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Treatment of autoimmune disease in a patient receiving additionally a beta-blocker

a technology of autoimmune disease and beta-blocker, which is applied in the direction of immunodeficiency syndrome, drug composition, muscular disorder, etc., can solve the problems of permanent neurological problems and significant number of patients not receiving effective medication for the management of their disease states, and achieves a better safety profil

Inactive Publication Date: 2019-02-07
NOVARTIS AG
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, as the disease progresses over time or relapses occur, permanent neurological problems result.
However, in accordance with the teaching of the prior art, a physician would clearly be discouraged to consider treating such a patient with both drugs concomitantly although he may consider that both drugs would be the optimal treatment for both diseases individually.
Taking into account the high prevalence for e.g. hypertension in MS, especially in SPMS, avoiding concomitant use of S1P modulators and beta-blockers would lead to a significant number of patients not receiving an effective medication for the management of their disease states.

Method used

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  • Treatment of autoimmune disease in a patient receiving additionally a beta-blocker
  • Treatment of autoimmune disease in a patient receiving additionally a beta-blocker
  • Treatment of autoimmune disease in a patient receiving additionally a beta-blocker

Examples

Experimental program
Comparison scheme
Effect test

example 1

on of Immediate Release Tablets

[0409]For the titration / maintenance regimen, 0.25 mg, 0.5 mg, 1 mg and 2 mg siponimod immediate release film-coated tablets can be prepared as described below.

Process Blending:

[0410]In order to obtain a final mixture ready to be processed to a dosage form, e.g. a tablet, siponimod hemifumarate, e.g. having a X90 value of 18 μm, is blended with different excipients according to the flow diagram of FIG. 1. Therefore, siponimod hemifumarate is pre-blended in step 1 with a mixture of glyceryl behenate as moisture protective agent and spray-dried lactose as filler. The pre-blending is carried out in a diffusion mixer Bohle PM400S (L. B. Bohle Maschinen+Verfahren GmbH, Ennigerloh, Germany) for 10 min at 10 rpm. The mixture of step 1 is then sieved in step 2 using a screening mill having a mesh size of 800 μm. The sieved mixture is then blended in step 3 with further spray-dried lactose as filler, Aerosil as glidant, polyvinylpolypyrrolidon XL (crospovidone) ...

example 2

Trial

[0414]Participants

[0415]Healthy volunteers (men and women) aged between 1.8 and 55 years with a body mass index of 18-30 kg / m2 were included in the study. Subjects were required to have an FEV1 of ≥90% of predicted normal, a systolic blood pressure (BP) of 90-140 mm Hg, a diastolic BP of 50-913 mm Hg and a pulse rate of 50-90 bpm. Women of childbearing potential, pregnant or lactating women, homozygous carriers for CYP2C9*3 genotype, smokers, those with current or medical history of cardiovascular disorders or bronchospastic disease were excluded from this study. At screening, a 24 h Halter recording was performed on all subjects to exclude those with any significant arrhythmia.

[0416]Study Design

[0417]This was a double-blind, randomised, placebo-controlled study consisting of the following periods: screening (28 days), baseline evaluation (2 days), treatment (20 days) and study completion evaluation (approximately 10 days after the last drug administration; FIG. 1). Eligible su...

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Abstract

The present invention relates to methods of treating autoimmune diseases with siponimod in patients receiving additionally a beta-blocker.

Description

FIELD OF THE INVENTION[0001]The present invention relates to methods of treating autoimmune diseases with siponimod (BAF312) in patients receiving additionally a beta-blocker.BACKGROUND[0002]One of the most common inflammatory, demyelinating diseases of the central nervous system (CNS) is multiple sclerosis (MS), in which the insulating covers of nerve cells in the brain and spinal cord are damaged. MS takes several forms, with new symptoms either occurring in isolated attacks (relapsing forms) or building up over time (progressive forms). Between attacks, symptoms may be completely in remission. However, as the disease progresses over time or relapses occur, permanent neurological problems result.[0003]At the time of diagnosis, between 80% and 90% of MS patients have relapsing-remitting MS (RRMS). This form of MS is characterized by recurring relapses, i.e. acute episodes, of neurological symptoms. In around 80% of the patients with RRMS, this form then develops to secondary progre...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K31/397A61K31/138A61K9/20A61K45/06
CPCA61K9/2018A61K45/06A61K31/397A61K31/138A61P21/00A61P25/28A61P29/00A61P37/00A61K2300/00
Inventor LEGANGNEUX, ERICSAGKRIOTIS, ALEXANDROSJORDAAN, PIERREPOLUS, FLORINECAMM, ALAN JOHNBISWAL, SHIBADASPAL, PARASARVELDANDI, UDAY KIRANPAWAR, ATUL KESHAVASLANIS, VASSILIOSSHAKERI-NEJAD, KASRA
Owner NOVARTIS AG