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Combinations of Vanadium with Antidiabetics for Glucose Metabolism Disorders

a technology of vanadium and antidiabetics, which is applied in the direction of metabolic disorders, drug compositions, biocides, etc., can solve the problems of increasing the number of insulin deficiencies, reducing the effect of insulin resistance, and affecting the way the body uses sugar, so as to prevent or delay the on-set of diabetes or diabetic symptoms, and preserve health.

Inactive Publication Date: 2008-07-31
AKESIS PHARMA
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0020]In certain embodiments, the present invention provides compositions, and methods of using the same, for regulating, modulating or altering glucose metabolism in a manner beneficial to the patient. Generally, various embodiments of the invention may be applied or tailored to specifically treat or address each condition described herein and others like them, including any condition or disorder related to glucose metabolism disorders. In certain embodiments, compositions of the present invention, and methods of using the same, are provided for preventing, reducing or treating in animal subjects (including humans and other mammals) one or more of the following physiological conditions: insulin resistance (the sensitivity of the cellular response to insulin), beta cell attrition, hyperinsulinemia, hyperglycemia, hepatic gluconeogenesis, onset of diabetes or diabetic symptoms, elevated HbA1c levels, and elevated or inappropriately controlled blood glucose levels. In certain embodiments, the present invention abates, or otherwise reduces the severity of, diabetes and other glucose metabolism disorders, including Type 1, Type 2, MODY, and IGT, and any related sequelae, including, for example, obesity, obesity-related hypertension, retinopathy, nephropathy, neuropathy, cataracts, coronary artery disease and arteriosclerosis. In certain embodiments, subject compositions contain one or more anti-diabetic agents and one or more other components. Such anti-diabetic agents and other such components may or may not be administered together or by the same means.
[0021]In other embodiments, the present invention provides supplements or compositions, and methods of using the same, for regulating, modulating or altering lipid metabolism in a manner beneficial to the patient. For example, the subject compositions, and methods of using the same, can be used to modulate at least one of body fat stores, blood pressure, hyperlipoproteinemia, hypertriglyceridemia, serum cholesterol level, HDL level and LDL level. In certain embodiments, the present invention abates or otherwise reduces the severity of dyslipidemia, atherosclerosis and CHD. In still other embodiments, the present invention provides compositions and supplements, and methods for using the same, to reduce appetite for cosmetic purposes or treatment of illness, dysfunction or obesity.
[0024]In some instances, the present invention is designed to regulate any of the physiological processes described herein so as to achieve a desired level of a physiological parameter (e.g., a HbA1c level of about 5). In certain embodiments, such a result is achieved without subjecting a patient to elevated levels of such a parameter. Such embodiments of the invention may prove useful in preserving health or reducing, preventing or delaying the on set of diabetes or diabetic symptoms without the patient experiencing the full thrust of such medical conditions. These aspects of the invention are particularly helpful in preventive care regimes.

Problems solved by technology

Diabetes adversely affects the way the body uses sugars and starches which, during digestion, are converted into glucose.
In Type 2 diabetes, the pancreas retains the ability to produce insulin and in fact may produce higher than normal amounts of insulin, but the amount of insulin is relatively insufficient, or less than fully effective, because of cellular resistance to insulin.
Uncontrolled hyperglycemia may transiently adversely affect the insulin-producing cells of the pancreas (the beta-islet cells), which may eventually result in greater insulin deficiencies.
The cumulative effect of these diabetes-associated abnormalities may be severe blood vessel and nerve damage.
Although progress has been made in reducing the short tern complications of diabetes, e.g. ketoacidosis, dehydration, and non-ketotic hyperosmolar coma, less progress has been made in preventing or minimizing the chronic complications of the disease, e.g. premature atherosclerosis, retinopathy, nephropathy, and neuropathy.
Another complication of diabetes is increased cardiovascular risk factor, especially among women.
For example, populations studies have shown that an elevated concentration of total cholesterol or LDL-cholesterol in plasma constitutes a major risk factor for the occurrence of atherosclerotic events.
Furthermore, there may be an excessive risk of cardiac mortality in diabetic patients even after adjusting for the co-existence of other cardiovascular risk factors such as hypertension, dyslipidemia, and cigarette smoking.
This increase risk of cardiac mortality is secondary to both the atherogenicity of insulin resistance, which may precede the onset of diabetes by at least 8 years, and the atherogenicity of undiagnosed and uncontrolled hyperglycemia, which may be present for 9-12 years before diabetes is first diagnosed.
In addition, there are a number of proposed therapies for treatment of diabetes that have not yet been approved for human use.

