2017
  • 6. Trajanoska K, et al. 2018
  • 7. Morris JA, et al. 2019
  • Chapter 2 スクレロスチンの骨作用 : 前臨床
  • 1 スクレロスチンの遺伝子改変マウス
  • 1 骨細胞の産生する分子, スクレロスチンの機能
  • 2 骨細胞研究の新たな目標
  • 2 多様な疾患モデル動物に対する抗スクレロスチン抗体の効果
  • 1 骨粗鬆症モデル
  • 2 骨折治癒モデル
  • 3 関節リウマチモデル
  • 4 糖尿病モデル
  • 5 CKD - MBD ( chronic kidney disease - mineral and bone disorder ) モデル
  • 3 骨折治癒過程に対する抗スクレロスチン抗体の作用
  • 1 骨折の治癒過程
  • 1. 一次骨癒合と二次骨癒合
  • 2. 全身の骨リモデリングが骨折修復に及ぼす影響
  • 2 WntシグナルとWnt抑制因子
  • 3 骨形成促進剤が骨折治癒に及ぼす影響
  • 1. PTH製剤
  • 2. 抗スクレロスチン抗体製剤
  • Chapter 3 抗スクレロスチン抗体ロモソズマブと骨粗鬆症
  • 1 ロモソズマブの薬物体内動態
  • 1 血清中濃度推移
  • 1. 健康な閉経後女性
  • 2. 閉経後骨粗鬆症患者
  • 3. 性差
  • 4. 吸収
  • 2 腎機能障害患者
  • 3 ビスホスホネート系薬剤の治療歴がある被験者
  • 4 薬物動態と骨代謝マーカー
  • 5 日本人と非日本人との間の用量 - 反応の類似性
  • 2 骨粗鬆症に対するロモソズマブ, デノスマブの逐次療法 ( FRAME試験 )
  • 1 FRAME試験の各時点における骨折と骨密度に対する影響
  • 1. 12ヵ月時評価 : ロモソズマブ / プラセボ投与12ヵ月
  • 2. 24ヵ月時評価 : ロモソズマブ / プラセボ投与12ヵ月後デノスマブ投与12ヵ月
  • 3. 36ヵ月時評価 : ロモソズマブ / プラセボ投与12ヵ月後デノスマブ投与24ヵ月
  • 2 日本人を対象としたサブ解析
  • 3 安全性
  • 3 骨粗鬆症に対する抗スクレロスチン抗体 - アレンドロネートの逐次療法 ( ARCH試験 )
  • 1 ARCH試験
  • 1. 試験デザイン
  • 2. エントリー基準と患者背景
  • 3. エンドポイント
  • 4. 結果
  • 5. 有害事象
  • 2 スクレロスチンと動脈硬化
  • 3 ビスホスホネートの心血管イベントに対する効果
  • 4 骨粗鬆症に対するロモソズマブとテリパラチドの効果の比較 ( STRUCTURE試験 )
  • 1 対象
  • 2 方法
  • 3 結果
  • 4 考察
  • 5 男性骨粗鬆症に対するロモソズマブの有効性・安全性 ( BRIDGE試験 )
  • 1 男性骨粗鬆症に対するロモソズマブの有効性・安全性
  • 1. 目的
  • 2. 対象
  • 3. 除外基準
  • 4. 主要評価項目
  • 5. 副次的評価項目
  • 6. 探索的評価項目
  • 7. 統計解析法
  • 8. 結果
  • 2 心血管系事象の発現について
  • 6 骨粗鬆症に対するgoal - directed therapyとロモソズマブ
  • 1 goal - directed therapy
  • 2 各種薬物療法による骨密度増加効果
  • 3 ロモソズマブの有用性
  • 7 ロモソズマブ, デノスマブ投与後の逐次治療
  • 1 ロモソズマブ第II相臨床試験の概要
  • 2 ロモソズマブ中止後の骨密度および骨代謝マーカーの変化
  • 3 ロモソズマブ投与後の逐次治療
  • 1. ロモソズマブ→デノスマブ逐次治療
  • 2. ロモソズマブ→アレンドロネート逐次治療
  • 3. ロモソズマブ→ゾレドロネート逐次治療
  • 4 他の骨粗鬆症治療薬投与後のロモソズマブ逐次治療
  • 1. アレンドロネート→ロモソズマブ逐次治療
  • 2. アレンドロネート→ロモソズマブ→デノスマブ逐次治療
  • 3. アレンドロネート→ロモソズマブ→プラセボ逐次治療
  • 5 ロモソズマブの再投与
  • 1. ロモソズマブ→プラセボ→ロモソズマブ逐次治療
  • 2. ロモソズマブ→デノスマブ→ロモソズマブ逐次治療
  • 8 ロモソズマブの安全性と心血管疾患
  • 1 ロモソズマブの大規模臨床試験と心血管系事象報告
  • 2 ビスホスホネートによる血管保護効果
  • 3 骨粗鬆症の重症度と動脈硬化
  • 4 スクレロスチン阻害による心血管系有害事象増加の可能性について
  • 5 市販後調査より推計した心血管系事象の発現率とロモソズマブによる心血管系事象の詳細
  • 和文索引
  • 欧文索引
  • 奥付

