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Dosing regimen of therapeutic agent for ataxia associated with spinocerebellar degeneration

A technology for spinocerebellar and ataxia, which can be applied in the direction of pharmaceutical formulations, drug combinations, organic active ingredients, etc., and can solve problems such as increased hormone effects

Inactive Publication Date: 2018-02-23
KISSEI PHARMA
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, it is generally expected that if potency and BA are increased, the hormonal effects of TRH analogs will be similarly increased

Method used

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  • Dosing regimen of therapeutic agent for ataxia associated with spinocerebellar degeneration
  • Dosing regimen of therapeutic agent for ataxia associated with spinocerebellar degeneration
  • Dosing regimen of therapeutic agent for ataxia associated with spinocerebellar degeneration

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0064] Repeated-dose study in healthy adult males

[0065] 1. Test method

[0066] Taking 50 healthy adult males (8 cases in each group and 10 cases in the placebo group) as objects, 0.25, 0.5 or 1.0 mg of lobatirrellin trihydrate or placebo was given once a day, or lobatirrellin Oral administration of 0.25 or 0.5 mg trihydrate or placebo was repeated twice a day for 9 days after breakfast or dinner, respectively.

[0067] 2. Evaluation items

[0068] to FT 3 、FT 4 , TSH and prolactin (PRL) serum concentrations (mean values) and adverse events were evaluated.

[0069] 3. Results

[0070] figure 1 and figure 2 Respectively represent each administration group on the 1st day, the 5th day and the 9th day, FT 3 and FT 4 Changes in concentrations (mean values) in serum.

[0071] About FT 3 Value, the change of 0.25mg twice a day administration group (0.25mg / bid) value compared with the change of 0.5mg once a day administration group (0.5mg / qd) value, the FT of 0.5mg / qd g...

Embodiment 2

[0075] Human pharmacokinetic studies

[0076] Taking 48 healthy adult males (6 cases in each group and 12 cases in the placebo group) as objects, 0.1, 0.3, 1, 2.5, 5 or 10 mg of lobatirrellin trihydrate or placebo were administered once on an empty stomach. medication. Analyzing the pharmacokinetics of the lobatirelin of the prototype drug at this time, the results showed that in the dose range of 0.1 to 10 mg, the Cmax (the highest plasma concentration), AUC and 0-∞ (area under the plasma concentration-time curve from 0 to infinity) and Ae 0-48 (cumulative urine excretion from 0 to 48 hours) was linear.

[0077] From the results of Examples 1 and 2, it can be deduced that the usage of lobatirrellin or its pharmacologically acceptable salt is compared with the usage of dividing the daily dose into twice a day and administering it once a day. The dosing regimen is more likely to reduce the risk of side effects caused by repeated dosing-induced increases in thyroid hormone. ...

Embodiment 3

[0079] Clinical trial for patients with spinocerebellar degeneration (Phase II clinical trial)

[0080] 1. Test method

[0081] Taking 225 patients with spinocerebellar degeneration as subjects, 0.4, 0.8, 1.6 or 3.2 mg of lobatirrellin trihydrate or a placebo was orally administered once a day after breakfast for 24 weeks (double-blind test method).

[0082] 2. Effectiveness evaluation items and safety evaluation items

[0083] The effectiveness evaluation item is set to the SARA total score change (the SARA total score at the final evaluation of the verification period (the final observation value in the verification period) - the SARA total score at the end of the previous observation period), etc., and the safety evaluation item is set to adverse events and the occurrence of side effects, physiological examination (blood pressure, pulse, etc.), endocrinology examination (FT 3 、FT 4 etc.

[0084] In addition, SARA sub-item scores ((gait (0-8 points), standing posture (0-...

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Abstract

The present invention addresses the problem of providing a medicinal composition for treating ataxia associated with spinocerebellar degeneration, said medicinal composition reducing a risk of side effects caused by an increase in parathyroid hormone level and being excellent. Provided is a medicinal composition for treating ataxia associated with spinocerebellar degeneration, said medicinal composition being characterized by being to be dosed once a day and containing, as an active ingredient, rovatirelin in a daily dose of 1.6-3.2 mg or a pharmacologically acceptable salt of rovatirelin in adaily dose of 1.6-3.2 mg in terms of a free salt. The medicinal composition according to the present invention is highly useful as a therapeutic agent for ataxia associated with spinocerebellar degeneration.

Description

technical field [0001] The present invention relates to a drug that reduces the risk of side effects caused by elevated thyroid hormones and exhibits an excellent improvement effect on ataxia in spinocerebellar degeneration through administration with a specific usage and dosage. [0002] More specifically, it relates to a pharmaceutical composition for treating ataxia in spinocerebellar degeneration. As an active ingredient, the daily dose contains 1.6 mg to 3.2 mg of rovatirelin or free form A pharmacologically acceptable salt of lobatirin that is 1.6 mg to 3.2 mg in terms of body conversion, and the pharmaceutical composition is characterized in that it is administered once a day. Background technique [0003] Spinocerebellar degeneration (SCD) is a neurodegenerative disease characterized by progressive cerebellar ataxia with lesions mainly occurring in the cerebellum and spinal cord nerve nuclei and / or conduction pathways. Spinocerebellar degeneration is a disease that ...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61K31/427A61P25/00
CPCA61K31/427A61P25/14
Inventor 清水义隆山野仁清野雄治饭代智之
Owner KISSEI PHARMA