Method used

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Examples

Experimental program
Comparison scheme
Effect test

example one

[0233]A supplement (detailed below) was administered daily to a female with Type 2 diabetes who was experiencing poor blood sugar control while taking metformin 50 mg b.i.d. In conjunction with continued metformin administration, the patient was given an oral daily nutritional supplement comprising the following ingredients: chromium 333 mcg (in the form of chromium picolinate / polynicotinate); magnesium 46 mg (in the form of 384 mg magnesium chloride); vanadyl-sulfate hydrate 100 mg; vitamin E 400 I.U, and folate 400 mcg.

[0234]The results are summarized below in Table 1

TABLE 1TherapeuticEstimated BloodFasting BloodRegimenHbA1c LevelSugar (mg / dL)Sugar (mg / dL)Metformin alone9.7200185Metformin &7.9141153composition(after 2 months)

[0235]The above results indicate the degree to which a composition consisting of components and an anti-diabetic agent according to the present invention, administered in accordance with invention methods, may dramatically improve blood sugar control and reduc...

example two

[0238]To further test the efficacy of inventive compositions, a certain embodiment of the present invention, the supplement detailed below, was administered daily to a 27 year old female with Type 2 diabetes who was experiencing poor blood sugar control while taking metformin 1000 mg b.i.d.

[0239]After 3 months of augmenting the daily regimen of 2000 mg metformin with the above oral nutritional supplement, the patient's HbA1c level dropped from 8.3 to 6.1. These results again serve to demonstrate the degree to which invention compositions, administered in accordance with invention methods, serves to beneficially lower a diabetic patient's HbA1c levels, even though the patient had experienced poor blood glucose control on high doses of metformin alone.

example three

[0240]In another example, a group of Type 2 diabetic individuals presenting with elevated HbA1c levels were placed on a program using a variety of embodiments of the present invention. The study was conducted as an open-label study at five different medical centers in the United States. The patients were on the program for three months, and were directed not to change their dietary habits or lifestyle, including exercise patterns.

[0241]For this Example Three, one daily dose of every embodiment contained, in addition to any of the anti-diabetic agents set forth in the accompanying tables, the following (component and amount):

[0242]Vitamin A, 5000 IU; Vitamin C (Ascorbic Acid), 60 mg; Vitamin D-3, 400 IU; Vitamin E (free 2R, 4′R, 8′R-alpha-tocopherol), 400 IU; Thiamine (as Thiamine Mononitrate), 3 mg; Riboflavin, 3.6 mg; Niacinamide, 20.1 mg; Vitamin B-6 (as Pyridoxine HCl), 23.1 mg; Folic Acid, 400 mcg; Vitamin B-12, 48 mcg; Biotin, 300 mcg; Pantothenic Acid (as Calcium Pantothenate)...

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PUM

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Abstract

Compositions and methods of using the same for the treatment of diabetes and other disorders of glucose metabolism are provided. Compositions may include an anti-diabetic agent and one or more of a bioavailable source of chromium and vanadium.

Description

RELATED APPLICATION INFORMATION[0001]This Application is a Continuation-in-Part of application Ser. No. 09 / 156,102, filed Sep. 17, 1998, and this Application claims the benefit of priority under 35 U.S.C. section 119(e) to Provisional Application 60 / 126,489, filed Mar. 26, 1999, both of which Applications are hereby incorporated by reference in their entirety.BACKGROUND OF THE INVENTION[0002]Diabetes adversely affects the way the body uses sugars and starches which, during digestion, are converted into glucose. Diabetes mellitus is generally caused in almost all instances by diminished rates of insulin secretion (absolute or relative) by the beta cells of the islets of Langerhans in the pancreas or by reduced insulin sensitivity. Insulin a hormone produced by the pancreas, makes the glucose available to the body's cells for energy. In muscle, adipose (fat), and connective tissues, insulin facilitates the entry of glucose into the cells by an action on the cell membranes. The ingeste...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K33/24A61P3/08
CPCA61K33/24A61K2300/00A61P3/08
Inventor FINE, STUART A.KINSELLA, KEVIN J.
Owner AKESIS PHARMA
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