Evidence map›Paper›PMID 34383278›Full record

Trial reportEuropean journal of drug metabolism and pharmacokinetics2021

Effects of Repeated Oral Administration of Esaxerenone on the Pharmacokinetics of Midazolam in Healthy Japanese Males.

Kaoru Toyama, Hidetoshi Furuie, Kana Kuroda, Tomoko Ishizuka, Yasuyuki Okuda, Takako Shimizu, Manabu Kato, Yoshiyuki Igawa, Yasuhiro Nishikawa, Hitoshi Ishizuka

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in European journal of drug metabolism and pharmacokinetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Kaoru ToyamaDaiichi Sankyo Co., Ltd., Tokyo, Japan. toyama.kaoru.fb@daiichisankyo.jp.
Hidetoshi FuruieOsaka Pharmacology Clinical Research Hospital, Osaka, Japan.
Kana KurodaDaiichi Sankyo Co., Ltd., Tokyo, Japan.
Tomoko IshizukaDaiichi Sankyo Co., Ltd., Tokyo, Japan.
Yasuyuki OkudaDaiichi Sankyo Co., Ltd., Tokyo, Japan.
Takako ShimizuDaiichi Sankyo Co., Ltd., Tokyo, Japan.
Manabu KatoDaiichi Sankyo Co., Ltd., Tokyo, Japan.
Yoshiyuki IgawaDaiichi Sankyo Co., Ltd., Tokyo, Japan.
Yasuhiro NishikawaDaiichi Sankyo Co., Ltd., Tokyo, Japan.
Hitoshi IshizukaDaiichi Sankyo Co., Ltd., Tokyo, Japan.
Daiichi-Sankyo (Japan) · JPOsaka Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveEsaxerenone showed the potential to inhibit and induce activity against cytochrome P450 (CYP) 3A in in vitro studies. We investigated whether repeated administration of 5 mg/day esaxerenone for 14 days influences the pharmacokinetics of midazolam, a sensitive CYP3A substrate, in healthy Japanese males.

methodsThis single-centre, open-label, single-sequence study had two administration periods: period 1: single oral dose of 2 mg midazolam (day 0); period 2: repeated oral doses of 5 mg/day esaxerenone for 14 days, with a single oral dose of 2 mg midazolam on day 14. Full pharmacokinetic profiles of midazolam and 1-hydroxymidazolam on days 0 and 14 and safety data were obtained. Primary pharmacokinetic endpoints for midazolam were area under the plasma concentration-time curve (AUC) from zero to time of the last measurable concentration (AUC

resultsThe study included 28 male subjects. One subject was withdrawn because of a mild adverse event (increased hepatic enzyme levels) that resolved without intervention. Repeated administration of esaxerenone increased midazolam AUC

conclusionsEsaxerenone 5 mg/day had no clinically significant effect on midazolam pharmacokinetics and was not associated with any safety issues. Esaxerenone can be concomitantly administered with drugs of CYP3A substrates without dose adjustments. CLINICAL

trial registrationJapiCTI-152832.

Indexed as

Administration, OralAdultArea Under CurveAsian PeopleCytochrome P-450 CYP3ADrug InteractionsHalf-LifeHumansHypnotics and SedativesMaleMidazolamMineralocorticoid Receptor AntagonistsPyrrolesSulfonesYoung Adult1-hydroxymethylmidazolamCytochrome P-450 CYP3AesaxerenoneHypnotics and SedativesMidazolamMineralocorticoid Receptor AntagonistsPyrrolesSulfones

Identifiers

PMID34383278
PMCPMC8397627
OpenAlexW3190958426

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.