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参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

Chapter 1 スクレロスチンの骨作用 : 基礎

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Chapter 2 スクレロスチンの骨作用 : 前臨床

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23) Ominsky MS, Brown DL, Van G, et al. Differential temporal effects of sclerostin antibody and parathyroid hormone on cancellous and cortical bone and quantitative differences in effects on the osteoblast lineage in young intact rats. Bone. 2015 ; 81 : 380-91.
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30) Florio M, Gunasekaran K, Stolina M, et al. A bispecific antibody targeting sclerostin and DKK-1 promotes bone mass accrual and fracture repair. Nat Commun. 2016 ; 7 : 11505.

Chapter 3 抗スクレロスチン抗体ロモソズマブと骨粗鬆症

P.123 掲載の参考文献
1) イベニティ皮下注 105 mg シリンジ申請資料概要
P.133 掲載の参考文献
1) McClung MR, Grauer A, Boonen S, et al. Romosozumab in postmenopausal women with low bone mineral density. N Engl J Med. 2014 ; 370 : 412-20.
2) Ishibashi H, Crittenden DB, Miyauchi A, et al. Romosozumab increases bone mineral density in postmenopausal Japanese women with osteoporosis : A phase 2 study. Bone. 2017 ; 103 : 209-15.
3) Cosman F, Crittenden DB, Adachi JD, et al. Romosozumab treatment in Postmenopausal Women with Osteoporosis. N Engl J Med. 2016 ; 375 : 1532-43.
4) Cosman F, Crittenden DB, Ferrari S, et al. FRAME Study : The Foundation Effect of Building Bone With 1 Year of romosozumab leads to Continued Lower Fracture Risk After Transition to Denosumab. J Bone Miner Res. 2018 ; 33 : 1219-26.
5) Lewiecki EM, Dinavahi RV, Lazaretti-Castro M, et al. One Year of romosozumab followed by Two Years of Denosumab Maintains Fracture Risk Reductions : Results of the FRAME Extension Study. J Bone Miner Res. 2019 ; 34 : 419-28.
6) Miyauchi A, Dinavahi RV, Crittenden DB, et al. Increased bone mineral density for 1 year of rosomozumab, vs placebo, followed by 2 years of denosumab in the Japanese subgroup of the pivotal FRAME trial and extension. Arch Osteoporos. 2019 ; 14 : 59.
7) Cosman F, Crittenden DB, Ferrari S, et al. Romosozumab FRAME Study : A post hoc analysis of the role of regional background fracture risk on nonvertebral fracture outcome. J Bone Miner Res. 2018 ; 33 : 1407-16. 7)
P.143 掲載の参考文献
1) McClung MR, Grauer A, Boonen S, et al. Romosozumab in postmenopausal women with low bone mineral density. N Engl J Med. 2014 ; 370 : 412-20.
2) Cosman F, Crittenden DB, Adachi JD, et al. Romosozumab Treatment in Postmenopausal Women with Osteoporosis. N Engl J Med. 2016 ; 375 : 1532-43.
3) McClung MR, Brown JP, Diez-Perez A, et al. Effects of 24 Months of Treatment With Romosozumab Followed by 12 Months of Denosumab or Placebo in Postmenopausal Women With Low Bone Mineral Density : A Randomized, Double-Blind, Phase 2, Parallel Group Study. J Bone Miner Res. 2018 ; 33 : 1397-406.
4) Lewiecki EM, Dinavahi RV, Lazaretti-Castro M, et al. One Year of Romosozumab Followed by Two Years of Denosumab Maintains Fracture Risk Reductions : Results of the FRAME Extension Study. J Bone Miner Res. 2018.
5) Cosman F, Crittenden DB, Ferrari S, et al. FRAME Study : The Foundation Effect of Building Bone With 1 Year of Romosozumab Leads to Continued Lower Fracture Risk After Transition to Denosumab. J Bone Miner Res. 2018 ; 33 : 1219-26.
6) Saag KG, Petersen J, Brandi ML, et al. Romosozumab or Alendronate for Fracture Prevention in Women with Osteoporosis. N Engl J Med. 2017 ; 377 : 1417-27.
