{"created":"2021-03-01T06:36:03.240259+00:00","id":28008,"links":{},"metadata":{"_buckets":{"deposit":"bb8732bf-a5a4-42ff-95a4-3a5041f1031d"},"_deposit":{"id":"28008","owners":[],"pid":{"revision_id":0,"type":"depid","value":"28008"},"status":"published"},"_oai":{"id":"oai:nagoya.repo.nii.ac.jp:00028008","sets":["499:500:501"]},"author_link":["91220","91221","91222","91223","91224","91225","91226","91227","91228","91229","91230","91231","91232"],"item_10_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"6","bibliographicPageEnd":"1350","bibliographicPageStart":"1341","bibliographicVolumeNumber":"22","bibliographic_titles":[{"bibliographic_title":"Clinical and Experimental Nephrology","bibliographic_titleLang":"en"}]}]},"item_10_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: Mycophenolate mofetil (MMF) is recommended as a first-line immunosuppressant to treat lupus nephritis (LN). Prognosis and therapeutic response in LN are known to vary depending on race. We investigated the benefits of MMF and therapeutic drug monitoring (TDM) in the treatment of Japanese LN patients. Methods: In this retrospective cohort study, a total of 20 patients with LN who started MMF treatment were included. Clinical data were collected regularly after MMF administration. We evaluated complete remission (CR) rate as the primary outcome. Predictors of CR were identified using univariate and multivariate analyses. In the research of TDM, the correlation with the area under the curve (AUC) was analyzed at MMF dose, single-point value, treatment response, and adverse events. Results: Overall, 70% of cases showed CR; both flare-ups and refractory cases had favorable results. Cases of LN with nephrotic syndrome (NS) or class III/IV + V showed a significantly lower CR rate (p < 0.005). The ratio of maintaining CR after MMF therapy was as high as 85.7%. In multivariate analysis, NS was an independent negative predictor of CR (HR 0.09, 95% confidence interval 0.01–0.81; p = 0.03). The relationship between AUC and MMF dose was low, and AUC correlated with trough level (r = 0.73). AUC tended to be high in the treatment responder (p = 0.09), but did not correlate with adverse events of infection (p = 0.92). Conclusion: MMF is a beneficial treatment option for Japanese LN patients, and further investigation on TDM-based therapy is needed.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"ファイル公開：2019/12/01","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Springer","subitem_publisher_language":"en"}]},"item_10_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1007/s10157-018-1590-2","subitem_relation_type_select":"DOI"}}]},"item_10_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"“This is a post-peer-review, pre-copyedit version of an article published in [Clinical and Experimental Nephrology]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s10157-018-1590-2”.","subitem_rights_language":"en"}]},"item_10_select_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"author"}]},"item_10_source_id_61":{"attribute_name":"ISSN（print）","attribute_value_mlt":[{"subitem_source_identifier":"1342-1751","subitem_source_identifier_type":"PISSN"}]},"item_1615787544753":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Katsuno, Takayuki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91220","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ozaki, Takenori","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91221","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ozeki, Takaya","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91222","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Hachiya, Asaka","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91223","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kim, Hangsoo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91224","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kato, Noritoshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91225","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ishimoto, Takuji","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91226","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kato, Sawako","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91227","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kosugi, Tomoki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91228","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Tsuboi, Naotake","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91229","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Mizuno, Masashi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91230","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Ito, Yasuhiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91231","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Maruyama, Shoichi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"91232","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-12-01"}],"displaytype":"detail","filename":"Investigation_on_the_benefits.pdf","filesize":[{"value":"414.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Investigation_on_the_benefits","objectType":"fulltext","url":"https://nagoya.repo.nii.ac.jp/record/28008/files/Investigation_on_the_benefits.pdf"},"version_id":"0ee6a761-e64b-4b55-b11b-cd76369f90be"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Systemic lupus erythematosus","subitem_subject_scheme":"Other"},{"subitem_subject":"Lupus nephritis","subitem_subject_scheme":"Other"},{"subitem_subject":"Mycophenolate mofetil","subitem_subject_scheme":"Other"},{"subitem_subject":"Therapeutic drug monitoring","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Investigation on the benefits of mycophenolate mofetil and therapeutic drug monitoring in the treatment of Japanese patients with lupus nephritis","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Investigation on the benefits of mycophenolate mofetil and therapeutic drug monitoring in the treatment of Japanese patients with lupus nephritis","subitem_title_language":"en"}]},"item_type_id":"10","owner":"1","path":["501"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-05-13"},"publish_date":"2019-05-13","publish_status":"0","recid":"28008","relation_version_is_last":true,"title":["Investigation on the benefits of mycophenolate mofetil and therapeutic drug monitoring in the treatment of Japanese patients with lupus nephritis"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-01-16T04:43:45.082574+00:00"}