GM-CSF Inhalation for Refractory NTM Infection Treatment

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Solution Overview

Problem

Current treatments for pulmonary non-tuberculous mycobacteria (NTM) infections are often refractory, requiring long courses of antibiotics that are poorly tolerated and have low success rates, with many patients experiencing side effects and recurrence of the disease.

Innovation Solution

Administration of granulocyte-macrophage colony stimulating factor (GM-CSF) or its functional homologues via pulmonary routes, such as inhalation, to treat NTM infections refractory to antibiotic treatment, enhancing the body's immune response and lung defense mechanisms.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Quantity of substance

If antibiotic treatment is used for NTM infections, then bacterial load is reduced, but treatment tolerance deteriorates due to severe side effects

Engineering Contradiction:
Improvebacterial loadVSAvoidtreatment tolerance
Core Design Contradiction:
Quantity of substanceVSEase of operation

Solution Approach 1:

The patent introduces GM-CSF as an intermediary substance that mediates the immune system's response to NTM bacteria. Instead of directly attacking bacteria with antibiotics (which cause side effects), GM-CSF stimulates the body's own immune cells (macrophages and neutrophils) to eliminate the bacteria, thereby reducing treatment tolerance issues while maintaining antibacterial efficacy

Inventive Principle:
Principle #24Intermediary (Mediator)

2Duration of action of moving object

If long-course antibiotic treatment is administered, then treatment coverage is improved, but treatment complexity increases

Engineering Contradiction:
Improvetreatment coverageVSAvoidtreatment complexity
Core Design Contradiction:
Duration of action of moving objectVSDevice complexity

Solution Approach 1:

The patent enables the patient's immune system to serve itself by stimulating endogenous macrophage and neutrophil activity through GM-CSF administration. This self-service mechanism allows the body to continuously fight the infection without requiring prolonged external antibiotic intervention, thereby reducing treatment complexity while maintaining adequate treatment coverage

Inventive Principle:
Principle #25Self-service

3Reliability

If traditional antibiotic therapy is used, then initial treatment effect is achieved, but long-term reliability deteriorates due to high recurrence rates

Engineering Contradiction:
Improveinitial treatment effectVSAvoidlong-term disease control
Core Design Contradiction:
ReliabilityVSDuration of action of stationary object

Solution Approach 1:

The patent applies preliminary action by enhancing the immune system's capacity before and during the infection process. By administering GM-CSF to stimulate macrophage and neutrophil function in advance and throughout treatment, the body is better prepared to eliminate bacteria and prevent recurrence, thereby improving both initial treatment effect and long-term disease control reliability

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentUS11938169B2GM-CSF for treating refractory non-tuberculous mycobacteria infections
Publication Date: 2024.03.26 DRUGRECURE
  • US11938169B2 patent drawing

AI summary

The present invention relates to methods of treating subjects suffering from a pulmonary NTM infection refractory to treatment, for example to antibiotic treatment.