7) Lewiecki EM, Blicharski T, Goemaere S, et al. A Phase III Randomized Placebo-Controlled Trial to Evaluate Efficacy and Safety of Romosozumab in Men With Osteoporosis. J Clin Endocrinol Metab. 2018 ; 103 : 3183-93.
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10) Hampson G, Edwards S, Conroy S, et al. The relationship between inhibitors of the Wnt signalling pathway (Dickkopf- 1 (DKK 1) and sclerostin), bone mineral density, vascular calcification and arterial stiffness in postmenopausal women. Bone. 2013 ; 56 : 42-7.
11) Claes KJ, Viaene L, Heye S, et al. Sclerostin : Another vascular calcification inhibitor? J Clin Endocrinol Metab. 2013 ; 98 : 3221-8.
12) Zhu D, Mackenzie NC, Millan JL, et al. The appearance and modulation of osteocyte marker expression during calcification of vascular smooth muscle cells. PLoS One. 2011 ; 6 : e 19595.
13) Kanbay M, Solak Y, Siriopol D, et al. Sclerostin, cardiovascular disease and mortality : a systematic review and meta-analysis. Int Urol Nephrol. 2016 ; 48 : 2029-42.
14) Okamoto M, Yamanaka S, Yoshimoto W, et al. Alendronate as an Effective Treatment for Bone Loss and Vascular Calcification in Kidney Transplant Recipients. Journal of Transplantation. 2014 ; 2014 : 1-6.
15) Kang JH, Keller JJ, Lin HC. Bisphosphonates reduced the risk of acute myocardial infarction : a 2 -year follow-up study. Osteoporos Int. 2013 ; 24 : 271-7.
16) Elmariah S, Delaney JAC, O'Brien KD, et al. Bisphosphonate Use and Prevalence of Valvular and Vascular Calcification in Women. Journal of the American College of Cardiology. 2010 ; 56 : 1752-9.
17) Zhou S, Fang X, Xin H, et al. Effects of alendronate on the Notch 1 RBPJkappa signaling pathway in the osteogenic differentiation and mineralization of vascular smooth muscle cells. Mol Med Rep. 2013 ; 8 : 89-94.
18) Caffarelli C, Montagnani A, Nuti R, et al. Bisphosphonates, atherosclerosis and vascular calcification : update and systematic review of clinical studies. Clin Interv Aging. 2017 ; 12 : 1819-28.
19) Kranenburg G, Bartstra JW, Weijmans M, et al. Bisphosphonates for cardiovascular risk reduction : A systematic review and meta-analysis. Atherosclerosis. 2016 ; 252 : 106-15.
20) Kim DH, Rogers JR, Fulchino LA, et al. Bisphosphonates and risk of cardiovascular events : a meta-analysis. PLoS One. 2015 ; 10 : e 0122646.
21) Sing CW, Wong AY, Kiel DP, et al. Association of Alendronate and Risk of Cardiovascular Events in Patients With Hip Fracture. J Bone Miner Res. 2018 ; 33 : 1422-34.
P.155 掲載の参考文献
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3) Silverman S, Langdahl BL, Fujiwara S, et al. Reduction of Hip and Other Fractures in Patients Receiving Teriparatide in Real-World Clinical Practice : Integrated Analysis of Four Prospective Observational Studies. Calcif Tissue Int. 2019 ; 104 : 193-200.
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9) Lewiecki EM, Blicharski T, Goemaere S, et al. A Phase III Randomized Placebo-Controlled Trial to Evaluate Efficacy and Safety of Romosozumab in Men With Osteoporosis. J Clin Endocrinol Metab. 2018 ; 103 : 3183-93.
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11) 宮内章光. 薬物療法 新規薬剤 抗スクレロスチン抗体. 稲葉雅章 (編). 骨粗鬆症診療. 東京 : 医薬ジャーナル社 ; 2018. p. 200-5.
12) 宮内章光. 新しい骨粗鬆症治療薬抗スクレロスチン抗体Romosozumabの有効性と安全性. 内分泌糖尿代謝内科. 2019 ; 49 : 138-45.
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18) 審議結果報告書 : イベニティ皮下注 105 mg シリンジ
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