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Dosage regimen of an s1p receptor modulator

a technology of s1p receptor and dosage regimen, which is applied in the direction of medical automation diagnosis, antibacterial agents, material analysis, etc., can solve the problems of insufficient options, large patient population, and modest efficacy of available therapies such as interferon- and glatiramer acetate, and achieves the effect of increasing the period of tim

Inactive Publication Date: 2014-07-03
NOVARTIS AG
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The patent text is about a new medicine called fingolimod, which reduces the number of certain cells in the blood to reduce inflammation in the brain. The text also explains the potential side effects of this medicine and how to manage them while effectively treating or preventing the disease for which fingolimod is being prescribed.

Problems solved by technology

Available therapies such as interferon-β and glatiramer acetate have modest efficacy and marginal effects on the progression of disability.
As a result, a substantial population of patients are untreated, including many with active disease.
These MS patients have either tried an existing therapy but discontinued due to intolerance, adverse effects, or perceived lack of efficacy or have not started any therapy because of their concern with adverse effects, fear of self-injection, fear of needles, or belief that currently available options are not effective enough to warrant trial.
Thus, there is a significant unmet need for effective new therapies in MS, which limit or reduce the possible adverse events or side effects.
Administration of a SIP receptor modulator, such as fingolimod may induce adverse events, such as a transient reduction of the heart rate and cardiac conduction at treatment initiation.
Patients may have to stay in hospitals which complicate the treatment and increase the costs of treatment.
Occurrence of adverse events during a drug treatment may induce patient hospitalization or prolongation of existing hospitalization.
Such possible events may also cause the patients to interrupt their treatment, change the recommended dosing regimen on their own or take the medication on an irregular basis, without any medical support or recommendation for doing that.

Method used

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  • Dosage regimen of an s1p receptor modulator
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Examples

Experimental program
Comparison scheme
Effect test

example 2

Study

[0306]Patients with moderate asthma are divided into 3 dosing cohorts of 12 patients each. In each cohort, the 12 patients are randomized to FTY720 (0.5 mg, 1.25 mg, and 2.5 mg in cohorts 1, 2, and 3 respectively) or placebo in a 3:1 ratio resulting in 9 patients treated with FTY720 at each dose level and 9 patients treated with placebo.

[0307]The study consists of a screening period of between 12 and 26 days, baseline and a 10 day treatment period followed by a study completion evaluation (performed 1-7 days after the last dose).

[0308]Two screening visits are performed, the initial Screening visit and a second visit at Day −7 (+ / −1 day). The initial screening visit (Visit 1) is used to start pulmonary function test (PFT) monitoring to assess eligibility for the study and to obtain relevant background information and informed consent. The PFT is performed at a clock time similar to the 6-hour post-dose timepoint on Day 1. On Day −7 a PFT is again performed at the specified time....

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Abstract

S1P receptor modulators are administered following a dosage regimen providing a positive benefit-risk profile.

Description

[0001]The present invention relates to a dosage regimen of an SIP receptor modulator or agonist in the course of the treatment of patients suffering from an inflammatory or autoimmune disease or disorder, for example multiple sclerosis (MS).[0002]Multiple sclerosis is the chief cause of neurological disability in young adults and the most common demyelinating disorder of the central nervous system. Available therapies such as interferon-β and glatiramer acetate have modest efficacy and marginal effects on the progression of disability. These biological agents are administered parenterally and are associated, e.g., with injection site reactions and pyretic symptoms, such as flu-like symptoms. Therefore, there is a strong medical need for a safe and effective oral treatment of multiple sclerosis.[0003]Of those people with multiple sclerosis who receive treatment, a significant number continue to experience disease activity clinically or experience side effects that include flu-like sy...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K31/661A61K31/138A61K45/06G16H20/10G16H40/63
CPCA61K31/661A61K45/06A61K31/138A61K31/137A61K31/135G01N33/487A61P1/16A61P11/06A61P25/00A61P25/28A61P27/02A61P29/00A61P31/04A61P35/00A61P37/00A61P37/02A61P37/06A61P9/06A61P9/12G16H40/63G16H20/10G16H70/40G16H50/70A61B5/318A61B5/021A61B5/024A61B5/444A61B5/4833G16H50/20G16H50/30
Inventor BOULTON, CRAIGBURTIN, PASCALEDAVID, OLIVIERDE VERA, ANADUMORTIER, THOMASHUNT, IRENESCHMOUDER, ROBERT
Owner NOVARTIS AG