Anti-IL-23A Antibody Dosing Schedule for Fewer Inflammatory Disease Treatments

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Solution Overview

Problem

There is a need for effective treatment options for inflammatory diseases such as psoriasis, psoriatic arthritis, and axial spondyloarthritis that provide favorable outcomes in terms of efficacy, safety, and tolerability.

Innovation Solution

Administering an anti-IL-23A antibody to patients in specific amounts and intervals, including an initial dose followed by maintenance doses at predetermined timeframes, to treat psoriasis, psoriatic arthritis, and axial spondyloarthritis.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If frequent administrations of anti-IL-23A antibody are given to ensure therapeutic efficacy, then treatment effectiveness is improved, but patient burden and treatment complexity increase

Engineering Contradiction:
Improvetreatment effectivenessVSAvoidtreatment complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent applies preliminary action by administering a loading dose before maintenance doses. This initial higher dose (e.g., 300 mg) is given to rapidly achieve therapeutic drug levels and clinical response, allowing subsequent maintenance doses to be spaced further apart (every 8-12 weeks). This resolves the contradiction by ensuring treatment effectiveness through the loading dose while reducing treatment complexity by enabling longer intervals between maintenance administrations.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent implements periodic action through structured dosing regimens with specific intervals. The treatment protocol specifies initial dosing followed by maintenance doses at predetermined intervals (e.g., weeks 4, 8, 12, then every 8-12 weeks). This periodic structure ensures therapeutic efficacy is maintained while reducing the overall number of administrations compared to continuous frequent dosing, thereby reducing patient burden and treatment complexity.

Inventive Principle:
Principle #19Periodic action

2Ease of operation

If fewer administrations of anti-IL-23A antibody are given to reduce patient burden, then treatment simplicity is improved, but therapeutic efficacy may be compromised

Engineering Contradiction:
Improvetreatment simplicityVSAvoidtherapeutic efficacy
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The loading dose serves as preliminary action that rapidly establishes therapeutic drug levels in the patient's system. By administering a higher initial dose (e.g., 300 mg) followed by lower maintenance doses, the treatment achieves clinical response quickly, maintaining therapeutic efficacy even with fewer total administrations. This resolves the contradiction by ensuring efficacy through the loading phase while simplifying the overall treatment regimen.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent applies parameter changes by varying the dose amount based on treatment phase. The loading dose uses a higher parameter value (300 mg) to rapidly achieve efficacy, while maintenance doses use lower values (90-180 mg) at extended intervals. This parameter variation ensures therapeutic effectiveness is achieved and maintained while reducing the total number of administrations, thereby improving treatment simplicity without compromising efficacy.

Inventive Principle:
Principle #35Parameter changes

Data Source

PatentUS20260035453A1Methods of treating inflammatory diseases
Publication Date: 2026.02.05 BOEHRINGER INGELHEIM INT GMBH
  • US20260035453A1 patent drawing
  • US20260035453A1 patent drawing
  • US20260035453A1 patent drawing

AI summary

This invention generally relates to methods for the treatment of IL-23 related diseases, in particular inflammatory diseases, such as psoriasis, psoriatic arthritis or axial (spinal) spondyloarthritis (ax-SpA), including ankylosing spondylitis and non-radiographic ax-SpA, utilizing anti-IL-23A antibodies.