Method for treating bone fracture with anti-sclerostin antibodies
A sclerostin and antibody technology, applied in the field of sclerostin inhibitors to enhance fracture healing, 11/411,003, can solve problems such as limiting productivity, reducing the possibility of earning money and the ability to take care of family members, and difficulty in estimating indirect costs
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Embodiment 1
[0080] This example illustrates the ability of sclerostin inhibitors, namely anti-sclerostin monoclonal antibodies (Scl-mAb) to enhance bone healing.
[0081] Externally fixed femoral osteotomy model (further described in Murnaghan et al., Journal of Orthopaedic Research, 23(3):625-631 (2005) and Connolly et al., Journal of Orthopaedic Research, 21:843-849 (2003) ) Used to examine the effect of anti-sclerostin antibody treatment on fracture healing in mice. 80 male CD 1 mice (9 weeks old) underwent osteotomy on the right femur. Under general anesthesia and aseptic conditions, a lateral incision was made on the shaved skin and fascia lata from the left knee of the mouse to the greater trochanter (greater trochanter). Open the plane between the vastis and hamstrings by blunt peeling to expose the femur. Drill 4 proximal small holes, and perform a middiaphyseal osteotomy of the femur. The use of a custom-made jig and a hand saw ensures the precise centering of the lateral osteoto...
Embodiment 2
[0086] This example illustrates the use of the method of the present invention to enhance bone healing in vivo.
[0087] Closed femoral fracture model (further described in Bonnarens et al., J Orthop. Res., 2:97-101 (1984) and Li et al., J Bone Miner. Res., 18(11): 2033-42 (2003)) Used to examine the effect of Scl-mAb (sclerostin binding agent) treatment on fracture healing in rats. A standard closed midshaft fracture was produced in the femur of a male SD rat (9 weeks old). In short, after anesthesia, a needle (1.8 mm in diameter) is introduced into the medullary canal of the right femur, and a device composed of a blunt truncator driven by a drip weight is used to produce a middle diaphysis fracture. After surgery, use saline vehicle (1μl / gram body weight) twice a week for 2 weeks (group 1) or 4 weeks (group 2); Scl-mAb (25mg / kg) twice a week for 2 Week (group 3); Scl-mAb (25mg / kg) twice a week for 2 weeks (group 4); or Scl-mAb (25mg / kg) twice a week for 4 weeks (group 5) sub...
Embodiment 3
[0092] This example illustrates the use of sclerostin inhibitors, ie, anti-sclerostin antibodies, to enhance bone healing in primates.
[0093] Due to the similarity in the time course of anatomy, cortical bone reconstruction and healing, non-human primates provide an excellent model of human fracture healing. Stable fibula osteotomy model (further described in Seeherman et al., J Bone Joint Surg. Am., 86: 1961-1972 (2004); Seeherman et al., J Bone Joint Surg. Am., 88: 144-160 ( 2006), and Radomsky et al., Journal of Orthopaedic Research, 17:607-614 (1999) have been used in cynomolgus monkeys and baboons to study the effect of therapeutic agents on fracture healing. The fibula osteotomy model is minimally traumatic, heals consistently in a known schedule, and can be performed bilaterally (on both fibulae). This model was used to examine the effect of Scl-mAb on fracture healing in young male cynomolgus monkeys over a period of 10 weeks.
[0094] 44 male cynomolgus monkeys (4 to 5...
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